Is this medication safe while breastfeeding?

There are many breastfeeding-safe medications, but doctors might not know they are safe, so tell you to “pump and dump” or even wean to take the medication. 
They may be referring to the PDR (Physician’s desk reference) made by the drug companies, (who don’t want to be sued) who plays it safe. There are many physicians, like Dr. Hale, who exclusively study the effects of medications in breastmilk. So just google the name, print it out and show your doctor. Even if a medication is unsafe, manytimes there is a good alternative!
Keep in mind, “pregnancy safe” categories is NOT the same as “lactation safe” categories. Some medications are safe for pregnancy that could dry your milk supply up, like benadryl. 

 

Lactation categories:

From Kellymom.com:
 
L1 SAFEST: Drug which has been taken by a large number of breastfeeding mothers without any observed increase in adverse effects in the infant. Controlled studies in breastfeeding women fail to demonstrate a risk to the infant and the possibility of harm to the breastfeeding infant is remote; or the product is not orally bioavailable in an infant.
 
L2 SAFERDrug which has been studied in a limited number of breastfeeding women without an increase in adverse effects in the infant; And/or, the evidence of a demonstrated risk which is likely to follow use of this medication in a breastfeeding woman is remote.
 
L3 MODERATELY SAFEThere are no controlled studies in breastfeeding women, however the risk of untoward effects to a breastfed infant is possible; or, controlled studies show only minimal non-threatening adverse effects. Drugs should be given only if the potential benefit justifies the potential risk to the infant.
 
L4 POSSIBLY HAZARDOUSThere is positive evidence of risk to a breastfed infant or to breastmilk production, but the benefits of use in breastfeeding mothers may be acceptable despite the risk to the infant (e.g. if the drug is needed in a life-threatening situation or for a serious disease for which safer drugs cannot be used or are ineffective).
 
L5 CONTRAINDICATEDStudies in breastfeeding mothers have demonstrated that there is significant and documented risk to the infant based on human experience, or it is a medication that has a high risk of causing significant damage to an infant. The risk of using the drug in breastfeeding women clearly outweighs any possible benefit from breastfeeding. The drug is contraindicated in women who are breastfeeding an infant.
 
Websites to verify meds: 
Hales Infantrisk –  //www.infantrisk.com/ or download the app, or buy his book. 
Kellymom – www.kellymom.com
Antidepressant hierarchy by Dr. Hale
 
***If a doctor says “pump and dump” or “wean,” research it first!!*****
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