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Medications and breast-feeding: Current concepts
Authors:Frank J. Nice  Amy C. Luo
Affiliation:1. Allergy and Immunology, Scripps Clinic, La Jolla, Calif;2. Department of Pediatrics, University of California San Diego, La Jolla, Calif;3. Division of Pediatric and Maternal Health, Center for Drug Evaluation and Research, Office of New Drugs, Food and Drug Administration, Silver Spring, Md;4. Office of Communications, Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, Md;5. Department of Allergy, Kaiser Permanente Medical Center, San Diego, Calif
Abstract:ObjectivesTo describe the various factors that come into play when a breast-feeding mother is taking medications, including use of prescription drugs, over-the-counter medications, recreational drugs, galactogogues, and herbal remedies and to provide a framework used for counseling breast-feeding women.SettingCommunity and hospital pharmacy and health care settings.Practice descriptionConsultative services provided to breast-feeding mothers who had been prescribed or were using medications.Main outcome measuresUse of pharmacokinetic factors, maternal and child factors, a list of questions to ask breast-feeding mothers, and a stepwise approach to counsel breast-feeding mothers on the compatibility of using medications while breast-feeding.ResultsBy positive intervention of pharmacists and health care providers, up to 1 million breast-feeding mothers, who must use medications, can continue to breast-feed while taking medications.ConclusionObjectively weighing the benefits of drugs and breast-feeding versus the risks of drugs and not breast-feeding, in most cases, allows for pharmacists to give current and practical advice to mothers and other health professionals who counsel mothers.
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