Antibiotic treatment during lactation may lead to serious side effects: lesions of the gastrointestinal tract (dysbiosis), immunodepression, liver, kidneys, blood and nervous system, etc. most of the drugs passes into breast milk and has a negative effect on the baby, so the antibiotics while breastfeeding involves the cessation of breast feeding at the time of treatment. Subsequently, this leads to a violation of the natural process of lactation.
During lactation allowed to use the penicillins ("Ampicillin", "Penicillin", "Ampiox", "Amoxiclav", "Amoxicillin), cephalosporins ("Cephalexin", "Cefazolin", "Cefoxitin") and macrolides ("Azithromycin", "Erythromycin", "Vilprafen", "Sumamed"). According to studies these drugs enter breast milk in small amounts, providing no harm to the baby. However, sometimes these medications can have side effects, in this case, the child appears rash, disorders of intestinal microflora. In this case, you must stop taking the antibiotic and replace it with another.
Contraindicated in lactation: "Tetracycline", "Lincomycin", "Chloramphenicol", "Clindamycin", "Ciprofloxacin, "Metronidazole". "Chloramphenicol" inhibits the hematopoietic function of bone marrow of infants, "Tetracycline" can cause disruption in the formation of bone tissue, which in the future will impact on the formation of the rudiments of teeth and the growth of a tubular skeletal bone. The use of "Metronidazole", "Clindamycin" threatens a violation of protein metabolism. You can't use the antibiotics of fluoroquinolone group ("Apologizin", "Cifloxinal", "Caprolan", "Levofloxacin", "Tsifran", "Naizin", "Avelox"). These drugs damage the interarticular cartilage, and have a negative impact on the growth of children.
Breastfeeding during the period of antibiotic treatment conducted in the prescribed manner. The drug should be adjusted with the feeding time. To take medicine before the longest break in the evening before bedtime. Breastfeeding after antibiotics are contraindicated in lactation, resume after the drug and its metabolites will be removed from the body tissues. The duration of this period is specified in instructions for use of the medicine (see section "Pharmacokinetics").
Advice 2 : Which antibiotic can nursing mother
Nursing mother do not receive most drugs presented in a wide range of pharmacies. However, there is a small list of drugs that have undergone thorough research and may be used during lactation.
Antibiotics are allowed when breastfeeding
Modern pharmaceuticals offers a choice of several antibiotics which are allowed during breastfeeding. They penetrate into the milk, but in very low concentrations, so practically does not cause intoxication in a child. Such antibiotics include the following groups: penicillins, cephalosporins and aminoglycosides.
"Amoxilav" - a semi-synthetic penicillin with supporting substance beta-lactamase inhibitor. Effective against infections which cause diseases of ENT-organs, upper and lower respiratory tract, urinary system, bone and connective tissue. The drug used in gynecology, odontogenic diseases and animal bites.
"Amoxicillin - antibiotic broad-spectrum. Recommended for otitis media, bronchitis, pneumonia, pharyngitis, pyelonephritis, minisite and other infectious diseases. To authorized drugs from the group of penicillin includes "Ampiox", "Ampicillin and Penicillin-G".
Lactation is allowed to use the drug "Gentamicin", with the active substance of the aminoglycoside. It is prescribed in treatment of complicated urogenital and abdominal infections, otitis media, sepsis, inflammatory processes in the respiratory tract, skin and soft tissues. Widely used for burns and wounds. Analogue of this drug is "Netromycin".
Lactation in infectious ailments can be used "Ceftriaxone". He is a semisynthetic cephalosporin antibiotic of large spectrum of action. Prescribed for the treatment of infections of bones and joints, organs of an abdominal cavity and small pelvis, kidney, urinary and respiratory tract. Also, "Cefotaxime and Cefazolin" refer to drugs that can make a nursing mother.
The macrolide antibiotics
Antibacterial preparations belonging to the group of macrolides that have the ability to penetrate into breast milk. However, they have low toxicity. In some cases, can cause the baby allergic reactions, suppression of the normal microflora of the intestine and stomach, diarrhea, and thrush. In the case of development of side effects in the child, the mother should stop taking the antibiotic. To drugs-macrolides include "Sumamed", "Macroin" and "Erythromycin". Recommended to take in the treatment of whooping cough and diphtheria, infections of the genitourinary system, mucous membranes, respiratory tract, skin and enteritis caused by Campylobacter.