Antimicrobials in breastfeeding
From IDWiki
Antibiotics
- Safest antibiotics in breastfeeding are penicillins, cephalosporins, and carbapenems, as well as macrolides
- Metronidazole is debatable, but generally considered safe
- Fluoroquinolones are expressed in high enough levels in the breast milk, but risks may outweigh benefits in some situations
- Tetracyclines are excreted in low amounts in breast milk, but are usually avoided due to concerns about effects on bone growth or dental staining
- Fluoroquinolones are generally avoided, since they are excreted in high enough levels to be of concern and are associated with arthropathis in immature animal models
- Sulfonamides such as co-trimoxazole are generally avoided when the breastfeeding infant is less than 1 month old due to risk of jaundice/kernicterus, but is otherwise considered generally safe
