The first nutritious meal of the baby's birth is the mother's breast milk, and breastfeeding is very beneficial for both the baby and the mother. However, it is difficult to avoid the mother from getting sick during breastfeeding, and whether the milk is "fed" or "not fed" has become a problem. Some mothers would rather carry than take medicine, and some mothers are grinning widely, and there is no taboo to take medicine when sick.
However, both approaches are not allowed. Lactation medication cannot be simply unified as "can eat" or "can not eat", depending on the disease situation, but also on the drug itself and how it is used
So, today we will talk about the problem of safe medication during breastfeeding.
Address the following issues that nursing mothers are concerned about:
■ Is Chinese medicine safer than Western medicine?
■ "Western medicine" has big side effects and can't eat it?
■ Principles of safe medication.
1. Is Chinese medicine safer than Western medicine?
Mother is sick during lactation, dare not take Western medicine, often people will say: Chinese medicine is good, Chinese medicine is mild, and the side effects are small. In fact, as long as it is a medicine, it has side effects, and mothers cannot take any medicine casually.
In terms of composition, most of the "traditional Chinese medicines" are preparations extracted and synthesized from herbs. The interactions between the complex ingredients are very complex, and the methods of herbal extraction and formulation may change over time and result in differences in the final active ingredient ratio and content of the herb. Moreover, during the cultivation of herbs, factors such as air, water and soil may also have an impact on the final herbal preparations. For example, the content of heavy metals (such as cadmium, lead, mercury, arsenic, etc.) is worrying.
Therefore, it is difficult to analyze the efficacy and safety of breast milk during breastfeeding. It is recommended that nursing mothers: "Chinese medicine" can not be used without authorization, be sure to consult a doctor.
Traditional Chinese medicine and proprietary Chinese medicine, there are also contraindications, not necessarily safe for mothers and babies. Proprietary Chinese medicines produced by different pharmaceutical companies do not necessarily use the same formula, so drugs called "Banlan Root" may have different ingredients. Therefore, nursing mothers are best to inform the doctor of the situation and take the medicine prescribed by the doctor.
2. "Western medicine" has large side effects and cannot be eaten?
Many mothers see a large "adverse reaction" on the instruction manual and worry, there are so many side effects, so serious, definitely can not eat ah. This is not the case. Let's talk about some common "Western medicines", are they safe? Does it have an impact on children?
According to the risk level of the drug on lactation, it is divided into five levels: L1 to L5. L1 and 2 grades of drugs are generally considered to have little effect on breast milk and do not affect continued breastfeeding
Criteria for the risk level of medications used during lactation
Promulgated by the U.S. Drug and Food Administration (FDA).
L1 Safest
A large number of studies of medications in lactating women have found that these drugs do not significantly increase side effects in infants, and such drugs may be of little harm to nursing infants.
L2 is relatively safe
Current studies of the use of drugs in lactating women have shown that the drug does not significantly increase the side effects of infants, and the evidence that the use of such drugs in lactating women is harmful to infants is small, but the number of such studies is still relatively limited.
L3 Medium safe
There are currently no controlled studies of lactating women of this class of drugs, and there may be harm in feeding infants with adverse reactions; some studies have shown mild non-fatal side effects. New drugs that do not publish relevant data are automatically classified to this level.
L4 can be dangerous with long-term use
There is clear evidence that lactating obstetric and gynaecological medications are harmful to infants, but the benefits of lactating women after taking medication outweigh the harms to infants.
L5 Hazards
Studies have confirmed significant harm to infants or a higher risk of significant harm to infants with the drug. The application of such drugs in nursing women is clearly unhelpful. This class of drugs is contraindicated in lactating women.
In fact, in the range of L1 and L2, we have a lot of drugs to choose from, which basically includes the drugs for our common diseases.
We will not elaborate here, breastfeeding mothers in the choice of drugs, the best practice should be the mother and doctor to make the best choice based on full weighing of the pros and cons, informed consent and based on the current research evidence. Breastfeeding mothers are advised to follow the doctor's instructions and follow the principle of safe medication
Safe medication tips:
1. Diseases with a tendency to heal themselves can not be used without medication;
2. When you need medication when you are sick, don't carry it hard, try to avoid using unsafe drugs during lactation, and choose safe drugs;
3. If you have to use unsafe drugs that are banned during lactation and need to suspend breastfeeding, you can resume breastfeeding after the end of the 5 half-life of the drug;
4. Once the drug is used, take it according to the normal dosage of adults, do not reduce the amount at will;
5. As far as possible, choose drugs with a single active ingredient and avoid compound preparations;
6. Use quick-acting dosage forms as much as possible and avoid slow/controlled release dosage forms;
7. When you can solve the problem with external drugs, do not choose oral drugs;
8. The time of taking the medicine should be the best to take it immediately after breastfeeding, and appropriately delay the next breastfeeding time, or take the medicine before the baby's longest round of sleep;
9. Breastfeeding mothers are recommended to get the flu vaccine in time.