Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Not all antibiotics can get into breast milk well. Some can pass through, but only show up in dose amounts that are too low to be clinically relevant, or the dose is poorly bioavailable to the infant. According to Hale, Ph.D. in his book, _Medications And Mothers' Milk_, The amount of drug excreted into milk depends on a number of factors: 1) the lipid solubility of the drug 2) the molecular size of the drug, 3) the blood level attained in the maternal circulation, 4) protein binding in the maternal circulation, 5) oral bioavailablity in the infant and mother, and 6) the half-life in the maternal and infant's plasma compartments. Oftentimes, it is far better to continue breastfeeding than to discontinue because the mother needs medications. Doctors (and definitely pharmaceutical companies) recommend stopping because it is easier to recommend that than it is to research it. More than once a doctor told me to stop breastfeeding because he wanted me to take a certain medication. When I argued, he got frustrated and told me I was not taking care of myself and that my child had been breastfed long enough. After arguing for a while I would ask " What do you give people when they are allergic to this medication? " He would immediately blurt out another med, which was usually breastfeeding friendly and worked just as well. Basically, I found that most doctors didn't want to hassle with finding meds that work for a breastfeeding mother, and generally tried to pressure me to quit rather than working with me. They don't consider a breastfeeding mother as a patient with special needs because you can choose to stop nursing. Pharma companies don't want to do the research because it is too expensive and much easier to just add a warning to their documentation. There are drugs that have been used safely for decades, but the pharma will still say the drug is not for nursing mothers. PLEASE UNDERSTAND, I AM NOT TALKING ABOUT THE PRESENCE OF SPIROCHETES IN BREAST MILK-- I AM TALKING ABOUT MEDICATIONS. (Having said that, I have not been impressed with any of the studies that have been done on spirochetes in breast milk.) ~Mimi www.iammimi.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Not all antibiotics can get into breast milk well. Some can pass through, but only show up in dose amounts that are too low to be clinically relevant, or the dose is poorly bioavailable to the infant. According to Hale, Ph.D. in his book, _Medications And Mothers' Milk_, The amount of drug excreted into milk depends on a number of factors: 1) the lipid solubility of the drug 2) the molecular size of the drug, 3) the blood level attained in the maternal circulation, 4) protein binding in the maternal circulation, 5) oral bioavailablity in the infant and mother, and 6) the half-life in the maternal and infant's plasma compartments. Oftentimes, it is far better to continue breastfeeding than to discontinue because the mother needs medications. Doctors (and definitely pharmaceutical companies) recommend stopping because it is easier to recommend that than it is to research it. More than once a doctor told me to stop breastfeeding because he wanted me to take a certain medication. When I argued, he got frustrated and told me I was not taking care of myself and that my child had been breastfed long enough. After arguing for a while I would ask " What do you give people when they are allergic to this medication? " He would immediately blurt out another med, which was usually breastfeeding friendly and worked just as well. Basically, I found that most doctors didn't want to hassle with finding meds that work for a breastfeeding mother, and generally tried to pressure me to quit rather than working with me. They don't consider a breastfeeding mother as a patient with special needs because you can choose to stop nursing. Pharma companies don't want to do the research because it is too expensive and much easier to just add a warning to their documentation. There are drugs that have been used safely for decades, but the pharma will still say the drug is not for nursing mothers. PLEASE UNDERSTAND, I AM NOT TALKING ABOUT THE PRESENCE OF SPIROCHETES IN BREAST MILK-- I AM TALKING ABOUT MEDICATIONS. (Having said that, I have not been impressed with any of the studies that have been done on spirochetes in breast milk.) ~Mimi www.iammimi.com Quote Link to comment Share on other sites More sharing options...
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