Maternal drugs to be avoided or used with great caution during breastfeeding
Possible effect on infant
Aspirin: Avoid high dose as there is risk of bleeding, Reye’s syndrome
Estrogens: Gynaecomastia in male infants
Metronidazole: Suspend breast feeding for 12hrs after single dose as it is secreted in large amounts in breast milk.
Phenobarbitone(and Other Sedatives): Sedation
Tetracycline: Teeth pigmentation, enamel hypoplasia, cataract, skeletal growth retardation
Streptomycin: deafness Alcohol Congenital cardiac, CNS, limb anomalies, Developmental delay, attention deficit, autism
Vitamin D analogues (alfacalcidol, calcitriol): Aortic stenosis (supraclavicular), hypercalcemia (avoid high doses)
