Are topical antifungals safe while breastfeeding?

Topical preparations for fungal infections are considered to pose a negligible risk to a breastfeeding infant as long as precautions are taken to minimise contact of the breastfeeding infant with treated areas. There is no published evidence on the safe use of these topical preparations in breastfeeding.

Is antifungal cream safe during breastfeeding?

As for antifungals, topicals are safe, and nystatin and clotrimazole are the best first-line options (both L1). Oral antifungals are similarly fine, with griseofulvin, fluconazole, ketoconazole, itraconazole, and terbinafine all classified as L2 and amphotericin B as L3.

Which antifungal is safe for breastfeeding?

Oral antifungal

Fluconazole is secreted in breast milk but is considered safe in neonates. Ketoconazole and itraconazole are absorbed poorly in milk but better avoided during lactation.

Can topical creams affect breast milk?

The skin absorbs only small amounts of most topical treatments (meaning those you put on your skin), like anti-itch creams and antibacterial ointments, so the amount that will pass into the bloodstream and make its way into the breast milk is even smaller.

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Are topical antifungals safe during pregnancy?

Careful consideration of the benefit to the mother and the risk to the fetus is required when prescribing antifungal therapy in pregnancy. Imidazoles are considered safe as topical therapy for fungal skin infections during pregnancy.

Is clotrimazole safe to use while breastfeeding?

Clotrimazole is generally considered safe to use while you’re breastfeeding. If your baby is being treated for oral thrush you can carry on breastfeeding but you’ll need to be treated at the same time. Apply clotrimazole cream on and around your nipples after each time you breastfeed your baby.

Can a baby get a yeast infection from breastfeeding?

Thrush happens when there is an overgrowth of the fungus Candida albicans (yeast) in the body, either yours or baby’s. The resulting yeast infection can be easily transferred between a breastfeeding mom and baby.

Can I breastfeed if I have fungal infection?

Breast and nipple thrush (BNT) is a yeast infection of the nipple and breast caused by a fungal organism known as Candida albicans, a common cause of all thrush infections. It occurs most commonly in breastfeeding mothers. The infection may lead to severe nipple and breast pain, especially during breastfeeding.

How do you treat Candida while breastfeeding?

Thrush can be treated with antifungal medication. Your doctor may prescribe a topical antifungal cream to apply to your breasts, such as miconazole cream (Lotrimin, Cruex). Some topical antifungals are appropriate for oral use, but others will need to be cleaned off your breast prior to letting your baby nurse.

What skincare ingredients to avoid while breastfeeding?

But particular products to avoid are those which contain salicylic acids or retinoids, often listed as:

  • Retinoic acid.
  • Retin-A.
  • Retinol.
  • Retinyl linoleate or palmitate.
  • Diferin.
  • Razarotene or tazorac and avage.
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Can you use topical hydrocortisone while breastfeeding?

[1] Hydrocortisone can be applied to the breast or nipple area, but should be wiped off thoroughly prior to nursing. [2] Maternal use rectally with a cream or by suppository poses very little risk to the breastfed infant.

Can you use topical CBD oil while breastfeeding?

FDA strongly advises against the use of cannabidiol (CBD), tetrahydrocannabinol (THC), and marijuana in any form during pregnancy or while breastfeeding.

What antifungals are safe during pregnancy?

The Centers for Disease Control and Prevention recommends using only topical vaginal antifungal agents (including butoconazole, clotrimazole, miconazole, and the prescription medications terconazole [Terazol] and nystatin [Mycostatin]) in pregnancy.

Is topical clotrimazole safe in pregnancy?

Clotrimazole topical has been assigned to pregnancy category B by the FDA. Systemic absorption is minimal following topical or vaginal administration. Animals given high doses intravaginally have not revealed evidence of teratogenicity. High oral doses resulted in embryotoxicity and maternal toxicity.

Is clotrimazole cream safe during pregnancy?

Clotrimazole is generally considered safe for pregnant women to use. If you are using the pessary to treat vaginal thrush during pregnancy it is recommended that you insert it with your fingers rather than with the applicator provided. It is very common for pregnant women to suffer from thrush.

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