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Re: Corticosteroids and breastfeeding

From: Richard Chudacoff, MD (anonymous@obgyn.net)
Sat, 15 Sep 2001 17:34:09 -0500 (CDT)


At Sat, 15 Sep 2001, Rhonda wrote: >
>At my 6 week postpartum check up yesterday my OB/GYN prescribed ACLOVATE
>(alclometasone dipropionate ointment .05%) for what he thinks is eczema
>on my hand.
>
>I asked if it was safe while I breastfeed my daughter and he claimed it
>should be. However, when I read the information from the pharmacy it
>states the following for nursing mothers:
>
>Systemically administered corticosteroids appear in human breast milk
>and could suppress growth, interfere with endogenous corticosteroid
>production, or cause other untoward effects. It is not known whether
>topical administration of topical corticosteroids could result in
>sufficient systemic absorption to produce detectable quantities in human
>milk. Because many drugs are excreted in human milk, caution should be
>exercised when ACLOVATE ointment is administered to a nursing woman.
>
>That said, do you consider it safe to use? I would need to apply a thin
>layer to my thumb and forefinger of one hand.
>
>Thank you for any information!

I can't give you a great answer for this question. This is considered a category C. medication in pregnancy, something that should be used as it is needed but that there are no great studies to prove its safety in pregnancy. Although commonsense would tell me that the amount you are applying is minimal, they can't find any data to tell you that it is absolutely safe.

--
Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC
Sugar Land, TX

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**




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