Halima Bf2
Halima Bf2
Halima Bf2
• Age • Dose
• Body weight • Route of administration
• Health status • Health status
Drugs in Lactation – Factors to consider
Choose a route of admin. which minimizes maternal drug level :
topical, inhalation.
Use the lowest effective dose & for the shortest time.
• L1 Safest
• L2 Safer
• L3 Moderately safe
• L4 Possibly hazardous
• L5 Contraindicated
L1 Safest: Taken by large No. of BF mothers
without any observed SE
Domperidone 10mg
Dose :10mg twice or 3 times per a day for 1-2 week
Can be given 4 times
(contraindicated in heart disease patient)
Medication inhibit milk supply in lactating
mother
Cabergolin 250mcg
Dose :250 mcg twice a day for 2 days
Bromocriptin 2.5mg
Dose :2.5mg once a day for 2-3 days or
2.5 mg twice per a day for 2 weeks
Patient: S.S , 36years old, Delivered by LSCS
High fever due to UTI
Post partum psychosis attack
Ceftrixone injection 2 g OD
Haloperidol injection 5mg STAT
Pharmacist Advice :
To continue with Haloperidol tab 1.5 mg BID (L3)
T half :12-38hrs Tmax:2-6hrs
Advise : to pump and dump for 2-3hrs
But watch the baby for any sedation effect.
1
Patient : R.A , 35 years old, Delivered by LSCS
Case of Multiple Sclerosis (MS) 2
She has to continue with her neurological medication
Aubajio (teriflunomide)? (L5)
Pharmacist Advice :
Aubagio is associated with potentially serious side effects,
including liver problems and infections. Because there is the
potential that the drug could pass through breast milk and cause
these and other problems in a nursing child.
Outweigh the Benefit –Risk Ratio
Patient: Z.H , 35years old, Delivered by LSCS
- Severe neck pain & headache on day 2
3
Outcomes
Patient was on fucidic acid cream
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