Green Tetterine | Miconazole Nitrate Ointment while Breastfeeding

What is Green Tetterine | Miconazole Nitrate Ointment used for?

I am currently breastfeeding and I want to know if using Green Tetterine | Miconazole Nitrate Ointment is safe for my kid? Does it have any effect on milk production?

Miconazole nitrate while Breastfeeding

CAS Number: 22916-47-8

Excretion into breast milk is highly unlikely due to an almost nil systemic absorption through the skin, vaginal mucosa and even the intestine, with non-significant plasma levels (< 1 mcg/ mL) observed. In case of use on the nipple, let it be done after the feed and wipe it out any excess of cream before the next feed. Do not apply creams, gels and other products that would contain paraffin (mineral oil) to avoid absorption by the infant since it is a hydrocarbon-derived substance. Miconazole has not been found to be more effective than pure lanolin for treatment of sore or cracked nipples. List of Essential Medicines by WHO 2002: compatible with breastfeeding.

Miconazole nitrate while Breastfeeding

CAS Number: 22916-47-8

Because miconazole has poor oral bioavailability, it is unlikely to adversely affect the breastfed infant, including topical application to the nipples. However, miconazole ointment appears to have no advantage over lanolin for treating sore nipples during breastfeeding[1] and a survey of members of the Academy of Breastfeeding Medicine found topical miconazole is rarely prescribed to nursing mothers to treat thrush.[2] Any excess cream or ointment should be removed from the nipples before nursing. Only water-miscible cream or gel products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[3]

I already used Green Tetterine | Miconazole Nitrate Ointment and meanwhile I breastfed my baby should I be concerned?

My health care provider has asked me to use Green Tetterine | Miconazole Nitrate Ointment, what to do?

If I am using Green Tetterine | Miconazole Nitrate Ointment, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Green Tetterine | Miconazole Nitrate Ointment in breastfeeding?