Discus Compositum Rx while Breastfeeding

What is Discus Compositum Rx used for?

Is Discus Compositum Rx usage safe while breastfeeding? If a lactating mother is using it can there be any effect on growth or development of infant?

Berberis vulgaris root bark while Breastfeeding

CAS Number: 84649-92-3

Roots and bark are used. It contains Berberine that may be a cause of gastritis, nephritis, phototoxicity and severe jaundice by displacement of albumin -linked bilirubin: higher risk of kernicterus to newborns, which is greater in cases of 6-Glucose-PD deficiency. It is popularly widely used, however, its effectiveness has not been shown. Use not approved by the Commission E of German Ministry of Health. It should be avoided.

Black cohosh while Breastfeeding

Rizomes and roots are used. It contains saponids, phytoestrogens, and other substances. Attributed effect: estrogenic stimulation. Indications according to Commission E of German Ministry of Health: pre-menstrual dysmenorrhea, menopause. Maximal daily dose: 40 mg of drug equivalent. Do not use it for longer than 6 months Estrogen-agonist may decrease breast milk production and alter its composition.

Cinchona officinalis bark while Breastfeeding

Cinchona alkaloid used in the prophylaxis and treatment of malaria (Pérez 2009). Administered orally or intravenously. It is excreted in breast milk in clinically insignificant amounts (Mathew 2004, Phillips 1986, Terwilliger 1934), much lower than the dose used in newborns and infants (Fulton 1992).No problems have been observed in infants whose mothers were taking it (FDA 2008, Terwilliger 1934). Its use is authorized in infants and children.Avoid in cases of glucose-6-phosphate dehydrogenase deficiency (Mathew 2004, WHO/UNICEF 2002, Fulton 1992). American Academy of Pediatrics: medication usually compatible with breastfeeding (AAP 2001). WHO list of essential medicines: compatible with breastfeeding (WHO / UNICEF, 2002).

Citrullus colocynthis fruit pulp while Breastfeeding

Cucurbitaceae plant originally from Turkey with laxative properties. Highly toxic can cause death. Not recommended by the Commission G of the German Ministry of Health. Commercialization of this product has been banned. When present in homeopathic compounds it appears to be harmless.

Horse chestnut while Breastfeeding

CAS Number: 8053-39-2

The seeds, bark and leaves are used. It contains Aescin and esculin (see specific info), with a vasoprotector effect and devoid of toxicity at normal doses. At latest update no published data on excretion into breast milk was found. Side effects are rare and mild.The Commission E of German Ministry of Health does not contraindicate the use of seed extract during infancy. Given its lack of toxicity at normal doses, a moderate consumption during lactation would pose a very low risk. For topical preparations, do not apply it on the chest or thoroughly clean it up before breastfeeding. See below the information of these related products:

Ascorbic acid while Breastfeeding

CAS Number: 50-81-7

Vitamin C is abundantly present in food. A balanced and comprehensive diet makes vitamin supplementation useless. Any amount of vitamin C taken by the mother as a supplement does not affect significantly the concentration in breast milk of women who are on a varied and balanced diet.

Potassium carbonate while Breastfeeding

CAS Number: 7447-40-7

Human milk has a potassium concentration of 13 meq/L, almost a half of rehydration solution content and a quarter of maximal IV recommended dose. Potassium supplementation does not alter milk concentration without increasing mother’s serum concentration, which is strictly limited from 3,5 to 5,5 meq/L.

Niacinamide while Breastfeeding

CAS Number: 98-92-0

A balanced and comprehensive diet make it vitamin supplementation useless.

Pyridoxine hydrochloride while Breastfeeding

CAS Number: 58-56-0

Concentration of vitamin B6 in the breast milk is directly related to the amount present in diet with the possibility of a high increment by an excessive consumption through the diet. Daily allowance of vitamin B6 ranges from 2 to 3 mg. A balanced and varied diet is enough without a need for extra supplementation with this vitamin. Vitamin B6 deficiency is extremely rare since it is widely distributed in many foods. In those cases where supplementation is required, it is recommended not to exceed 40 mg a-day. There are controversial data on the capacity of a high dose of Pyridoxine to inhibit the secretion of Prolactin and suppress the milk production. The American Academy of Pediatrics rates it as usually compatible with breastfeeding.

Riboflavin while Breastfeeding

CAS Number: 83-88-5

A balanced and comprehensive diet make it vitamin supplementation useless.

Claviceps purpurea sclerotium while Breastfeeding

CAS Number: 84775-56-4

A parasitic fungus from the ear of some cereals, particularly rye, which since ancient times has caused epidemics of a serious disease, ergotism (Florea 2017, Belser 2013, Lee 2009). It has a complex composition, highlighting the ergoline alkaloids: lysergic acid amides such as ergometrine and ergopeptines such as ergotamine and ergotoxine (Florea 2017, Hulvová 2013) that act on adrenergic, dopaminergic and serotonergic receptors. Since the last update, we have not found published data on its excretion in breast milk. Ergot alkaloids have oxytocic, vasoconstrictive and lactation-inhibiting effects by inhibiting prolactin, among many others (Florea 2017, Hulvová 2013, Lee 2010, Lee 2009). Indications from the German Ministry of Health’s Commission E: none. Due to its serious adverse reactions and toxicity, natural alkaloids are not used in therapy, and there are recommendations for their withdrawal from sale (EMA 2014). At present, semisynthetic derivatives such as methylergometrine, dihydroergotamine, dihydroergocristine, bromocriptine and lisuride are used, among others. See below the information of these related products:

Silicon dioxide while Breastfeeding

A polymer made out of silicon-oxygen-methyl combination with a high molecular weight, water repellent and low superficial tension. It is used in many ways (dimethicone, simethicone, -see specific items)orally to treat infant colic and flatulence; as pediculicide, in cosmetic creams and lotions and skin protectants as to prevent ulcers and scars; arthroplasties, retinal detachments and reconstruction or cosmetic surgery as injections and implants. Silicone is widely distributed in our environment with several cosmetic and medicinal uses. No evidence of toxicity on human tissues has been shown. A 1994 report on immunological side effects in infants breastfed by mothers with silicone implants, was denied categorically by means of meta-analysis and other work. The absorption by oral or dermal route is negligible. Both a high molecular weight and polymer molecular structure make it practically impossible excretion in the milk and hence a significant amount of intestinal absorption by the infant. Those circumstances make silicone implants safe for lactation even if broken or manufacturing fault (Poly Implant Prothèse, PIP). After extensive analysis of such silicone prosthesis, where lack of health risk was demonstrated, it can be concluded that many of the initial recommendations published lacked scientific validity, including that carriers of such prosthesis should not breastfeed. Silicon levels in blood and milk of women with implants (55 ng / ml) are similar to those of women without implants (51 ng / ml), 13 times lower than that found in cow's milk (709 ng / ml) and 80 times lower than in commercial infant formulas (4403 ng / ml). American Academy of Pediatrics: Product usually compatible with breastfeeding. To view other possible effects on breastfeeding of breast implant unrelated to silicone, see the term 'Augmentation Mammoplasty'. See below the information of these related products:

Thiamine hydrochloride while Breastfeeding

CAS Number: 67-03-8

Thiamine or Vitamin B1 is a water soluble vitamin. In addition to Thiamine, other chemical compounds with similar activity: Acetiamine, Benfotiamine, Bisbentiamine, Bisbutiamina, Cetotiamina, Cicotiamina, Cocarboxylase, Fursultiamine, Monofosfotiamina, Octotiamine, Pyrophosphotiamine, Prosultiamine and Sulbutiamine.It is essential for the metabolism of carbohydrate nutrients. Its deficiency causes severe neuromuscular and cardiac symptoms known as Beriberi and Wernicke-Korsakoff disease. Thiamine deficiency is common among disadvantaged populations in Southeast Asia (predominantly consumers of refined rice), other malnourished people (refugees, low socioeconomic status ...) and chronic alcohol consumption. Beriberi of childhood, both infants and children, may arise from breastfeeding by Thiamine deficient mothers. Reportedly, several severe cases have occured after feeding the babies with artificial formulas that were not supplemented with vitamin B1. Daily allowance is higher during pregnancy and lactation (1.5 mg / day) which is readily obtained through a varied diet with adequate content of whole grains, legumes, nuts, eggs and lean meat.Thiamine is excreted in breast milk and gradually increases with time, being lower in colostrum (28 ng / mL) and transitional milk than in mature milk (180 ng / mL). The concentration is lower in milk from mothers of preterm (90 ng / mL). Taking vitamin supplementation is not required if diet and nutritional status are adequate. Supplementation does not increase levels in milk of well-nourished women, but of those with a low nutritional status. The supplementation of group B vitamins and C and E vitamins to HIV positive mothers improves the weight growth of their breasted babies.There is no evidence of their effectiveness in improving athletic performance, lack of appetite, sores, stress, fatigue or aging.Toxicity linked to excessive consumption of thiamine is not known. WHO List of Essential Medicines 2002: compatible with breastfeeding.American Academy of Pediatrics: usually compatible with breastfeeding

Ammonium cation while Breastfeeding

CAS Number: 12125-02-9

Used in intravenous administration as an acidifier in severe metabolic alkalosis. It is also used orally to acidify urine and as a diuretic and as an expectorant because of its irritant properties on the respiratory mucosa.Oral and general use of this drug has fallen into disuse because of its poor efficacy and irritant properties on the gastric mucosa. Since the last update we have not found published data on its excretion in breast milk. After being absorbed in the intestine, it is rapidly metabolized in the liver as urea. The small amounts of ammonium in cough mixtures will hardly affect breastfeeding or the infant. It is advisable to avoid it due to its inefficacy or to use it moderately during breastfeeding. It has multiple industrial uses: fertilizers, explosives, metallurgy (soldered, galvanized and welded), batteries, detergents, etc. Exposure limits in these TLV industries (such as TWA) should be maintained: 10 mg / m³ and TLV (as STEL): 20 mg / m³. Ammonium chloride has no R-phrases or specific recommendations for breastfeeding. It is also used in the food industry as an emulsifying and flavoring additive (E510); to be avoided.

.alpha.-lipoic acid while Breastfeeding

CAS Number: 1077-28-7

A fatty acid present in the body involved in metabolism which transforms glucose into energy. It is a powerful antioxidant which is synthesized in the body and also comes from external input (liver, meat, fish, green leafy vegetables, yeast). There is still no definitive scientific evidence for its usefulness in the treatment of diabetic neuropathy (Han 2012), hepatic dysfunction, certain encephalopathies, pain relief, glossodynia (Carbone 2009) and multiple sclerosis (Khalili 2014, Yadav 2010, Namaka 2008). It is generally well tolerated if the dosage and duration indicated in the manufacturer’s directions for use are not exceeded, but it can have adverse effects. Cases of autoimmune hypoglycemia syndrome (Michalopoulou 2015, Bresciani 2011, Uchigata 2007) have been attributed to its consumption, as has hepatic cholestasis (Ridruejo 2011), poisoning (Hadzik 2014, Karaarslan 2013) and seizures, especially in children (Tolunay 2015). Dermatitis has been reported due to contact with an anti-aging cream containing lipoic acid (Bergqvist 2006). Since the last update we have not found published data on its excretion in breast milk. It has been used to treat postpartum perineal pain without presenting problems during breastfeeding (Costantino 2015). Consumption in moderate doses following medical prescription would have little risk during breastfeeding. When used topically, do not apply to the nipple so as to avoid its ingestion by the infant.

Silver while Breastfeeding

CAS Number: 7761-88-8

Avoid using it on the breast or cleanse thoroughly before nursing.

Calcium cation while Breastfeeding

Various calcium salts (Acetate, Carbonate, Chloride, Citrate, Phosphate, Gluceptate, Glucobionato, Lactate, Laxctobionato Pidolate, Silicate) are used in the management of hypocalcemia, supplements for treating calcium deficiency states and antacids ( Carbonate and Silicate) Daily requirement of calcium during lactation are 1 g (1.3 g in children under 20 years).Calcium supplements in the diet does not affect the concentration of calcium in milk.Excessive intake of calcium is not good for health. During lactation, consumption of calcium should not exceed 2.5 g a day. WHO List of Essential Medicines 2002 states that it is compatible with breastfeeding.

Zinc while Breastfeeding

Zinc (Zn) is an essential element for nutrition. It is present in many foods.Recommended daily allowance of Zn is 8 to 15 mg. (Moran Hall 2010). Millions of people worldwide are Zn-deficient.It is used as a treatment for Wilson's disease and Acrodermatitis Enteropathica. Zn is involved in the regulation process of lactation (Lee 2016).Pasteurization of the milk does not affect the concentration of Zn and other trace elements (Mohd Taufek-2016). The average concentration of Zn in breastmilk is 4 to 16 mg / L (Picciano 1976, Hannan 2005, Dórea 2012) which is independent of plasma levels and maternal daily intake (Krebs 1995, Chierici 1999, Hannan 2009).Intestinal absorption of zinc is almost doubled during pregnancy and lactation (Fung 1997).Zinc levels in the infant are dependent on Zinc levels in the breast milk (Dumrongwongsiri 2015)With a varied and balanced diet, an extra intake of minerals is not needed. Excessive intake of Zinc may cause gastrointestinal problems and Pancytopenia (Irving 2003).

Black cohosh while Breastfeeding

CAS Number: 84776-26-1

Black cohosh (Cimicifuga racemosa, formerly Actaea racemosa) root was thought to have mild estrogenic activity based on its triterpene content, which is standardized based on 27-deoxyactein. However, recent studies have found no estrogenic activity.[1][2] It is primarily used for postmenopausal symptoms and has been used to promote labor.[3][4][5][6][7][8] Currently, it has no specific uses during breastfeeding, although historically it was supposedly used by native American women as a galactogogue.[9] No data exist on the safety and efficacy of black cohosh in nursing mothers or infants. In general, there is a low frequency of adverse reactions, but dizziness, nausea, headache, rash, vomiting, and rarely, hepatitis and allergic reactions have been reported.[3][10][11] Some sources recommend against its use during breastfeeding because of the lack of safety data and its potential estrogenic activity,[10] while others do not contraindicate its use.[9] Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.

Cinchona officinalis bark while Breastfeeding

CAS Number: 130-95-0

Because of the low levels of quinine in breastmilk, amounts ingested by the infant are small and would not be expected to cause any adverse effects in breastfed infants. The dosage in milk is far below those required to treat an infant for malaria.[1] However, quinine should not be used in mothers with an infant who is glucose-6-phosphate dehydrogenase (G6PD) deficient.[2] Even the relatively small amounts of quinine in tonic water ingested by the mother have caused hemolysis in G6PD-deficient infants.

Pulsatilla vulgaris while Breastfeeding

Pulsatilla (Anemone pulsatilla and other related species) contains ranunculin, protoanemonin, and anemonin as well as triterpene saponins and flavonoids. The fresh plant is extremely irritating to the skin, gastrointestinal tract and mucous membranes. Allergic reactions have been reported to pulsatilla. Homeopathic preparations of pulsatilla are reportedly used for sore nipples and mastitis,[1] to reduce an overabundant milk supply,[2] or to increase milk supply.[3] Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[4] No scientifically valid clinical trials support either of these uses. Because of a lack of information, other agents may be preferred in nursing mothers. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed

Sulfur while Breastfeeding

CAS Number: 7704-34-9

Sulfur 5% to 10% in a petrolatum base is safe for topical use in children, including infants under 2 months of age.[1] This makes it a useful alternative to organic insecticides for treating scabies in nursing mothers; however, the petrolatum base makes undesirable for use on the breast.

Ledum palustre twig and Breastfeeding

Labrador tea is a plant. The leaves and flowering shoots are used to make medicine. People take Labrador tea for sore throat, chest congestion, coughs, lung infections, and other chest ailments. They also take it for diarrhea, kidney problems, joint and muscle pain (rheumatism), headache, and cancer.

Women use it to cause an abortion or treat �female disorders.�Some people add Labrador tea to bath water or apply it directly to the skin to treat skin problems. The flowers and leaves of the plant are used to prepare tea. However, frequent intake of the same have some side effects like headaches, indigestion, cramps, and vomiting.

Labrador tea has narcotic properties. If taken in concentrations that are too high, it can cause symptoms of intoxication that can lead to paralysis and death. Due to its narcotic properties Its likely unsafe to use Labrador tea if you are breastfeeding. If you are pregnant It might cause an abortion.

Pulsatilla vulgaris and Breastfeeding

Sepia officinalis juice and Breastfeeding

SEPIA OFFICINALIS is usually low in mercury and its likely safe in breastfeeding.

Sulfur and Breastfeeding

I already used Discus Compositum Rx and meanwhile I breastfed my baby should I be concerned?

I am nursing mother and my doctor has suggested me to use Discus Compositum Rx, is it safe?

If I am using Discus Compositum Rx, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Discus Compositum Rx in breastfeeding?