Ciprofloxacin Solution/ Drops while Breastfeeding

What is Ciprofloxacin Solution/ Drops used for?

I am breastfeeding mother and I am using Ciprofloxacin Solution/ Drops. Can it have any bad effect on my kid? Shall I search for better alternative?

Ciprofloxacin while Breastfeeding

CAS Number: 85721-33-1

Quinolone-related medication has been used in neonates and infants without known side effects. It is excreted in tiny amounts into breast milk. Absorption through the child’s gut may be interfered by calcium in the milk. Should it be prescribed to a nursing mother Norfloxacine, Ofloxacine and Ciprofloxacine are to be chosen since they have shown a lowest excretion into the milk. One case of pseudomembranose colitis, possibly related to mother ingestion of Ciporfloxacine, in a premature infant has been described who previously was affected of NEC, Follow-up for diarrhea in the infant is warranted. Be aware of false negative bacterial cultures in the infant when the mother is on antibiotics. The American Academy of Pediatrics rates it compatible with breastfeeding.

Ciprofloxacin while Breastfeeding

CAS Number: 85721-33-1

Amounts of ciprofloxacin in breastmilk are low. Fluoroquinolones such as ciprofloxacin have traditionally not been used in infants because of concern about adverse effects on the infants' developing joints. However, studies indicate little risk.[1] The calcium in milk might decrease absorption of the small amounts of fluoroquinolones in milk,[2] but, insufficient data exist to prove or disprove this assertion. Use of ciprofloxacin is acceptable in nursing mothers with monitoring of the infant for possible effects on the gastrointestinal flora, such as diarrhea or candidiasis (thrush, diaper rash). Avoiding breastfeeding for 3 to 4 hours after a dose should decrease the exposure of the infant to ciprofloxacin in breastmilk. Maternal use of an ear drop or eye drop that contains ciprofloxacin presents negligible risk for the nursing infant. To substantially diminish the amount of drug that reaches the breastmilk after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.

What should I do if I am breastfeeding mother and I am already exposed to Ciprofloxacin Solution/ Drops?

I am nursing mother and my doctor has suggested me to use Ciprofloxacin Solution/ Drops, is it safe?

If I am using Ciprofloxacin Solution/ Drops, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Ciprofloxacin Solution/ Drops in breastfeeding?