At latest update, relevant published data on excretion into breast milk were not found. It contains triterpenic saponins (asiaticoside and madecassoside), tannins, phytosterols and essential oil. Frequent and exaggerated use of triterpenes may cause liver damage. Properties that are attributed for topical use (some clinically tested) like are healing of wound and venous tonic. There is no proof on effectiveness when used by mouth. Because of a low or nil systemic absorption through skin or vaginal mucosa, the topical use is believed be compatible with breastfeeding. Do not use it on the breast or clean it thoroughly to avoid ingestion by the infant. Avoid oral administration.
CAS Number: 84696-11-7
Plant that is widely used even during pregnancy and breastfeeding. Because a lack of toxicity with an appropriate dose and moderate consumption it should be compatible with breastfeeding. The roots and aerial summits are used. It contains polysaccharides, essential oil, flavonoids, pyrrolizidine alkaloids among others. Unproven effects: immune stimulant, wound healing, anti-inflammatory. Indications are: common cold, bronchitis, skin lesions.Roots and aerial summits are used. It contains polysaccharides, essential oil, flavonoids, pyrrolizidine alkaloids ... Unproven effects: immune stimulant, wound healing, anti-inflammatory. Indications according to Commission E of German Ministry of Health: common cold, bronchitis, skin lesions. Contrary to the European Scientific Cooperative on Phytotherapy (ESCOP), the European Medication Agency does not recommend usage in younger than 12 years (allergy risk). Avoid using for longer than 8 weeks (risk for leukopenia)
CAS Number: 84603-58-7
Bush. Bark, leaves, roots, flowers and fruits are used for medicinal purposes in traditional medicine (diuretic, laxative, anti-infective for cold relief ...) without any scientific evidence on effectiveness.It contains flavonoids (quercetin, isoquercitin and rutin), phenolic acids, terpenes, minerals, tannins. Quercetin is excreted in breast milk in a concentration which increases with diets that contain products like elderberry. In the elderberry as well as other plants are contained endocrine disruptors that could display pro or counter-estrogen activity. Since it has no proven therapeutic benefit, it seems wise to avoid any consumption or doing it in very moderate way during lactation.
CAS Number: 84696-11-7; 90028-20
Echinacea species (Echinacea angustifolia, Echinacea purpurea, Echinacea pallida) contain high molecular weight polysaccharides (e.g., heteroxylan, arabinogalactan) and lower molecular weight compounds (e.g., alkylamides, caffeoyl conjugates such as cichoric acid and echinacosides), but no single chemical is known to be responsible for echinacea's biological activity. Some products have been standardized based on echinacoside, and others on cichoric acid. Echinacea has no specific uses during breastfeeding, but is commonly used orally to treat or prevent upper respiratory infections. It is also used topically to treat skin infections. Excretion of some of the purportedly active alkamides was found in breastmilk in one mother. No data exist on the safety and efficacy of echinacea in nursing mothers or infants. In general, echinacea is well tolerated with gastrointestinal upset, diarrhea and constipation, skin rash and rarely allergic reactions reported. It may also alter the metabolism of some dugs metabolized by the P450 enzyme system. Some sources indicate that echinacea is safe in recommended doses,[1] while others recommend avoiding it during breastfeeding because of the lack of published safety data. 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.
Periactive Mouthwash is in the category of low risk, if you have already used it then its not a big deal if health and behavior of baby is good. However your health care provider shall be aware of the fact that you have used Periactive Mouthwash so you should inform him based on your convenience.
Though Periactive Mouthwash dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.
Not much monitoring required while using Periactive Mouthwash
US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday
UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700
Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week
Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week