Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream while Breastfeeding

Is Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream safe to use while breastfeeding? Can it interfere with growth and development of my kid?

Niacinamide while Breastfeeding

CAS Number: 98-92-0

A balanced and comprehensive diet make it vitamin supplementation useless.

Clindamycin phosphate while Breastfeeding

CAS Number: 18323-44-9

Lincosamide antibacterial. Excreted in non-significant level into breast milk. Except for few cases of enterocolitis due to disturbance of intestinal flora no other harm effects have been shown in breastfed infants. All cases spontaneously cured after discontinuation of medication. One reported case (1980) of pseudomembrane colitis in an infant whose mother was on clindamicin and gentamicin. Be aware of the possibility of false negative results of febrile infant bacterial cultures when the mother is on antibiotics and diarrheal disease due to intestinal flora imbalance. The American Academy of Pediatrics rates it as compatible with breastfeeding.

Alitretinoin while Breastfeeding

Retinoid, an acid form of vitamin A. At latest update no published data on excretion into breast milk were found.It is a normal component of breastmilk. Because of the small dose used and poor absorption into plasma of most topical dermatological preparations, excretion into breastmilk in significant amount appears to be unlikely. Do not apply on the breast, otherwise, wash it off thoroughly before next feed. Systemic use (overall as an antineoplastic drug) while breastfeeding is absolutely contraindicated.

Clindamycin phosphate while Breastfeeding

CAS Number: 18323-44-9

Clindamycin has the potential to cause adverse effects on the breastfed infant's gastrointestinal flora. If oral or intravenous clindamycin is required by a nursing mother, it is not a reason to discontinue breastfeeding, but an alternate drug may be preferred. Monitor the infant for possible effects on the gastrointestinal flora, such as diarrhea, candidiasis (thrush, diaper rash) or rarely, blood in the stool indicating possible antibiotic-associated colitis. Vaginal application is unlikely to cause infant side effects, although about 30% of a vaginal dose is absorbed. Infant side effects are unlikely with topical administration for acne; however, topical application to the breast may increase the risk of diarrhea if it is ingested by the infant. Only water-miscible cream, foam, gel or liquid products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[1]

I am nursing mother and I have already used Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream, what should I do?

My health care provider has asked me to use Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream, what to do?

If I am using Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Clindamycin 1% / Niacinamide 4% / Tretinoin 0.05% Cream in breastfeeding?