Calm Plus while Breastfeeding

What is Calm Plus used for?

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

Avena sativa flowering top while Breastfeeding

The seeds of this leguminous plant are used.
Content: carbohydrates, proteins, saponins, vitamins, minerals . 
Assigned properties: appetite stimulant, lowering of lipemia and glycemic (Gong 2016).Indications according to Commission E of the German Ministry of Health: Anorexia, Atopic Dermatitis.

 Widely used as a galactogogue in many cultures around the world (Ayers 2000, Winterfeld 2012, Sim 2013, The Royal Women's .. 2013, Bazzano 2016).

 Case-control studies looking for evidence on the increment of milk production associated to the use of fenugreek are few (Turkyılmaz 2011, Ghasemi 2015), along with a variety of methodological deficiencies. Other studies have failed to find such an effect with the use of fenugreek (Damanik 2006).
Studies with an appropriate design are needed to provide high quality evidence to make clinical recommendations on its use (Forinash 2012, Zapantis 2012, Committee LM AEP 2012, Mortel 2013, Bazzano 2016)

 A higher antioxidant effect in the breastmilk of women who have consumed mixed infusions containing this or other herbs has not been shown (Kavurt 2013).

 Given the wide spread use and lack of toxicity of this herb, a moderate consumption would be compatible with breastfeeding, yet high doses may produce hypoglycemia (EMA 2011, Gong 2016) and, because of the odor appearing in the urine of the infant, a lab test may be required to make a differential diagnosis with maple syrup disease of the newborn (Sewell 1999, Korman 2001).
Avoid the use of a galactogogue without a sanitary control.

 Best galactagogue results are achieved through on-demand breastfeeding along with an adequate technique in a mother who is able to maintain self-confidence (ABM 2011, Mannion 2012). Precautions when taking plant preparations: 1. Ensure that they are from a reliable source: poisoning has occurred due to confusing one plant with another with toxic properties, as well as poisoning from heavy metals extracted from the ground and food poisoning due to contamination with bacteria or fungi. 2. Do not take in large amounts; follow recommendations from professional experts in phytotherapy. "Natural" products are not always good in any quantity: plants contain active substances from which much of our traditional pharmacopoeia has been obtained and can result in poisoning or act as endocrine disruptors if taken in excessive amounts or time periods.

Matricaria recutita while Breastfeeding

CAS Number: 520-36-5

It is a widely used plant even in infants. Because of lack of toxicity, a moderate use is considered to be safe. If topically used, do not apply it on the nipple because risk of contact dermatitis has been reported. There are two different species with similar properties: 1) Common or Sweet Chamomile (Matricaria recutita or Chamomilla recutita). 2) Roman, English or Bitter Chamomile (Anthemis nobilis o Chamaemelum nobile). Inflorescence of the herb is used. Contains Essential Oil, Flavonoids, Lactones and Tannins. Unproven properties are: Anti-spasmodic. Digestive, Anti-inflammatory, Sedative.

Passiflora incarnata flowering top while Breastfeeding

CAS Number: 8057-62-3

At latest update, relevant information on excretion into breast milk was not found. Aerial summits of this climbing plant are used. Constituents are: flavonoids, pyranics, heterosides, alkaloids. Attributed effects with only weak scientific evidence on effectiveness are: sedative, hypnotic, anti-spasmodic. Because of paucity of data on toxicity, recommendations done are to use it at low doses for short term periods. The European Medicines Agency does not authorize its use for children younger than 12 years old , pregnancy and breastfeeding. When used while breastfeeding, it is recommended to use it at low dose for a short-term period. Following-up the infant for sedation is recommended.

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.

Dibasic potassium phosphate 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.

Potassium sulfate 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.

Magnesium phosphate, dibasic while Breastfeeding

CAS Number: 10043-83-1

Ingested magnesium is not concentrated in the breast milk. Average natural concentration of magnesium in the milk is 31 mg / L (15 to 64 mg / L) which is barely affected by magnesium intake. Its low oral bioavailability makes the step to plasma infant from ingested breast milk is scarce, except in premature and immediate neonatal period that may be characterized by an increased intestinal absorption. Daily Magnesium needs for nursing mothers are estimated at 250 mg.Avoid chronic use or overuse.

Sodium chloride while Breastfeeding

CAS Number: 7647-14-5

Sodium chloride either as cooking salt, or, as oral rehydration solution, or, as IV fluid, is entirely compatible with BF.

Sodium sulfate while Breastfeeding

CAS Number: 7727-73-3

Osmotic laxatives are often used to cleanse the bowel before medical procedures.They base their action on the very little or nothing they are absorbed and by this means forcing the water to enter the intestine with the result of watery diarrhea. At latest update no published data on excretion into breast milk were found. Another laxative with similar estructure which is Sodium Picosulfate (see specific info) is not excreted into breast milk Be aware of drinking enough fluids to avoid dehydration of the nursing mother who is already loosing water by producing about 1 liter of milk a day.

Zinc valerate dihydrate 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).

Arabica coffee bean while Breastfeeding

CAS Number: 84650-00-0

Infant intake after usual daily consumption of the mother is lower than usual recommended dose for neonatal apnea treatment. Elimination-time period may last from few hours in adults, to 3-4 days in the newborn infant. At higher dose (more than 300 mg per day) caffeine may induce irritability, tremor and insomnia in the infant. However, some infants may develop irritability at a lower dose; in those cases the mother should decide appropriate coffee intake. Some studies have failed to show harmful effect among infants whose mothers were strong coffee consumers even during pregnancy. Daily intake as high as 1 liter or more has been associated to anemia and iron deficiency in mothers and breastfed infants. Also, has been related to the Raynaud's phenomenon in the nipple of nursing women. Mean Caffeine content: 1 coffee cup: 100 mg, 1 black tea cup: 80 mg, 1 green tea cup: 50 mg, 1 liter of cola & soda and energizers beverages 100 to 340 mg. See also Caffeine as medication. The American Academy of Pediatrics rates it compatible with breastfeeding.

Strychnos nux-vomica seed while Breastfeeding

CAS Number: 8046-97-7

Dried seed of this plant has been used. It contains brucine and strychnine. It is highly toxic and easily lethal.

Matricaria recutita while Breastfeeding

CAS Number: 8002-66-2

Two different plant species with similar effects are known as chamomile: German chamomile (Matricaria recutita) and Roman chamomile (Chamaemelum nobile). Both contain similar ingredients, including sesquiterpenes (e.g., bisabolol, farnesene), sesquiterpenelactones (e.g., chamazulene, matricin), flavonoids (e.g., apigenin, luteolin), and volatile oils. Chamomile is used orally as a sedative and for gastrointestinal conditions; it is used topically for wound healing. Both herbal and homeopathic preparations have been used to treat mastitis and cracked, bleeding nipples.[1] Chamomile has been used as a galactogogue;[2][3] however, no scientifically valid clinical trials support this use. Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[4] Chamomile is "generally recognized as safe" (GRAS) for use in food by the U.S. Food and Drug Administration as a spice, seasoning, or flavoring agent. No data exist on the safety of chamomile in nursing mothers or infants, although rare sensitization may occur (see below).[5] It has been safely and effectively used alone and with other herbs in infants for the treatment of colic, diarrhea, and other conditions,[6][7][8][9] so the smaller amounts expected (but not demonstrated) in breastmilk are likely not to be harmful with usual maternal doses. Note Clostridium botulinum (botulism) spores have been found in some loose-leaf chamomile teas sold in health food stores. Topical chamomile is a known sensitizing agent, even with homeopathic products.[10] Two women developed contact dermatitis of the nipples and areolas after applying Kamillosan ointment for cracked nipples. The product was purchased in England and contained 10.5% Roman chamomile extracts and oil. Reactions were confirmed to be caused by Roman chamomile by patch testing in both women. Drinking chamomile tea can exacerbate topical skin rashes and has caused anaphylaxis in sensitized individuals.[11] Chamomile has possible cross-reactivity with other members of the aster family (e.g., echinacea, feverfew, and milk thistle).[5] 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.

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.

Sulfur and Breastfeeding

What should I do if I am breastfeeding mother and I am already exposed to Calm Plus?

I am nursing mother and my doctor has suggested me to use Calm Plus, is it safe?

If I am using Calm Plus, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Calm Plus in breastfeeding?