Miconazole Nitrate Suppository while Breastfeeding

What is Miconazole Nitrate Suppository used for?

I am breastfeeding mother and I am using Miconazole Nitrate Suppository. Can it have any bad effect on my kid? Shall I search for better alternative?

Miconazole nitrate while Breastfeeding

CAS Number: 22916-47-8

Excretion into breast milk is highly unlikely due to an almost nil systemic absorption through the skin, vaginal mucosa and even the intestine, with non-significant plasma levels (< 1 mcg/ mL) observed. In case of use on the nipple, let it be done after the feed and wipe it out any excess of cream before the next feed. Do not apply creams, gels and other products that would contain paraffin (mineral oil) to avoid absorption by the infant since it is a hydrocarbon-derived substance. Miconazole has not been found to be more effective than pure lanolin for treatment of sore or cracked nipples. List of Essential Medicines by WHO 2002: compatible with breastfeeding.

Miconazole nitrate while Breastfeeding

CAS Number: 22916-47-8

Because miconazole has poor oral bioavailability, it is unlikely to adversely affect the breastfed infant, including topical application to the nipples. However, miconazole ointment appears to have no advantage over lanolin for treating sore nipples during breastfeeding[1] and a survey of members of the Academy of Breastfeeding Medicine found topical miconazole is rarely prescribed to nursing mothers to treat thrush.[2] Any excess cream or ointment should be removed from the nipples before nursing. Only water-miscible cream or gel products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[3]

I already used Miconazole Nitrate Suppository and meanwhile I breastfed my baby should I be concerned?

I am nursing mother and my doctor has suggested me to use Miconazole Nitrate Suppository, is it safe?

If I am using Miconazole Nitrate Suppository, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Miconazole Nitrate Suppository in breastfeeding?