Clobetasol Propionate Spray while Breastfeeding

Q: I am nursing mother and my doctor has suggested me to use Clobetasol Propionate Spray , is it safe?

Definitely, Clobetasol Propionate Spray is safe in lactation for baby. No wonder your doctor has recommended it.

Q: If I am using Clobetasol Propionate Spray , will my baby need extra monitoring?

No extra baby monitoring required while mother is using Clobetasol Propionate Spray

Clobetasol Propionate Spray Breastfeeding

American Academy of Pediatrics and other medical experts exclusively recommend to breastfeed the baby for first 6 months. Once you introduce baby to other foods it is recommended to breastfeed for at least first year of babys life. Taking medication while breastfeeding could be tricky as most drugs pass in breast milk. In this article we will evaluate Clobetasol Propionate Spray for its safety in breastfeeding.

What is Clobetasol Propionate Spray used for?

Clobetasol Propionate Spray, 0.05% is a corticosteroid indicated for the topical treatment of moderate to severe plaque psoriasis affecting up to 20% body surface area (BSA) in patients 18 years of age or older. (1.1) Limitations of Use: •Do not use on the face, axillae or groin. (1.2) •Do not use if atrophy is present at the treatment site. (1.2) •Do not use for rosacea or perioral dermatitis. (1.2) 1.1 Indication Clobetasol Propionate Spray, 0.05% is a super-high potent topical corticosteroid formulation indicated for the treatment of moderate to severe plaque psoriasis affecting up to 20% body surface area (BSA) in patients 18 years of age or older. The total dosage should not exceed 50 grams (59 mL or 2 fl. oz.) per week. Do not use more than 26 sprays per application or 52 sprays per day. Treatment should be limited to 4 consecutive weeks. Patients should be instructed to use Clobetasol Propionate Spray, 0.05% for the minimum amount of time necessary to achieve the desired results [see Dosage and Administration (2)]. Use in patients under 18 years of age is not recommended because safety has not been established and because numerically high rates of HPA axis suppression were seen with other clobetasol propionate topical formulations. 1.2 Limitations of Use Clobetasol Propionate Spray, 0.05% should not be used on the face, axillae, or groin. Clobetasol Propionate Spray, 0.05% should not be used if there is atrophy at the treatment site. Clobetasol Propionate Spray, 0.05% should not be used in the treatment of rosacea or perioral dermatitis.

I am breastfeeding mother and I am using Clobetasol Propionate Spray. Can it have any bad effect on my kid? Shall I search for better alternative?

Clobetasol Propionate Spray safe for breastfeeding

As per our analysis Clobetasol Propionate Spray contains only one ingredient and that is Clobetasol propionate. We have analyzed Clobetasol propionate and it seems to be safe to use Clobetasol propionate while breastfeeding, that means usage of Clobetasol Propionate Spray shall be safe while breastfeeding. Below you can check more details of Clobetasol propionate usage in breastfeeding. We recommend you to go through provided detailed analysis as below take decision accordingly.

Statement of Manufacturer/Labeler about breastfeeding usage
8.3 Nursing Mothers Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects. It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in breast milk. Because many drugs are excreted in human milk, caution should be exercised when Clobetasol Propionate Spray, 0.05% is administered to a nursing woman.

Clobetasol Propionate Spray Breastfeeding Analsys

Clobetasol propionate while Breastfeeding

Safe

CAS Number: 25122-46-7

Topical corticosteroid with a very high strength. At latest update it was not found published data on excretion into breast milk.The small dose and poor absorption into plasma of most topical dermatological preparations make it unlikely any passage of significant amount in the breast milk. If required to treat eczema or dermatitis of the nipple, it should be chosen lower strength steroids, apply it just after finishing the meal to let it be absorbed before the next meal, if necessary remove any excess with a gauze and avoid using it continuously for longer than a week. Steroidal poisoning has occurred in an infant by continuous application of a corticosteroid in the nipple. Avoid applying creams, gels and other products for local application on the nipple that contain paraffin (mineral oil) so that the baby does not absorb it.

Clobetasol Propionate Spray Breastfeeding Analsys - 2

Clobetasol propionate while Breastfeeding

CAS Number: 25122-41-2

Clobetasol has not been studied during breastfeeding. Since only extensive application of the most potent corticosteroids may cause systemic effects in the mother, it is unlikely that short-term application of topical corticosteroids would pose a risk to the breastfed infant by passage into breastmilk. However, it would be prudent to use the least potent drug on the smallest area of skin possible. It is particularly important to ensure that the infant's skin does not come into direct contact with the areas of skin that have been treated. Only the lower potency corticosteroids should be used on the nipple or areola where the infant could directly ingest the drugs from the skin; clobetasol should be avoided on the nipple.[1] 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.[2] Any topical corticosteroid should be wiped off thoroughly prior to nursing if it is being applied to the breast or nipple area.

I already used Clobetasol Propionate Spray and meanwhile I breastfed my baby should I be concerned?

As usage of Clobetasol Propionate Spray is mostly safe while breastfeeding hence there should not be any concern. In case of any change in behavior or health of your baby you should inform your health care provider about usage of Clobetasol Propionate Spray else no further action is required.

I am nursing mother and my doctor has suggested me to use Clobetasol Propionate Spray, is it safe?

Definitely, Clobetasol Propionate Spray is safe in lactation for baby. No wonder your doctor has recommended it.

If I am using Clobetasol Propionate Spray, will my baby need extra monitoring?

No extra baby monitoring required while mother is using Clobetasol Propionate Spray

Who can I talk to if I have questions about usage of Clobetasol Propionate Spray in breastfeeding?

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