Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment while Breastfeeding

What is Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment used for?

Is using Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment safe or dangerous while breastfeeding?

Glycerin while Breastfeeding

CAS Number: 56-81-5

Glycerin or glycerol is a normal component of human tissues. Involved in lipid and galactose synthesis which is metabolized to glucose or glycogen.It is found naturally in breast milk, with a highest concentration in colostrum. When it is used rectally as a laxative, has little or no absorption. It has been used in preterm infants. The oral or intravenous administration is rarely used (extracellular edema, intracranial hypertension, diagnosis of Meniere's disease). A short half-life span makes it compatible with breastfeeding in these rare cases.It also compatible with intraocular administration. It has been used in creams and gels to treat pain and cracks of nipple during lactation without clear results on effectiveness. In those cases it should be cleaned thoroughly with water before the next breast suckling to prevent it could be swallowed by the infant, since a high intestinal absorption may induce an increased plasma osmolality that can result in dehydration of the infant.

Zinc oxide while Breastfeeding

CAS Number: 1314-13-2

It is used topically as an astringent and skin protector, very often together with small amounts of Ferric Oxide to form Calamine (see specific info). It is a product compatible with breastfeeding according to WHO Essential Medicine’s List - 2002.It is also used in dental hygiene products and cosmetics. Widely used for skin protection of the diaper area in infants. 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 to prevent infant ingestion; otherwise, wash it off thoroughly with water before the next breast feed.

Aluminum hydroxide while Breastfeeding

CAS Number: 21645-51-2

Aluminum does not concentrate into breast milk. After ingestion of antacids the Aluminum plasma levels increase from a basal-point of 7 μg/L to 55 μg/L at half-an-hour with a return to previous level 3 hours later. Although a minimal amount of Aluminum may be found in the milk, there are not shown side-effects in the infant. Mother's milk has a mean concentration of 49 μg/L of Aluminum which is much lower than the amount of 180-700 μg/L found in artificial formulas. Because of a low oral bioavailability the pass from the breast milk toward the infant's plasma is hampered, except in premature and newborn infants who may exhibit a higher intestinal absorption due to an increased permeability. Avoid chronic or excessive use. WHO Model List of Essential Medicines 2002: compatible with breastfeeding.

Menthol while Breastfeeding

Herb which is widely used by many cultures. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Since it is non toxic at appropriate dose and a tiny excretion into breast milk of active metabolite Menthol, a moderate consumption is believed compatible while breastfeeding. Dessicated leaves and essential oil of the plant that contains Menthol are used. Properties that have been demonstrated and approved indications are: as spasmolytic for Dyspepsia, Irritable Colon and flatulence. It has been used for the treatment of cracked nipple with best results than placebo or Lanolin. Although with no proven effectiveness, it is traditionally used for cough relief, common cold, pain or itching by local application or inhalation. Overdosing of essential oil may be harmful. Do not expose infants to inhalation of products that contain Menthol (irritation of the air way) In case of use on the nipple, do it after feeding the baby and cleanse thoroughly the surface before the next one.

Menthol while Breastfeeding

Peppermint (Mentha x piperita) contains menthol, menthone, menthyl acetate as major ingredients. Minor ingredients include 1,8-cineole, pulegone, bitter substances, caffeic acid, flavonoids, and tannins. Peppermint is a purported galactogogue; however, no scientifically valid clinical trials support this use.[1] Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[2] Topical peppermint gel and solutions have been studied for the prevention of pain and cracked nipples and areolas in nursing women. The peppermint preparations were more effective than placebo and expressed breastmilk, and about as effective as lanolin,[3][4][5][6] although a meta-analysis concluded that application of nothing or breastmilk may be superior to lanolin, but good studies are lacking.[7] Menthol is excreted into breastmilk in small quantities; the excretion of other components have not been studied. Peppermint is "generally recognized as safe" (GRAS) as a food by the U.S. Food and Drug Administration. Large doses can cause heartburn, nausea and vomiting. Allergic reactions, including headache, have been reported to menthol. If peppermint is used on the nipples, it should be used after nursing and wiped off before the next nursing. 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.

What should I do if I am breastfeeding mother and I am already exposed to Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment?

My doctor has prescribed me Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment, what should I do?

If I am using Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Pranicura | Glycerin, Calamine, Aluminum Hydroxide, Menthol Ointment in breastfeeding?