There are high number of clear evidence that breastfeeding provides best nutrition that you can give to your baby. It is also evident that lactation is good for mothers health as well. Evolution has designed breastfeeding in a way that it caters all nutritional need of your child. However modern medicine is quite new for evolution, that is why mothers body is not well prepared to filter unnecessary chemical found in medicines. It becomes a necessity to figure out which drug is safe and which drug is dangerous for your newborn while nursing. In this article we will understand function of Acyclovir Sodium Injection and its suitability with breastfeeding.
What is Acyclovir Sodium Injection used for?
Herpes Simplex Infections in Immunocompromised Patients Acyclovir Sodium Injection is indicated for the treatment of initial and recurrent mucosal and cutaneous herpes simplex (HSV-1 and HSV-2) in immunocompromised patients. Initial Episodes of Herpes Genitalis Acyclovir Sodium Injection is indicated for the treatment of severe initial clinical episodes of herpes genitalis in immuno-competent patients. Herpes Simplex Encephalitis Acyclovir Sodium Injection is indicated for the treatment of herpes simplex encephalitis. Neonatal Herpes Simplex Virus Infection Acyclovir Sodium Injection is indicated for the treatment of neonatal herpes infections. Varicella-Zoster Infections in Immunocompromised Patients Acyclovir Sodium Injection is indicated for the treatment of varicella-zoster (shingles) infections in immunocompromised patients.
I am breastfeeding mother and I am using Acyclovir Sodium Injection. Can it have any bad effect on my kid? Shall I search for better alternative?
Active ingredient in Acyclovir Sodium Injection is Acyclovir and based on our analysis of Acyclovir it appears that using Acyclovir Sodium Injection is safe in breastfeeding. Below is analysis of Acyclovir while breastfeeding.
Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers Acyclovir concentrations have been documented in breast milk in two women following oral administration of acyclovir and ranged from 0.6 to 4.1 times corresponding plasma levels. These concentrations would potentially expose the nursing infant to a dose of acyclovir up to 0.3 mg/kg/day. Acyclovir should be administered to a nursing mother with caution and only when indicated.
Acyclovir Sodium Injection Breastfeeding Analsys
SafeCAS Number: 59277-89-3
Antiviral very active against herpes simplex and zoster-varicella.Intravenous, oral and topical (dermatological and ophthalmological) administration.Authorized use in newborns and infants. It is excreted in breast milk in clinically insignificant amounts, much lower than the dose used in newborns and infants (Drake 2012, Bork 1995, Taddio 1994, Don 1991, Meyer 1988, Lau 1987), and no problems have been observed in infants whose mothers were taking acyclovir (Taddio 1994). There is not systemic absorption of topical Acyclovir. List of WHO essential medicines: compatible with breastfeeding (WHO / UNICEF 2002).American Academy of Pediatrics: medication usually compatible with breastfeeding (AAP 2001).
Acyclovir Sodium Injection Breastfeeding Analsys - 2
CAS Number: 59277-89-3
Even with the highest maternal dosages, the dosage of acyclovir in milk is only about 1% of a typical infant dosage and would not be expected to cause any adverse effects in breastfed infants. Topical acyclovir applied to small areas of the mother's body away from the breast should pose no risk to the infant. 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.[1]

What should I do if I am breastfeeding mother and I am already exposed to Acyclovir Sodium Injection?
As usage of Acyclovir Sodium Injection 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 Acyclovir Sodium Injection else no further action is required.
I am nursing mother and my doctor has suggested me to use Acyclovir Sodium Injection, is it safe?
Usage of Acyclovir Sodium Injection is safe for nursing mothers and baby, No worries.
If I am using Acyclovir Sodium Injection, will my baby need extra monitoring?
No
Who can I talk to if I have questions about usage of Acyclovir Sodium Injection 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
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