Calcipotriene Ointment while Breastfeeding

What is Calcipotriene Ointment used for?

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

Calcipotriene while Breastfeeding

CAS Number: 112965-21-6

Synthetic drug analog to vitamin D3 which is similar to calcitriol.It is topically used on the treatment of psoriasis. At latest update relevant published data on excretion into breast milk were not found. Due to a poor gut absorption, plasma levels were undetectable or very low (AEMPS 2014), so it is unlikely a passage in significant amounts into breastmilk.In addition, it is a derivative of vitamin D3 with poor effect on calcium metabolism. No significant changes on calcium plasma levels have been observed, whenever compliance with the maximum recommended doses is followed (Murdoch 1992, Bourke 1993 and 1997, Blum 1998). Therefore, several consensus of experts accept the use of Calcipotriol as safe while breastfeeding (Zip 2002, Leachman 2006, Strober 2009, Barrett 2013, Butler 2014) which can even be applied to the nipple whenever necessary (Barrett 2013 ).It can be applied for long time periods during breastfeeding provided it would not cover more than 20% of body surface area (Barrett 2013). It should be avoided application on the nipple of creams, gels and other topical containing-paraffin products (mineral oil) so that the infant would not absorb them (Noti 2003, Concin 2008).In case of psoriasis of the nipple it should be applied after a feeding at breast followed by a thoroughly cleaning up with water before the next feeding.

Calcipotriene while Breastfeeding

CAS Number: 112965-21-6

No information is available on the use of calcipotriene during breastfeeding. Because it is poorly absorbed after topical application, calcipotriene is probably a low risk to the nursing infant and is generally considered acceptable during breastfeeding, even to the nipple area.[1][2][3][4][5] Avoid application of the combination product containing betamethasone (Enstilar) to the breast. 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.[6]

I already used Calcipotriene Ointment and meanwhile I breastfed my baby should I be concerned?

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

If I am using Calcipotriene Ointment, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Calcipotriene Ointment in breastfeeding?