Silver Sulfadiazine | Silver Sulfadazine Cream 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 Silver Sulfadiazine | Silver Sulfadazine Cream for its safety in breastfeeding.

What is Silver Sulfadiazine | Silver Sulfadazine Cream used for?


SECTION Silver sulfadiazine cream, USP 1% is a topical antimicrobial drug indicated as an adjunct for the prevention and treatment of wound sepsis in patients with second and third degree burns.

I am currently breastfeeding and I want to know if using Silver Sulfadiazine | Silver Sulfadazine Cream is safe for my kid? Does it have any effect on milk production?

Silver Sulfadiazine | Silver Sulfadazine Cream low risk for breastfeeding
Silver sulfadiazine is the one and only active ingredient present in Silver Sulfadiazine | Silver Sulfadazine Cream. Silver sulfadiazine in itself is a low risk drug for lactation so it is easy to understand that Silver Sulfadiazine | Silver Sulfadazine Cream also comes in category of Low Risk item while breastfeeding. Below is the summary of Silver sulfadiazine in breastfeeding.

Silver Sulfadiazine | Silver Sulfadazine Cream Breastfeeding Analsys


Silver sulfadiazine while Breastfeeding

Low Risk

CAS Number: 22199-08-2

Since the last update we have not found published data on its excretion in breast milk. 10% of sulfadiazine and 1% of silver pass into the systemic circulation by absorption through skin damaged by burns or ulcers (AEMPS 2014). The most common side effect is leucopenia (Fuller 2009). It may cause haemolysis in patients with glucose-6-phosphate dehydrogenase deficiency and kernicterus in the neonatal period (Fuller 2009). High plasma levels of silver (Moiemen 2011, Lewis 2010), even more than 100 times higher than normal (Wan 1991) have been measured in patients treated for burns or ulcers with a body surface area exceeding 20% with potential clinical toxicity ( Mintz 2008, Browning 2008, Lansdown 2004, Tsipouras 1995, Coombs 1992). Furthermore, it has been widely used for topical umbilical cord care (Glosan 2013, Ahmadpour 2006) with no reported side effects and its use is permitted after two months of life (Bristol 2012). During breastfeeding it may be advisable not to use it on skin areas greater than 20% and for short periods. Do not apply on the chest to prevent the infant from ingesting it; if necessary, apply after breastfeeding and clean well with water before the next feed. If used during breastfeeding, it is advisable not to apply over a wide area (greater than 20%) or for prolonged periods to avoid systemic absorption. To be avoided in neonatal period and if there is glucose-6-phosphate dehydrogenase deficiency. List of WHO essential medicines: compatible with breastfeeding (WHO / UNICEF 2002).



I already used Silver Sulfadiazine | Silver Sulfadazine Cream and meanwhile I breastfed my baby should I be concerned?

During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Silver Sulfadiazine | Silver Sulfadazine Cream then you shall inform your doctor, But you should not be worried too much as Silver Sulfadiazine | Silver Sulfadazine Cream comes in category of low risk drug.


My health care provider has asked me to use Silver Sulfadiazine | Silver Sulfadazine Cream, what to do?

Though Silver Sulfadiazine | Silver Sulfadazine Cream dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.


If I am using Silver Sulfadiazine | Silver Sulfadazine Cream, will my baby need extra monitoring?

Not much


Who can I talk to if I have questions about usage of Silver Sulfadiazine | Silver Sulfadazine Cream 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