Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream Breastfeeding

Modern medicine has evolved so much so that sooner or later every breastfeeding mother needs to take it in one form or other. Medication that is present in mothers blood will transfer into her breast milk to some extent. Most drugs do so at low levels and pose no real risk to infants but then there are some exceptions. In This post will discuss whether Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream is safe in breast-feeding or not.

What is Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream used for?


Thermazene® (Silver Sulfadiazine) Cream, 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.

Is Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream safe to use while breastfeeding? Can it interfere with growth and development of my kid?

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

Thermazene Silver Sulfadiazine | Silver Sulfadiazine 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 am nursing mother and I have already used Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream, what should I do?

Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream is in the category of low risk, if you have already used it then its not a big deal if health and behavior of baby is good. However your health care provider shall be aware of the fact that you have used Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream so you should inform him based on your convenience.


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

Though Thermazene Silver Sulfadiazine | Silver Sulfadiazine 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 Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream, will my baby need extra monitoring?

Not much monitoring required while using Thermazene Silver Sulfadiazine | Silver Sulfadiazine Cream


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