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 Efudex | Fluorouracil Solution and its suitability with breastfeeding.
What is Efudex | Fluorouracil Solution used for?
: Efudex is recommended for the topical treatment of multiple actinic or solar keratoses. In the 5% strength, it is also useful in the treatment of superficial basal cell carcinomas when conventional methods are impractical, such as with multiple lesions or difficult treatment sites. Safety and efficacy in other indications have not been established. The diagnosis should be established prior to treatment, since this method has not been proven effective in other types of basal cell carcinomas. With isolated, easily accessible basal cell carcinomas, surgery is preferred since success with such lesions is almost 100%. The success rate with Efudex Cream and Solution is approximately 93%, based on 113 lesions in 54 patients. Twenty-five lesions treated with the solution produced 1 failure and 88 lesions treated with the cream produced 7 failures.
I am breastfeeding mother and I am using Efudex | Fluorouracil Solution. Can it have any bad effect on my kid? Shall I search for better alternative?
Our analysis of Fluorouracil which are active ingredients in Efudex | Fluorouracil Solution indicates that Efudex | Fluorouracil Solution is dangerous to use in breastfeeding. We strongly recommend you to go through detailed analysis of Fluorouracil as below and do not use Efudex | Fluorouracil Solution during breastfeeding.
Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers: It is not known whether Efudex is excreted in human milk. Because there is some systemic absorption of fluorouracil after topical administration (see CLINICAL PHARMACOLOGY), because many drugs are excreted in human milk, and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue use of the drug, taking into account the importance of the drug to the mother.
Efudex | Fluorouracil Solution Breastfeeding Analsys
DangerousCAS Number: 51-21-8
Drug is cleared from the body in 28 elimination half-lives. Resuming breastfeeding is likely safe after 24 hours of pumping-and-dumping.
Efudex | Fluorouracil Solution Breastfeeding Analsys - 2
CAS Number: 51-21-8
Most sources consider breastfeeding to be contraindicated during maternal antineoplastic drug therapy. It might be possible to breastfeed safely during intermittent therapy with an appropriate period of breastfeeding abstinence, but the duration of abstinence is not clear. Limited information indicates that a maternal continuous intravenous fluorouracil infusion at a dose of 200 mg/square meter daily produces undetectable levels in milk. If fluorouracil use is undertaken, monitoring of the infant's complete blood count and differential is advisable. Chemotherapy may adversely affect the normal microbiome and chemical makeup of breastmilk.[1] Women who receive chemotherapy during pregnancy are more likely to have difficulty nursing their infant. Topical fluorouracil applied away from the breast should pose negligible risk for the breastfed infant; however, it is important to ensure that the infant's skin does not come into direct contact with the areas of skin that have been treated.

What should I do if I am breastfeeding mother and I am already exposed to Efudex | Fluorouracil Solution?
You should immediately inform your health care provider about Efudex | Fluorouracil Solution usage and your breastfeeding interval after usage of . If you feel baby is having abnormal behavior or any other health issue please call 911 immediately or contact nearest medical emergency center.
I am nursing mother and my doctor has suggested me to use Efudex | Fluorouracil Solution, is it safe?
Please double check with your doctor if he is aware of your breastfeeding stratus, Ask your doctor if there is any safe alternative of Efudex | Fluorouracil Solution. Check with your doctor if you shall temporally stop breastfeeding. You may go for second opinion as well. Still after all of this if your doctor still recommends Efudex | Fluorouracil Solution then go for it as they have access on more detailed medical and scientific information and they understand your individual medical situation much better.
If I am using Efudex | Fluorouracil Solution, will my baby need extra monitoring?
Extreme level of monitoring required as Efudex | Fluorouracil Solution could be dangerous for kid.
Who can I talk to if I have questions about usage of Efudex | Fluorouracil Solution 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