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Date: | Wed, 18 Feb 2009 10:28:59 -0500 |
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Mother of a 10-month old, was on day three of a 5-day Z-Pak of
azithromycin/Zithromax when the baby developed hives (which an older
daughter had also had once in response to antibiotics). The mother and
father are both allergic to penicillin. This mother is understandably
nervous about continuing to breastfeed and the baby possibly having a
more severe allergic reaction. The mother has been told that while she
takes the medication for five days, it remains active in her system for
an additional five. So she has been advised to pump and sacrifice the
milk for five days after ending the course of medication, plus an
additional two days to clear it completely, given its long half-life..
While generally compatible with breastfeeding, with an L2 rating, in the
Medications Forums at Hale's website (not taking questions now) he also
mentions that it does remain active in the system for 10 days. Usually,
since the medication is compatible with breastfeeding, that's not an
issue. But in a special circumstance like this, when the baby has had
an allergic reaction to the small amount transferred, would there be any
way to say that the transfer would continue to be an issue during the
additional five days plus two?
Margaret Wills, LLLL, IBCLC Maryland
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