Here is what Hale says about these medications:

Flagella 500g - I cannot find a reference to this medication. Perhaps you mean flagyl?  Flagyl is considered an L2 medication, numerous studies have shown no untoward effects on infant whose mother is taking flagyl, it is a commonly used drug in premature neonates, infants and children. Thus far no adverse effects have been reported.

Levofloxacin 500g - an L3 medication, the use of this daily of medications is increasing in pediatrics due to minimal toxicity, calculates that the levels in milk peak around 1-1.8 hours after mom's dose.  Usually this suggests that if mom nurses first then takes the medication, the baby is exposed to less of the drug at the next feeding if the baby is feeding about every 3 hours.  Observe baby for changes in gut flora, candidia overgrowth, or diarrhea.   

Dafalgyn - I cannot find this in Hale.  In referencing the medication I found this information: If you are pregnant or breast-feeding: If taken in the recommended doses, paracetamol can be used safely during both pregnancy and breast-feeding. However, you should consult your doctor or pharmacist before using any form of medicine.

Gentamicin - also an L2 medication. The amount available through breastfeeding is considered clinically irrelevant in most infants.  Hale has no reported pediatric concerns.  It has a Relative Infant Dose of 2.1% which is considered low.

Do the doctors give specific reasons for not allowing breastfeeding when on these medications?  Perhaps if there is information that shows they are used in pediatrics, the doctors will be more lenient.

Cindy Garrison, BS IBCLC
practicing at a hospital in Pittsburgh, PA

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