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Date: | Wed, 7 Oct 1998 09:01:46 -0400 |
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Psoriasis Medications
Cormax (clobetasol)
This is a topical corticosteroid that when used topically should result in very
low amounts of the drug in breastmilk as with similar topical corticosteroids.
If used on the breast area, the mother should wash the area before
breastfeeding.
Exsel (selenium sulfide)
The above statement for the selenium sulfide probably also would hold for the
breastfeding mother, but there are several caveats.
Supplementations of approximately 100 micrograms, when needed, seem to safe in
breastfeading mothers. Exsel Lotion contains 2.5% selenium sulfide. The
topical product if ingested orally accidentally seem to have generally low
toxicity. In these cases, nausea, vomiting, and diarrhea have occurred. It
would appear that considering all theses factors, that the amount of selenium in
the breast milk should not be of much concern, although the infant could be
monitored for the listed possible adverse effects.
ALSO, there is a case study of a breastfeeding mother who used selenium sulfide
topically and noticed a sudden suppression of lactation. The product was
discontinued, and lactation apparently returned. When she was rechallenged with
the product a week later, suppression of lactation occurred again.
Sugathan P. et al. Suppression of lactation by selenium disulfide. Int J
Dermatol 1990; Apr; 29:232-3.
Frank J. Nice, DPA, CPHP
Bethesda/Brookeville/Plymouth/Tucson/Portland, ME/Williamsport, PA
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