Gitte, below are posts from my files. This baby does not have to stop
breastfeeding while mom uses Flagyl.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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From:         Wightsd <[log in to unmask]>
Subject:      Re: Flagyl and BFing
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There is no reason to stop breastfeeding or pump and dump when taking flagyl!
Even the AAP (a very conservative organization) 1994 article (shortly to be
revised) says to "use with caution" NOT, "contraindicated".  Even the "use
with caution label" should/will be changed.  There is no evidence that the <2%
of maternal dose in BM harms the infant.  I use full dose IV flagyl in 800 gm
infants without problems.  I have a hard time seeing how the tiny amount in BM
will harm an infant!

When I get back to the office on Mon 3/2/98 I will post some Flagyl articles.
Nancy Wight MD, IBCLC
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From:         newman <[log in to unmask]>
Subject:      Metronidazole
Comments: cc: JOANNA PARENTE <[log in to unmask]>
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There is no need to stop breastfeeding if the mother takes metronidazole
(Flagyl).  The longer treatment is okay, and no need to stop
breastfeeding.

Jack Newman, MD, FRCPC
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From:         "Nancy E. Wight MD, FAAP, IBCLC" <[log in to unmask]>
Subject:      Re: Flagyl
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Flagyl is used to treat anaerobic perinatal infections and trichomonas.  It is
classified as "use with caution" by the AAP because of possible teraogenic
effects in rats.  I use full dose flagyl IV in 500gm infants when we suspect
NEC (rare because we use lots of BM) without problems.  I have a hard time
believing that 2% of Mom's dose will cause a problem for my premies, let alone
a full term, healthy infant!
Nancy Wight MD
____________________________

Flagyl (metronidazole) has the same affect, and is now
classified as compatible with breastfeeding.  It was once
contraindicated due to fears about mutagenicity, I don't think anyone
worried about the "disulfiram reaction".
--
Catherine Watson Genna, IBCLC  NYC  mailto:[log in to unmask]


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