The amount of any drug that is excreted into the milk is tiny.  The
question, on long term therapy, is whether the tiny amount can accumulate
and cause problems for the baby.  This is unlikely with budesonide because
of it's very low oral absorption (10%).  It hardly seems a good drug to be
using orally for asthma, and I can't understand, if this is necessary, why
the physician wouldn't use prednisone.  But with that low absorption, I
wouldn't worry about it from the point of the infant.

Remember this question too.  Does a tiny amount of medication in the milk
render breastfeeding more hazardous than formula?  The answer is hardly ever
yes.

Jack Newman, MD, FRCPC

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