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UK
Drugs in Lactation Advisory Service
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Antidiarrhoeals
| Drugs |
Suitability
for use in lactation |
Comments |
| * First
line treatment of acute diarrhoea is appropriate fluid and electrolyte
replacement. This table only considers second-line symptomatic treatment.
*
Drugs for chronic diarrhoea, e.g. associated with inflammatory bowel
disease, irritable bowel syndrome etc. are not included. |
| Adsorbents |
Kaolin |
Yes |
Not
absorbed from gatrointestinal tract.
Not
routinely recommended for acute diarrhoea.
|
| Antimotility
agents |
Codeine
phosphate |
Yes |
Only
small amounts in breast milk.
Considered safe for short-term use |
| |
Co-phenotrope
Diphenoxylate + atropine
(Lomotil) |
? |
No
specific data.
Prefer use of other agents. |
| |
Loperamide |
Yes |
Only
small amounts in breast milk.
Considered safe for short-term use |
Drugs
classified with '?' should be used with caution and only after an assessment
of benefit to the mother versus risk, real or potential, to the infant.
These drugs either have insufficient clinical data on their use in lactation
to regard as absolutely safe or they have had minor, reversible side effects
reported in a breast-fed infant.

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