Medication and breastfeeding

an explanatory list for mothers and professionals

www.borstvoeding.com/problemen/medicijnen/medicijnlijst-e.html

This list, containing about 750 medicament's, is specifically developed for

mothers and professionals. If you are in need of a 'usually safe' or 'not
safe' medicine, check with your doctor and show him the list for
professionals.

Paediatrician Erica Post compiled this list [third version], based on the
latest book of Thomas Hale [2008] and the latest recommendations of the
American Academy of Paediatrics [2001]. This third update and
translation was facilitated by the Kenniscentrum Borstvoeding with the
help of Rebecca Holman and Stefan Kleintjes, dietician, in September
2008 and June 2009.

Explanation for users

The medicaments in this list are ordered alphabetically and we have used
the therapeutic moiety of the medication as it's name. For example
Valium is named Diazepam. Valium is a brand name for Diazepam.
Furthermore, the list contains, apart form the name of the medication and
its function, the advice of Thomas Hale [L1 - L5] and the advice of the
AAP. The information in the fifth column is used for attentions, not listed
in the other columns, but things to remember. For example, antibiotics
can cause Candida-infection.

The advices of Dr. Thomas Hale, pharmacologist

Thomas Hale's advices are listed in the third column. Hale updates his
advices every two years [last update 2008]. His advices are based on all
known pharmokinetic aspects important for breastfeeding mothers and
their baby's. Hale's information is also based on the most recent published
scientific articles. Based on this information he determines the lactation
risk category.

Thomas Hale lactation risk categories:

• L1 Safest

Drug which has been taken by a large number of breastfeeding

mothers without any observed increase in adverse effects in the
infant. Controlled studies in breastfeeding women fail to
demonstrate a risk to the infant and the possibility of harm to the
breastfeeding infant is remote; or the product is not orally bio-
available in an infant.
 • L2 Safe

Drug which has been studied in a limited number of breastfeeding

women without an increase in adverse effects in the infant. And/or
the evidence of a demonstrated risk which is likely to follow use of
this medication in a breastfeeding woman is remote.

• L3 Moderately safe

There are no controlled studies in breastfeeding women, however,

the risk of untoward effects to a breastfed infant is possible; or,
controlled studies show only minimal non-threatening adverse
effects. Drugs should be given only if the potential benefit justifies
the potential risk to the infant. New medications that have
absolutely no published data are automatically categorized in this
category, regardless of how safe they may be.

• L4 Possibly hazardous

There is positive evidence of risk to a breastfed infant or to breast

milk production, but the benefits from use in breastfeeding mothers
may be acceptable despite the risk to the infant, e.g. if the drug is
needed in a life-threatening situation or for a serious disease for
which safer drugs cannot be used or are ineffective.

• L5 Contraindicated

Studies in breastfeeding mothers have demonstrated that there is

significant and documented risk to the infant based on human
experience, or it is a medicament that has a high risk of causing
damage to an infant. The risk of using the drug in breastfeeding
women clearly overweighs any possible benefit from breastfeeding.
The drug is contraindicated in women who are breastfeeding an
infant.

The advices of the American Association of Paediatrics [AAP]

The American Association of Paediatrics [AAP] also gives advice about

medication and breastfeeding. Their information has a different
categorizing and they have less information than Thomas Hale. When Hale
and the AAP do not agree, Hale is usually stricter. For example, when
medication has a bad influence on the quantity of milk, Hale lists this as
negative while the AAP doesn't. The advices of the AAP are listed in the
fourth column.

Lactation risk categories by AAP

• Compatible: can be combined with breastfeeding.

• Caution: can be combined with breastfeeding under certain
circumstances.
• Cessation: cannot be combined with breastfeeding.
DRUG FUNCTION HALE AAP COMMENT

Acamprosate Anti alcoholism L3

Acarbose Anti diabetes L3 ?
Anti L3
Acebutolol Compatible
hypertensive [hypotension]
Acetaminophen
Analgesic L1 Compatible
[paracetamol]
Acetazolamide Diuretic L2 Compatible
L3 [observe for
Acetohexamide Anti diabetes ?
hypoglycemia]
Aciclovir Anti viral L2 Compatible
Low in
mothers
milk but
Acitretin Anti psoriatic L5 Compatible probably
very toxic to
a growing
child
Adalimumab Anti reumatic L3 ?
Adefovir Anti hepatitis L4 ?
Albendazole Anti worms L3 ?
Albuterol Bronchodilatation L1 ?
Alemtuzumab Anti leukemic L3-L4 ?
Narcotic
Alfentanil L2 ?
Analgesic
Allergy injections Desensibilisation L1 ?
Allopurinol Anti gout L2 Compatible
L3 [none
Almotriptan Anti migraine reported via ?
milk]
Alprazolam Anti anxiety L3 Concern?
L3 [Short T
Alteplase Thrombolytic ?
1/2=45minutes]
L3 [reduces
Amantadine Anti viral ?
prolactin]
Amikacine Antibiotic L2 ? Candida?
Aminosalicylacid Anti tubercular L3 [diarrhea?] Caution
L5 [M/P=5-13!
Amiodarone Anti arrhythmic Concern?
hypothyroidy?]
Amitriptyline Anti depressant L2 Concern?
Amlodipine Anti L3 [bradycardia? ?
Besylate hypertensive hypotension?]
Amoxicilline (with
Antibiotic L1 Compatible Candida?
Clavulanate)
L5 [agitation
Amphetamin Amfetamine Cessation
convulsions]
L3 [none
reported via
Amphotericine B Anti fungal ?
milk; absorption
unlikely]
Ampicilline Antibiotic L1 ? Candida?
Anthrax vaccine Vaccination L3 ?
Antipyrine Analgesic L5 ?
Ascorbic acid Vitamin L1 ?
L1[L5 for child
Aspartame Sweetener ?
with PKU]
L3 [Reye
Aspirin Analgesic Caution
syndrome?]
Anti L3 [bradycardia,
Atenolol Caution
hypertensive hypotension?]
L4 [none
reported via
Atomoxetine Anti ADHD ?
milk, insomnia?
Irritable?]
Better not
to use
Atorvastatine Reduces L3 [cholesterol
? during
calcium cholesterol is important!]
breast
feeding
Atropine Anti cholinergic L3 ?
Azapropazone Analgesic L2 Compatible
L3 [bone
Immuno-
Azathioprine marrow ?
suppressant
suppressive!]
L3 [bitter taste,
Azelastine Anti histamine ?
drinks less?]
Azithromycine Antibiotic L2 Compatible Candida?
Aztreonam Antibiotic L2 Compatible Candida?

Baclofen Muscle relaxant L2 Compatible

Contrast
Barium L1 ?
substance
Beclomethason Steroid L2 ?
Anti L3
Benazepril ?
hypertensive [hypotension]
Bendro L4 [reduces
Diuretic Compatible
flumethiazide lactation!]
Benzonatate Anti cough L3 [little known] ?
L4 [long T 1/2
Anti
Bepridil and high oral ?
hypertensive
availability]
L3 [none
Betamethason Steroid ?
reported]
Anti L3
Betaxolol ?
hypertensive [hypotension?]
Bethanechol L4 [diarrhea, GI
Cholinergic ?
chloride symptoms]
Bisacodyl Laxative L2 ?
L3
Bisoprolol Antihypertensive [hypotension? ?
hypoglycemic?]
BMR vaccine Vaccine L2 [light rash?] ?
Bromides Sedative L5 [sedative] Compatible
Prolactin
suppression [no
longer used L5 [reduces milk
Bromocriptine Caution
because of side production]
effects by the
mother]
L3 [insomnia,
Brompheniramine Anti histamine ?
irritable]
L3 [none
Budesonide Steroid reported via ?
milk]
L3 [none
Bumetanide Diuretic reported via ?
milk]
Bupivacaine Local anesthetic L2 ?
Anti depressive,
L3 [reduces milk
Bupropion helps to stop Concern?
production?]
smoking
Buspirone Antianxiety L3 ?
Busulfan Cytostatic L5 [cytotolytic] ?
Butabarbital Sedative L3 [sedative] ?
Sedative,
Butalbital L3 [sedative] ?
Analgesic
Butorphanol Narcotic L3 [Sedative] Compatible

L4 [reduces milk
Cabergoline Anti prolactin ?
production!]
L2 [sometimes
Cafeine Stimulant irritable and Compatible
insomnia]
 Calcium L3 [reduces milk
Calcitonin ?
metabolism production?]
L5 [sedation,
Cannabis Hallucinogen Cessation
long T 1/2]
Anti L2
Captopril Compatible
hypertensive [hypotension?]
Carbamazepine Anti convulsant L2 Compatible
Carbamide Anti bacterial,
L1 ?
peroxide Whitening agent
Carbenicilline Antibiotic L1 ? Candida?
Dopamine
Carbidopa L3 ?
antagonist
L3 [but PTU is
Carbimazol Thyroid inhibitor Compatible
preferred]
Carisoprodol Muscle relaxant L3 [Sedation?] ?
L3
Anti [hypotension?
Carteolol ?
hypertensive hypoglycemia?
lethargy?]
L3
Anti
Carvedilol [hypotension? ?
hypertensive
hypoglycemia?]
Cefaclor Antibiotic L1 ? Candida?
Cefadroxil Antibiotic L1 Compatible Candida?
Cefazolin Antibiotic L1 Compatible Candida?
Cefdinir Antibiotic L2 ? Candida?
L3 [none
Cefditoren Antibiotic reported via ? Candida?
milk ]
Cefepime Antibiotic L2 ? Candida?
Cefixime Antibiotic L2 [diarrhea?] ? Candida?
Cefoperazon
Antibiotic L2 [diarrhea?] ? Candida?
Sodium
Cefotaxim Antibiotic L2 [diarrhea?] Compatible Candida?
Cefotetan Antibiotic L2 [diarrhea?] ? Candida?
Cefoxitin Antibiotic L1 Compatible Candida?
Cefpodoxim
Antibiotic L2 [diarrhea?] ? Candida?
proxetil
Cefprozil Antibiotic L1 Compatible Candida?
Ceftazidime Antibiotic L1 [diarrhea?] Compatible Candida?
Ceftibuten Antibiotic L2 [diarrhea?] ? Candida?
L2 [diarrhea?
Ceftriaxon Antibiotic oral - difficult to Compatible Candida?
attain]
Cefuroxim Antibiotic L2 [diarrhea?] ? Candida?
Celecoxib NSAID L2 ?
Cephalexin Antibiotic L1 [diarrhea?] ? Candida?
Cephalothin Antibiotic L2 [diarrhea?] ? Candida?
Cephapirin Antibiotic L1 [diarrhea?] ? Candida?
Cephradin Antibiotic L1 [diarrhea?] ? Candida?
Better not
Anti cholinergic,
L3 [cholesterol use during
Cerivastatin lowers ?
is important!] breast
cholesterol
feeding
Cetirizine Anti histamine L2 [sedative?] ?
L4 [only in
Chickenpox vaccine Vaccine [living] emergency ?
situations]
Chloralhydrate Sedative L3 [sedative?] Compatible
Chlorambucil Cytostatic L5 [cytotoxic] ?
L4
Chloramphenicol Antibiotic Concern? Candida?
[sensibilisation?]
Chlordiazepoxide Benzodiazepine L3 [sedative?] ?
L4 [when
sprayed on the
Chlorhexidine Anti microbal ?
nipple
bradycardia]
L3 [diarrhea?
Chloroquine Anti malarial Compatible
hypotension?]
L3 [reduces milk
Chlorothiazide Diuretic Compatible
production?]
Chlorpheniramine Anti histaminie L3 [sedative?] ?
Chlorpromazine Tranquillizer L3 [sedative] Concern?
L3
Chlorpropamide Anti diabetic Concern?
[hypoglycemia?]
Chlorprothixeen Tranquillizer L3 [sedative?] Concern?
L3 [reduces milk
Chlorthalidon Diuretic Compatible
production?]
Cholesterol L1 [oral
Cholestyramine ?
binder availability 0 %]
L3 [none
Chorionic Placental
reported via ?
Gonadotropin hormone
milk]
Reduces gastric
Cimetidine L2 Compatible
acid
L3 [diarrhea,
Ciprofloxacin Antibiotic changes color of Compatible Candida?
teeth!]
Stimulates
stomach and Rhythm
Cisapride L2 ?
bowels[seldom deregulator?
used]
L4 [cytotoxic,
Cisplatinum Cytostatic Compatible
M/P more as 1]
Citalopram Anti depressive L3 [sedative] ?
Clarithromycine Antibiotic L1 ? Candida?
L4 [sedative,
Clemastine Anti histamine irritable, Concern?
convulsions]
Clindamycine Antibiotic L2 [diarrhea?] Compatible Candida?
Clobazam Benzodiazepine L3 [sedative?] ?
L3 [reduces
Ovulation
Clomifeen early milk ?
stimulation
production]
Clomipramine Anti depressive L2 Concern?
Clonazepam Benzodiazepine L3 [sedative?] ?
L3
Anti [hypotension?
Clonidine ?
hypertensive reduces milk
production?]
L3 [sedative,
Clorazepate Benzodiazepine ?
constipation]
Clotrimazol Anti fungus L1 ?
Cloxacilline Antibiotic L2 [diarrhea?] ? Candida?
Clozapine Sedative L3 Concern?
L5 [choking,
vomiting,
diarrhea,
Cocaine Stimulant irritation, Cessation
hypertension,
tachycardia,
dangerous]
Codeine Analgesic L3 [sedative?] Compatible
Coenzym Q10 Co-factor L3 ?
L4 [somewhat
Analgesic for unknown, bone
Colchicine
gout marrow
depression?]
Reduces L1 [oral
Colesevelam ?
cholesterol availability 0%]
Stimulates
Corticotropine L3 ?
cortisol release
Coumarin derivates Anti coagulant L2 Compatible
Cromolyn Sodium Anti allergy L1 ?
L3 [none
Cyclizine Anti histamine reported via ?
milk]
L3 [none
Cyclobensaprine Muscle relaxant reported via ?
milk, sedation?]
Cyclopentolate Dilates pupils L3
L5 [bone
Cyclo-phosphamide Cytostatic Caution
marrow
 suppressant]
L3 [none
Cycloserine Anti tuberculosis reported via Compatible
milk]
Immune
Cyclosporine L3 [cytotoxic?] Caution
Suppression
L3 [none
Cyproheptadine Anti histamine reported via ?
milk, sedative?]
Cytarabine Cytostatic L5 [cytotoxic] ?

Dactinomycine Cytostatic L5 [cytotoxic] ?

Dalteparine Anticoagulant L2 ?
L5 [reduces milk
production?
Danazol Androgen ?
none reported
via milk]
L4 [none
Dantrolene Muscle relaxant reported via ?
milk]
L4 [hemolytic
Dapsone Antibiotic Compatible Candida?
anemia?]
L3 [none
reported via
Daptomycine Antibiotic milk and ? Candida?
adverse effects
unlikely]
L3 Avoid use on
DEET Insect repellant ?
large areas
L3 [none
reported via
Deferoxamine Iron binder milk and ?
adverse effects
unlikely]
Desipramine Anti depressant L2 Concern?
Desloratadine Anti histaminic L2 ?
Anti diuretic
Desmopressine L2 ?
hormone
L3 [avoid high
Dexamethasone Steroid ?
doses]
L4 [none
Dexfenfluramine Diet pill reported via ?
milk]
L3 [none
Dextro Caution,
CNS Stimulant reported via
amphetamine cessation
milk but
 caution]
Dextro methorphan Anti cough syrup L1 ?
L3[L4 chronic
Diazepam Sedative use] lethargic or Concern?
sedation
L3 [none
Dibucaine Local anesthetic reported via ?
milk]
Diclofenac NSAID L2 ?
Dicloxacilline Antibiotic L1 ?
L4 [apnea,
Dicyclomine Anti cholinergic constipation, ?
tachycardia]
L5 [possibly less
Effects hunger
thirst, agitation
Diethylpropion feeling ?
effectssleeping
[amphetamine]
pattern]
Diethylstilbestrol
Estrogen L5 ?
(DES)
L3 [none
Diflunisal NSAID reported via ?
milk]
L3 [none
Digitoxine Heart stimulant reported via ?
milk]
Cardiac
Digoxine L2 Compatible
stimulant
Anti motion
Dimenhydrinate L2 ?
sickness
L2 [none
reported via
Diphenhydramine Anti histamine ?
milk possible
sedation?]
L3 [possible
Diphenoxylate Anti diarrhea constipation? ?
Sedative?]
Dipivefrine Anti glaucoma L2 ?
L3 [none
Opens veins, anti reported via
Dipyridamol ?
coagulant milk, seems no
point]
L3 [none
Dirithromycine Antibiotic reported via ? Candida?
milk]
Disopyramide Anti arrhythmic L2 Compatible
Inhibitor of L5 [dangerous
Disulfiram alcohol in combination ?
metabolism with alcohol]
 L3 [none
Dolasetron
Anti nausea reported via ?
Mesylate
milk]
Stimulates
stomach activity
Domperidon L1 Compatible
[and milk
production]
Adrenergic L2 [no
Dopamine ?
stimulant absorption]
Dothiepin Anti depressive L2 Concern?
Anti
Doxazosin Mesylate L4 [M/P=20!] ?
hypertension
L5[sedative, bad
drinking,
Doxepin Anti depressive hypotonic, Concern?
spitting,
jaundice]
L3 [hyper
Doxercalciferol Vitamin D ?
calcemie?]
Doxorubicine Cytostatic L5 Cessation
L3 [L4 in chronic
use, teeth color
Doxycycline Antibiotic changes and ? Candida?
lessens bone
growth?]
L4 [none
Doxylamine Anti histamine reported via ?
milk, sedative?]
L3 [none
Droperidol Anti nausea reported via ?
milk, sedative?]

L3 [none
Immune
Echinacea reported via ?
stimulant
milk]
L3 [none
Monoclonal
Eculisumab reported via ?
antibody
milk]
Monoclonal L3 [no data
Efalisumab ?
antibody available]
Eletriptan Anti migraine L2 ?
Anti
Enalapril L2 Compatible
hypertension
L3 [extreme
Encainide Anti arrhythmic ?
caution]
Enoxacin Antibiotic L3 [none ? Candida?
 reported via
milk, caution,
see Norfloxacin]
L3 [none
reported via
Enoxaparin Anti coagulant ?
milk, adverse
effects unlikely]
L4 [none
reported via
Ephedrine Stimulant ?
milk but observe
for agitation etc]
Epinephrine Stimulant L1 ?
L3 [none
reported via
Epoprostenol Vasodilator ?
milk, unlikely to
be absorbed]
Anti postpartum L3 [reduces
Ergonovine Maleate ?
bleeding prolactin?]
L4 [reduces milk
production by
Ergotamine Anti migraine Caution
chronic use,
nausea?]
L2
L3 early
Erythromycine Antibiotic postnatal Compatible
[pylorus-
stenosis!]
Escitalopram Anti depressant L2 ?
L3 [none
Esmolol Beta Blocker reported via ?
milk]
Esomeprasol Antacid L2 ?
L3 [none
Estazolam Benzodiazepine reported via ?
milk, sedation?]
L3 [none
Eszopiclone Hypnotic reported via
milk, sedation?]
Ethambutol Anti tubercular L2 Compatible
L3 [sedative,
irritable, bad
drinking,
Ethanol Alcohol Compatible
reduces milk
production,
taste]
L4 [sedative,
Ethosuximide Anti convulsant bad drinking, Compatible
irritable]
Ethotoin Anti convulsant L3 [none ?
 reported via
milk but see
Phenytoin
L5 [early closing
Etretinate Anti psoriatic of the fontanel ?
and epiphyses]
Better not
L3 [no data
to use
Reduces available,
Ezetimibe ? during
cholesterol cholesterol is
breast
important!]
feeding

Famciclovir Anti viral L2 ?

Famotidine Antacid L1 ?
L4 [none
reported via
Felbamate Anti convulsive ?
milk, serious
side effects?]
L3 [none
Anti-
Felodipine reported via ?
hypertensive
milk]
L4 [reduces milk
Fennel Estrogenic?
production]
Fenoprofen NSAID L2 ?
Fentanyl Opium L2 Compatible
Fexofenadine Anti histamine L2 Compatible
Increases blood
Filgastim L2 ?
amount
L3 [none
Urine
Flavoxate reported via ?
spasmolytic
milk]
L3 [nausea?,
Flecainide Acetate Anti arrhythmic dizziness, Compatible
constipation?]
Floxacilline Antibiotic L1 ? Candida?
Fluconazol Anti fungal L2 Compatible
L3 [none
Fludrocortison Steroid reported via ?
milk]
L4 [none
Anti reported via
Flunarizine ?
hypertension milk
accumulation?]
L3[L4 by chronic
Flunitrazepam Benzodiazepine ?
use, sedative?]
Fluorescein Diagnostic dye L3 [do not use Compatible
 with light
therapy because
of possible light
toxic]
Fluoride Enamel hardener L2 Compatible
Fluorouracil Cyto static L5 ?
L2 older child
L3 neonate
Fluoxetine Anti depressive Concern?
[crying, cramps,
reported once]
L3 [none
Fluphenazine Psychotherapy reported via ?
milk, sedative?]
L3 [none
Flurazepam Sedative reported via ?
milk, sedative?]
Flurbiprofen Analgesic L2 ?
L3 [none
reported via
Fluticason Steroid ?
milk, adverse
effects unlikely]
L3 [none
reported via
Reduces
Fluvastatin milk but ?
cholesterol
cholesterol is
necessary]
Fluvoxamine Anti depressive L2 Concern?
Folic acid Vitamin L1 Compatible
L3 [none
Formoterol reported via
Bronchodilatation ?
Fumarate milk, adverse
effects unlikely]
L4 [kidney
toxic? deposits
Foscarnet Anti viral ?
in teeth and
bones?]
Anti L3 older child
Fosinopril ?
hypertension L4 neonate
Fosphenytoine Anti convulsive L2 Compatible
L2 older child
L4 neonate
Furazolidon Antibiotic ? Candida?
[hemolytic
anemia]
L3 [reduces milk
Furosemide Diuretic ?
production?]

G
 L3 [none
Gabapentin Anti convulsive reported via ?
milk]
L3 [none
Contrast bij reported via
Gadodiamide ?
MRI's milk, adverse
effects unlikely]
Contrast for
Gadopentetate L2 Compatible
MRI's
L3 [none
Contrast for reported via
Gadoteridol ?
MRI's milk, adverse
effects unlikely]
L4 [radio active!
Temporary
Radioactive no breast
Gallium-67 Citrate stop breast
isotope feeding for 14
feeding
days!]
Gentamicine Antibiotic L2 ? Candida?
L3 [avoid high
Gentian violet Anti fungal doses and long ?
usage]
L4 [none
Reduces sugar reported via
Glimepiride ?
level milk,
hypoglycemia]
Reduces sugar L3 [milk levels
Glipizide ?
level undetectable]
L3 [none
reported via
Glucosamine Anti arthritis
milk, adverse
effects unlikely]
Reduces sugar
Glyburide L2 ?
level
L5 [remains in
Gold Anti rheumatic the body very Compatible
long, months!]
L4 [diarrhea?
Grepafloxacin Antibiotic ?
arthropathy?]
Griseofulvine Anti fungal L2 ?

Halazepam anti anxiety L3 ?

Haloperidol Anti psychotic L2 Concern?
Halothaan Anesthetic L2 Compatible
Heparine Anti coagulant L1 ?
Hepatitis vaccine Vaccine L2 ?
Heroine Narcotic L5 [sedative, Cessation
 tremor, restless,
bad drinking]
Hexa chlorophene Anti septic L4 [toxic?] ?
Histamine Diagnostic agent L3
Anti L2
Hydralazine Compatible
hypertensive [hypotension?]
Hydrochloor- L2 [reduces milk
Diuretic Compatible
thiazide production?]
Hydrocortison
Steroid L2 ?
[local]
Hydromorphone Analgesic L3 [sedative?] ?
Anti rheumatic
Hydroxychloroquine L2 Compatible
and -malaria
Hydroxizine Anti histamine L1 [sedative?] ?
L3 [none
Hyoscyamine Anti cholinergic reported via ?
milk]

Temporary
stop
I-radioactive L4
[sometimes
complete]
Ibuprofen Analgesic L1 Compatible
Imipenem Antibiotic L2 ? Candida?
L2 [sedation?
Imipramine Anti depressant Concern?
dry mouth?]
L3 [none
Indapamide Diuretic reported via ?
milk]
Indomethacine NSAID L3 Compatible
Infliximab Anti rheumatic L2 ?
Insuline Anti diabetes L1 ?
Ipratropium
Bronchodilator L2 ?
Bromide
Metal
Iron L1 ?
supplement
L3 [hepatitis?
Isoniazide Anti tuberculose weakness? Compatible
spitting?]
Isoproterenol Bronchodilator L2 ?
Isosorbide Opens veins L3 ?
Vitamin A
Isotretinion L5 [teratogen] ?
derivate
Anti L3 [low blood
Isradipine ?
hypertension pressure?
 sleepiness? low
heartbeat?]
Itrakonazol Anti fungal L2 ?
Ivermectin Anti parasitic L3 Compatible

Anti thyroid
Kalium Iodide L4 ?
gland
Kanamicine Antibiotic L2 Compatible Candida?
Kava-kava Sleeping pill L5 ?
Ketoconazol Anti fungal L2 Compatible
[none reported
via milk, adverse
Ketoprofen L3 ?
effects unlikely]
Pain killer
Ketorolac Analgesic L2 Compatible
Kombucha tea Herbal tea L5 ?

Anti
Labetalol L2 Compatible
hypertension
Lamivudine Anti viral L2 ?
L3 [plasma
levels 30% of
Lamotrigine Anti epileptic maternal, no Concern?
adverse effects
noted]
L3 [none
Reduces gastric reported via
Lansoprasole ?
acid production milk, adverse
effects unlikely]
L3 [none
Against
Latanoprost reported via ?
glaucoma
milk]
Lead L5 ?
Reduces L4 [malignancy-
Leflunomide ?
infections risk?]
Lepirudin Anti coagulant L2 ?
Reduces
Letrozole oestrogen L4 ?
synthesis
L5 [reduces milk
Leuprolide acetate GRH analog ?
production]
Levalbuterol Bronchodilatation L2 ?
Levetiracetam Anti-epileptic L3 [none ?
 reported via
milk]
L3 [none
reported via
Levobunolol Anti glaucoma milk, observe ?
for lethargy and
apneu?]
Levocabastine Used for itch L2 ?
Levocarnitine Diet supplement L3 [no data]
L4 [reduces milk
Levodopa Anti Parkinson ?
production]
Levofloxacin Antibiotic L3 ? Candida?
Levonorgestrel Anti conceptive L2 Compatible
Thyroid gland
Levothyroxine L1 Compatible
hormone
Lidocaine Anesthetic L2 Compatible
Lincomicine Antibiotic L2 ? Candida?
L4 [damages
Lindane Anti schurft ?
nervous system]
Linezolid Antibiotic L3 [diarrhea?] ? Candida?
Thyroid gland
Liothyronine L2 ?
hormone
L3 [none
Anti reported via
Lisinopril ?
hypertensive milk, weakness?
hypo tension?]
L4 [effects heart
rhythm,
Anti manic
Lithium weakness?, Caution
depression
control lithium
levels]
L3 [none
Folic acid
L-Methylfolate reported via ?
metabolite
milk]
L3 [none
Lomefloxacin Antibiotic reported via ? Candida?
milk]
Loperamide Anti diarrhea L2 Compatible
Loracarbef Antibiotic L2 ? Candida?
Loratidine Anti histamine L1 Compatible
L3 [none
reported via
Lorazepam Anti fear Concern?
milk, observe
for sleepiness]
L3 [none
reported via
Lormetazepam Sedative
milk, milk levels
extremely low]
 Anti
Losartan L3 ?
hypertensive
Better
discontinue
Reduces L3 [cholesterol
Lovastatin ? during
cholesterol is important!]
breast
feeding
Loxapine Tranquillizer L4 ?
LSD Hallucinator L5 ?
Lyme disease
Vaccine L2 ?
vaccine

Magnesium
Laxative L1 ?
hydroxide
Anti epileptic and
Magnesiumsulfate L1 Compatible
laxative
L3 [temporary
Mannitol Diuretic less milk ?
production?]
Maprotiline Anti depressive L3 ?
see
Marcoumar Anti coagulant L2 Compatible Coumarin
derivates
L3 [reduces milk
Mebendazole Anti parasitic ?
production?]
L3 [none
Anti travel
Meclizine reported via ?
sickness
milk]
L1 [L4 during
Medroxy
Hormone the first three Compatible
progesteron
days after birth]
Mefloquine Anti malaria L2 ?
Melatonine Hormone L3 ?
Reduces
Meloxicam L3 ?
infections
Meningococcen
Vaccine L1 ?
vaccin
L3 [reduces milk
Menotropine Hormone ?
production?]
Adverse
L2 [L3 when effects
Meperidine used shortly increases
Analgesic Compatible
[=Pethidine] after birth, with anti
sedative] depressive
medication
Mepindolol sulfate Bèta blocker L2 ?
 L3 [none
Mepivacaine Local pain killer reported via ?
milk]
L3 [none
Meprobamate Anti fear reported via ?
milk, sedative?]
Mercaptopurine Anti cancer L3 ?
Caution with
Mercury Mercury L5 ? removing
amalgams
L3 [none
Meropenem Antibiotic reported via ? Candida?
milk]
Slows thyroid
Mesalamine L3 [diarrhea?] Caution
gland
Mesoridazine Anti psychoticum L4 [sedative!] Concern?
Metaxalon Muscle relaxant L3 ?
Metformin Anti diabetic L1 ?
Broncho
Methacholine L3 ?
constriction
Narcotic
Methadon L3 Compatible
analgesic
Methicilline Antibiotic L3 ? Candida?
L3 [none
Slows thyroid
Methimazol reported via Compatible
gland
milk]
Methocarbamol Muscle relaxant L3 ?
L3 [none
reported via
Methohexital Anesthetic Compatible
milk adverse
effects unlikely]
L3 for acute use
Methotrexate Anti cancer Cessation
[L5 chronic use]
L3 [none
reported via
Methscopolamine Against cramps ?
milk, adverse
effects unlikely]
Anti
Methyldopa L2 Compatible
hypertension
L2 [L4 chronic
Methylergonovine Vasoconstrictor ?
use]
L3 [none
reported via
Methylphenidate Anti ADHD milk, observe ?
for insomnia and
weight?]
L2 [except for
Methylprednisolon Corticosteroid Compatible
long term high
 dosage]
Prolactin
Metoclopramide L2 Concern?
stimulation
L3 [none
reported via
milk, observe
Metoprolol Beta blocker Compatible
for hypo
tension? low
heart activity?]
L2 [possible less Metallic
Metronidazole Antibiotic Concern?
drinking] flavor
Mexiletine Anti arrhythmic L2 Compatible
Miconazol Anti fungal L2 ?
L3 [none
Midazolam Sleeping pill reported via Concern?
milk]
L3 [none
reported via
Midodrine Anti hypotensive milk, ?
hypertension?
insomnia?]
L3 [increases
Mifepristone Anti progesteron ?
milk production]
Miglitol Anti diabetic L2 ?
L3 [L4 by
chronic use,
changes teeth
Minocycline Antibiotic ? Candida?
color and
reduces bone
grow]
Anti
Minoxidil L2 Compatible
hypertension
L3 [none
Mirtazapine Anti depressive reported via ?
milk, sedative?]
L3 [none
reported via
Misoprostol Prostaglandine ?
milk, diarrhea?
cramps?]
Mitoxantrone Anti MS L5 ?
Blocks muscle
Mivacurium L2 ?
activity
L3 [none
Moclobemide Anti depressive reported via ?
milk]
L4 [reduces milk
Modafinil Keeps awake ?
production?]
L3 [none
Mometason Corticosteroid ?
reported via
 milk]
L3 [none
Montelukast Anti astma reported via ?
milk]
L3 [none
reported via
Morfine Painkiller milk, maybe Compatible
sedative by high
dosages?]
Moxifloxacin Antibiotic L2 ? Candida?
Anti bacterial
Mupirocin L1 ?
crème
Reduces
Mycophenolate L4 ?
immunity

L3 [none
Anti-
Nabumeton reported via ?
inflammatory
milk]
Anti L4 [lots goes in
Nadolol Compatible
hypertensive mothers milk]
Nafcilline Antibiotic L1 ? Candida?
Nalbuphine Analgesic L2 ?
Nalidixine zuur Anti septic L3 [anemia?] Compatible
Antagonist for
Naloxon L3 ?
morphine
Narcotic
Naltrexone L1
antagonist
L3 [L4 by
Naproxen Analgesic Compatible
chronic use]
L3 [none
Naratriptan Anti migraine reported via ?
milk]
L3 [no data
Natalizumab Anti MS ?
available]
L3 [neonatal
Nebivolol Beta blocker hypo glycemia
reported]
Nedocromil Anti asthmatic L2 ?
L4 [drowsiness,
Nefazodone Anti depressive weakness, ?
reduces growth]
L3 [none
Netilmicine Antibiotic reported via ? Candida?
milk, diarrhea?]
L3 [none
Nevirapine Anti HIV ?
reported via
 milk]
Anti
Nicardipine L2 ?
hypertension
Nicotine [chewing
Against smoking L2 ?
gum etc.]
L3 [none
Nicotinezuur Vitamin B3 reported via ?
milk]
Anti
Nifedipine L2 Compatible
hypertensive
Anti
Nimodipine L2 ?
hypertensive
L3 [none
reported via
Anti
Nisoldipine milk, ?
hypertensive
hypotension?
sedative?]
L3 [no data
Nitazoxanide Anti parasites ?
available]
L2 [short term]
Nitrazepam Sleeping pill ?
[sedation?]
Anti
Nitrendipine L2 ?
hypertensive
L2 [don't use in
babies with
Nitrofurantoine Antibiotic G6PD deficiency Compatible Candida?
or younger than
one month]
L4 [none
reported via
Nitroglycerine Opens veins ?
milk, methemo-
globinemia?]
Nitroprusside Hypotensive L4 ?
L3 [none
Nitrous oxide Anesthetic gas reported via
milk]
Reduces gastric
Nizatidine L2 ?
acid
Norethindrone Anti conceptive L1 ?
L2 [none
reported via
Norethynodrel Anti conceptive milk, may ?
reduce milk
production?]
L3 [none
Norfloxacin Antibiotic reported via ? Candida?
milk]
Nortriptyline Anti depressive L2 Concern?
Nystatine Antifungal L1 ?
O

Ofloxacine Antibiotic L2 Compatible Candida?

Olanzapine Anti psychotic L2 ?
Anti L3 [older
Olmesartan ?
hypertension babies]
Local
Olopatadine L2 ?
antihistamine
L3 [none
reported via
Anti milk, in long
Olsalazine ?
inflammatory term use
diarrhea and
cramps?]
Reduces gastric
Omeprazol L2 ?
acid
Ondansetron Anti nausea L2 ?
L3 [none
reported via
Orlistat Anti obesity ?
milk, adverse
effects unlikely]
Orphenadrine
Muscle relaxant L3 ?
citrate
Oseltamivir Anti-influenza L2 ?
Oxaprozine Analgesic L3 ?
L3 [none
Oxazepam Anti fear reported via ?
milk]
L3 [none
Oxcarbazepine Anti epileptic reported via ?
milk]
L3 [less milk
Oxybutynine Anti cramps ?
production?]
L3 [none
Oxycodone Analgesic reported via ?
milk, sedative?]
Stimulates
Oxytocine L2 ?
delivery and TSR

Paclitaxel Anti cancer L5 ?

L3 [no data
Palonosetron Anti emetic ?
available]
Bone resorption
Pamidronate L2 ?
inhibitor
Pantoprazol Reduces gastric L1 ?
 acid
Paracetamol Analgesic L1 Compatible
L3 [no data
Paromomycin amoebicide
available]
L2 [none
reported via
Paroxetine Anti depressive milk in Concern?
numerous
studies]
L3 [none
Penciclovir Antiviral reported via ?
milk]
Penicillamine For arthritis L4 ?
Penicilline G Antibiotic L1 [diarrhea?] ? Candida?
Pentazocine Analgesic L3 ?
L3 [none
Pentobarbital Hypnotic reported via ?
milk, sedation?]
Pentosal
Analgesic L2 ?
Polysulfate
Reduces blood
Pentoxifylline L2 ?
viscosity
Permethrin Insecticide L2 ?
L3 [none
Perphenasine Anti psychotic reported via Concern?
milk, sedation?]
L3 [none
Phenazopyridine Pain killer reported via ?
milk]
Phencyclidine Hallucinogen L5 Cessation
L3 [sedation?
Phenobarbital Anti-epileptic Caution
withdrawal?]
L4 [reduces
Phentermine Reduces appetite ?
drinking?]
L3 [None
Constricts blood
Phenylephrine reported via ?
vessels
milk]
Phenyl-
Anorexiant L2 [insomnia?]
propanolamine
Phenytoine Anti epileptic L2 Compatible
Phytonadion Vitamin K1 L1 Compatible
L3 [none
reported via
Pilocarpine Hypotensive ?
milk, cramp,
diarrhea?]
L2 (L4 on the
Pimecrolimus For dermatitis ?
nipple)
Pimozide Tranquillizer L4 ?
 L3 [no data
Pioglitazon Anti diabetic ?
available]
Piperacillin Antibiotic L2 ? Candida?
Broncho- L2 [irritation?
Pirbuterol acetate ?
dilatation tremors?]
Piroxicam Analgesic L2 Compatible
L3 [caution;
after use, wait 4
Podofilox Anti fungal ?
hours before
feeding]
Polio vaccine Vaccine L2 ?
L3 [none
Polyethyleen glycol Laxans reported via ?
milk]
Polymixine B
Antibiotic L2 ? Candida?
sulfate
Potassium Iodide Anti thyroid L4 ?
L4 [reduces
thryoid-
Povidon iodine Anti septic gland function Compatible
when used in
large amounts?]
L4 [reduces milk
Pramipexol Anti Parkinson ?
production]
L3 [first week]
[none reported
via milk]
Pramlintide acetate Anti diabetic ?
L2 [following
weeks, unlikely
to enter milk]
Better not
to use
Reduces L3 [cholesterol
Pravastatin ? during
cholesterol is important!]
breast
feeding
L3 [none
Prazepam Anti fear reported via Concern?
milk, sedative?]
Praziquantel Anti worms L2 ?
Anti
Prazosin L4 ?
hypertension
L3 [not on
Corticosteroid nipple] [none
Prednicarbate ?
crème reported via
milk]
Prednison Corticosteroid L2 Compatible
L3 [none
Primaquine fosfate Anti malaria reported via ?
milk]
 L3 [sedative in
Primidone Anti epileptic neonatal Caution
period?]
L3 [hypo
Procainamide Anti arythmicum tension? liver Compatible
function?]
Procaine Anesthetic L3 ?
L3 [none
Pro chlorperazine Reduces nausea reported via ?
milk, apnea?]
L3 [none
reported via
milk, adverse
Progesteron Hormone effects unlikely, Compatible
maybe less milk
production in
the first weeks]
L2 [none
reported via
Promethazine Anti histaminic ?
milk, sedative?
apnea?]
Propafenon Anti arythmicum L2 ?
Propofol Sedative L2 ?
Propoxyphene Analgesic L2 Compatible
L2 [do not use
Propranolol Beta blocker in asthmatic Compatible
children]
Propylthiouracil Anti thyroid L2 Compatible
L3 [by acute
usage]
Pseudo ephidrine Decongestant L4 [by chronicle Compatible
use, reduces
milk production]
L3 [none
Pyrantel Anti worms reported via ?
milk]
L3 [none
Pyrazinamide Anti tubercular reported via ?
milk]
Pyridostigmine Muscle stimulant L2 Compatible
L2
Pyridoxine Vitamin B 6 L4 in high Compatible
dosage
Anti malaria,
Pyrimethamine folium acid L3 [carcinogen?] Compatible
antagonist

Q
Quazepam Sedative L2 Concern?
Quetiapine
Anti psychoticum L2 ?
fumarate
L4 [by long term
Quinacrine Anti malaria ?
use]
L2 L4 [in first
Anti
Quinapril days post ?
Hypertension
partum]
L2 [none
reported via
Quinidine Anti arythmicum Compatible
milk, liver
function?]
Quinine Anti malaria L2 Compatible
L3 [none
Quinupristin Antibiotic reported via ? Candida?
milk]

L3 [none
Reduces gastric
Rabeprazol reported via ?
acid
milk]
L3 [none
Rabies vaccine Vaccine reported via ?
milk]
L3 [no data
Ramelteon Hypnotic ?
available]
L3 [none
Anti
Ramipril reported via ?
hypertensive
milk]
Reduces
Ranitidine L2 ?
heartburn
L3 [none
reported via
Remifentanil Analgesic ?
milk, not
absorbed]
L4 [hypo
Repaglinide Anti diabeticum ?
glycemic]
Anti
Reserpine L4 ?
hypertensive
L3 [no data
available,
Retapamulin Anti bacterial ?
adverse effects
unlikely]
Ribavirin Antiviral L4 ?
Riboflavin Vitamin B2 L1 Compatible
Rifampicine Antibiotic L2 Compatible Candida?
Rifaximin Antibiotic L3 [adverse ? Candida?
 effects unlikely]
L3 [none
Rimantadine Anti viral reported via ?
milk]
L3 [none
For bone
Risedronate reported via ?
resorption
milk]
L3 [none
Risperidon Anti psychotic reported via ?
milk]
L3 [none
Ritodrine reported via ?
milk]
L3 [none
Rizatriptan Anti migraine reported via ?
milk, sedative?]
Rofecoxib Analgesic L2 [cramps?] ?
Stimulates
dopamine, L4 [reduces milk
Ropinirole ?
against restless production!]
legs
Ropivacaine Local anesthetic L2 ?
L3 [no data
Rosiglitazon Anti diabetic ?
available]
L3 [no data Better not
Reduces available, use during
Rosuvastin Calcium ?
cholesterol cholesterol is breast
important] feeding
Dopamine L4 [reduces milk
Rotigotine ?
agonist production?]
L2 [light signs of
Rubella vaccine Vaccine ?
rubella?]

L3 [none
Saccharine Sweetener reported via ?
milk]
L4 [dry mouth,
Sage Herb ?
infected gums?]
Salicylic acid, L3 [no data
Anti-acne ?
topical available]
Saline laxatives Laxative L2 Compatible
Salmeterol Bronchodilatation L2 ?
L4 [Reye
Salsalate NSAID
syndrome?]
Anti L3 [none
Scopolamine ?
cholinergicum reported via
 milk, sedative?
dry mouth?]
L3 [none
Secobarbital Sedativum reported via Compatible
milk, sedative?]
Selegiline MAO-inhibitor L4 ?
L3 [none
reported via
Selenium sulfide Local antibiotic milk, do not ?
apply direct on
nipple]
L3 [thin bowel
movements? no
Senna laxatives Laxative Compatible
drug detected in
milk]
Sertraline Anti depressive L2 Concern?
L3 [none
Sevoflurane Anesthetic reported via ?
milk]
Sibutramine Reduces appetite L4 ?
Silicone implants Mammoplasty L3 ?
Silver Sulfadiazine Local antibiotic L3 ?
Better not
to use
Reduces L3 [cholesterol
Simvastatine ? during
cholesterol is important!]
breast
feeding
L3 [do not feed
For
Sincalide first two hours ?
cholecystography
after use]
see
Sintrom Anti coagulant L2 Compatible Coumarin
derivates
Immune L4 [reduces milk
Sirolimus ?
suppressant production?]
Sitagliptin L3 [no data
Anti diabetic
Phosphate available]
Smallpox Vaccine Vaccine L4 ?
L3 [no data
Sodium Oxybate CNS depressant available, ?
sedative?]
Solifenacin For bladder L4 [sedation?
?
succinate overactivity dry mouth?]
L3 [none
reported via
Somatropine Growth hormone ?
milk, adverse
effects unlikely]
Anti L3 [none
Sotalol Compatible
hypertensive reported via
 milk, sedative?
hypo tension?]
Spironolacton Diuretic L2 Compatible
St John's Wort
Anti depressive L2 ?
[Sint Jans kruid]
L3 [none
Streptomycine Antibiotic reported via Compatible Candida?
milk]
Strontium89
Radioactive L5 ?
chloride
L3 [none
Against lead
Succimer reported via ?
poisoning
milk]
Reduces stomach
Sucralfate L2 ?
ulcers
L3 [none
Sulconazol Nitrate Anti fungal reported via ?
milk]
L3 [none
reported via
Sulfamethoxazol Antibiotic milk, caution in ? Candida?
jaundices babies
and low G6PD]
Anti
Sulfasalazine L3 [diarrhea?] Caution
inflammatory
L2 [caution by
Sulfisoxazol Antibiotic jaundices babies Compatible Candida?
and low G6PD]
Sulpiride Anti depressive L2 ?
L3 [none
Sumatriptan
Anti migraine reported via Compatible
succinate
milk]

L3 [none
Immune-
Tacrolimus reported via ?
suppressant
milk]
Tamoxifen Anti cancer L5 ?
L3 [none
reported via
milk, caution if
Tazaroteen Anti psoriatic ?
more than 20 %
of skin requires
usage]
L3 [none
Tea tree oil Anti fungal reported via ?
milk]
 Stop breast
Technetium 99m Radioactive L4 feeding
temporarily!
L3 [none
Tegaserod maleate Anti IBS reported via ?
milk]
Telbivudine Anti hepatitis B L4 ?
L3 [no data
Telithromycine Antibiotic ? Candida?
available]
L3 [none
reported via
Anti
Telmisartan milk] ?
hypertension
L4 [in neonatal
period]
L3 [none
Temazepam Sleeping pill reported via Concern?
milk, sedative?]
Tenofovir disoproxil L3 [no data
Anti retroviral ?
fumarate available]
Anti
Terazosin HCL L4 ?
hypertensive
Terbinafine Anti fungal L2 ?
Broncho
Terbutaline L2 Compatible
dilatation
L3 [none
Terconazol Anti fungus reported via ?
milk]
Tetracycline Antibiotic L2 Compatible Candida?
L3 Stop breast
Thallium 201 Radioactive feeding for 24- ?
48 hours
L3 [none
Broncho reported via
Theofylline Compatible
dilatation milk, irritation?
insomnia?]
L3 [none
Thiabendazol Anti parasitic reported via ?
milk]
L3 [none
Thiopental sodium Anesthetic reported via Compatible
milk]
L4 [neonatal
Thioridazine Anti psychotic ?
apnea common]
L4 [sedative?
Thiotixeen Anti psychotic ?
seizures?]
L4 [possible
Radiographic
Thyroid scan thyroid ?
scan
suppression]
Thyrotropine Stimulates L1 ?
 thyroid gland
L3 [none
reported via
Tiagabine Anti convulsant ?
milk,
sleepiness?]
Ticarcilline Antibiotic L1 Compatible Candida?
Ticlopidine Anti coagulant L4 ?
L3 [tooth
Tigecycline Antibiotic ?
dicoloration?]
Anti-
Timolol L2 Compatible
hypertensive
Tinidazole Antibiotic L2 ? Candida?
L3 [none
Tinzaparin sodium Anti coagulant reported via ?
milk]
Tizanidine Muscle relaxant L4 ?
Tobramycin Antibiotic L3 [diarrhea?] ? Candida?
Tocainide Anti arythmicum L4 ?
L3 [none
Tolbutamide Anti diabeticum reported via Compatible
milk]
L3 [none
Tolmetin sodium Analgesic reported via Compatible
milk]
L3 [none
Reduces urine
Tolterodine reported via ?
incontinence
milk]
L3 [none
Topiramate Anti epileptic reported via ?
milk, sedative?]
L3 [none
Torsemide Diuretic reported via ?
milk]
L3 [none
Tramadol HCL Analgesic reported via ?
milk, sedative?]
Trastuzumab Anti cancer L4 ?
Trazodone Anti depressant L2 Concern?
L3 [when used
locally]
Tretinoine Reduces acne ?
L4 [when used
orally]
L3 [none
Triamcinolon Corticosteroid reported via ?
milk]
L3 [none
Triamterene Diuretic reported via ?
milk]
 L3 [none
Triazolam Sleeping pill reported via ?
milk, sedative?]
L3 [none
Trimeprazine Reduces itch reported via ?
milk, sedative?]
Tri metho- Reduces
L4 ?
benzamide vomiting
Trimethoprim Antibiotic L2 Compatible Candida?
L4 [sedative?
Tripelennamine Anti histamine ?
sleep apnea?]
Triprolidine Anti histamine L1 [sedative?] Compatible
L3 [none
reported via
Triptorelin pamoate LHRH analog
milk, adverse
effects unlikely]
L3 [wait 3-4
Ophthalmic
Tropicamide hours before ?
agent
feeding]
L3 [none
Reduces
Tropisetron reported via ?
vomiting
milk]
Trovafloxacin Antibiotic L4 ? Candida?
Tuberculose skin
L2 ?
test
L3 [none
reported via
Typhoid vaccine Vaccine milk, killed ?
species
suggested]

L3 [none
Ursodiol Gal acid reported via ?
milk]

Valacyclovir Anti viral L1 ?

L3 [none
Valerian Herb reported via ?
milk]
L3 [no data
Valganciclovir Anti viral ?
available]
Valproic acid Anti epileptic L2 ?
Anti
Valsartan L3 ?
hypertension
Vancomicine Antibiotic L1 ? Candida?
Smoking
Varencline L4 ?
cessation
L2
L5 In immuno
Varicella vaccine Vaccine ?
compromised
children
L4 [no breast
Varicella zoster feeding unless
Chickenpox ?
infection guarded with
VZIG]
L3 [none
Vasopressin Anti diuretic reported via ?
milk]
L3 [no data
Venlafaxine Anti depressive ?
available]
Anti
Verapamil L2 Compatible
hypertension
L3 [interrupt
For macula
Verteporfin breast feeding
degeneration
for 24 hours]
L3 [none
Vigabatrin Anti convulsant reported via ?
milk]
L3 [when not
Vitamin A Vitamin A higher than ?
5000 IU/day]
Vitamin B 12 Vitamin B 12 L1 Compatible
Vitamin D Vitamin D L2 Compatible
L2 [when not
Vitamin E Vitamin E applied on ?
nipple]

Warfarine Anti coagulant L2 Compatible

L3 [if older than

6 months]
Yellow fever L4 [if younger
Vaccine ?
vaccine than 6 months]
[none reported
via milk]
Z

L3 [none
Zafirlukast Anti astma reported via ?
milk]
Zaleplon Sleeping pill L2 ?
L3 [no data
Zanamivir Anti viral ?
available]
L3 [high blood
Zidovudine Anti viral levels in ?
babies?]
Zink salts Crèmes etc. L2 ?
Ziprasidone Anti psychotic L4 ?
L3 [none
Zolmitriptan Anti migraine reported via ?
milk]
L3 [poor
Zolpidem tartrate Sleeping pill feeding? Compatible
sleepiness?]
L5 [very high
Zonisamide Anti convulsive ?
blood levels!]
Zopiclone Sleeping pill L2 ?
L3 [none
Zuclopenthixol Anti psychotic reported via
milk]

Literature and further reading

• Medication and Mother's milk [2008], Thomas Hale, pharmacologist

• The website of Thomas Hale, pharmacologist
• The Transfer of Drugs and Other Chemicals Into Human Milk
• The Transfer of Drugs and Other Chemicals Into Human Milk [pdf]

Footnote
 • This list may be copied and distributed without further permission
as long as the sources [URL] are mentioned, and only when it is
under no circumstances used violating the WHO-code of substitutes
for breast milk.

Copyrights

© Erica Post, peadiatrician

© Kleintjesconsult | Kenniscentrum Borstvoeding - Stefan Kleintjes,
nutritionist