It’s not easy to breastfeed, and it’s even harder to breastfeed a sick mother! There are often baby mothers to the kangaroo mama reflect that breastfeeding in order to breastfeed the baby, sick and afraid to take drugs, but only hard to survive, the results of the disease more and more serious …… In fact, breastfeeding during the sick, also do not have to stop breastfeeding, many drugs are safe to use during breastfeeding. These commonly used drugs, which breastfeeding can also be used? 1, cold medicine can be used: If it is a relatively light cold, only the symptoms of a runny nose and cough, it is best not to take medicine. Because most colds are caused by viruses, they will heal themselves in about a week, a process in which our immune system comes into play to produce symptoms such as sneezing, sniffling and coughing. For viral-caused colds, it is pointless to take antibiotics, and cold medicine is usually responsible for relieving the symptoms of a stuffy, runny nose and headache, and does not act as a cure. If nasal congestion and runny nose are serious, you can use seawater nasal spray, or saline and nasal wash to take care of it, and inhaling hot water vapor can also relieve nasal congestion. So for general colds, it is enough to drink more water and rest, no need to take medicine and you can breastfeed normally. But remember to wear a mask to avoid infecting your baby. The medicine that cannot be used: If the symptoms of the cold are very serious and you have to take medicine to relieve the discomfort, you should avoid using compound cold medicine, such as Contec, Tylenol, White Plus Black and so on. Because of the complex composition of these drugs, often containing some of the ingredients that affect the secretion of milk or will be secreted through the milk, may lead to “back to milk”, such as chlorpheniramine maleate (paracetamol), etc., is a breastfeeding mother to avoid the drug. 2, antipyretic drugs can be used: If the mother needs to use antipyretic or painkillers, it is best to choose acetaminophen and non-steroidal anti-inflammatory drugs with a short half-life as painkillers for nursing mothers, such as acetaminophen or ibuprofen, these two drugs are not found in the urine of breastfeeding children in the original form of drugs or metabolites, can be used. Drugs that cannot be used: Aspirin and indomethacin, on the other hand, are not recommended because they can enter the breast milk in large quantities. In addition to reducing fever, they have the function of preventing platelet agglutination and competing with bilirubin for binding to blood paddle proteins. Small doses and short-term use are safer, but if used for a long time and in large quantities, they are likely to cause bleeding, jaundice, and even acidosis and convulsions in babies, so breastfeeding mothers should use them with caution. 3, anti-inflammatory drugs (antibiotics) can be used: new mothers because of postpartum infections, mastitis and other diseases, often need to use antibiotics, then you can choose cephalosporins. There are dozens of cephalosporins, and the concentration and metabolism rate into the breast milk are different, so they should be treated differently. Most of them enter the breast milk in very low concentrations, such as cefradine, cefepime, cefixime, cefmetazole, ceftriaxone, etc.; there are some cephalosporins, such as cefadroxil, cefaclor, cefuroxime, etc., which will enter the breast milk in small amounts, and the effect on the baby is still lacking sufficient verification, and should be used with caution. Penicillins are also safer, such as penicillin V potassium, amoxicillin, etc. The content in breast milk is medium and the toxicity is also very small, which basically has no effect on the baby and can be used. Drugs that cannot be used: tetracyclines such as tetracycline, oxytetracycline, minocycline; chloramphenicol cannot be taken orally, but eye drops can be used; erythromycin in macrolides cannot be used; roxithromycin, aunomycin, azithromycin, etc. have high concentration in breast milk and should be used with caution; sulfonamides; fluoroquinolones; isoniazid, the above are prohibited drugs. 4, bronchial asthma, bronchitis Theophylline drugs are commonly used in the treatment of asthma, bronchitis, will also appear in some compound cold medicines. In the case of aminophylline, for example, about 10% of the drug will enter the breast milk after the mother takes the drug in the usual dose, so it is best to take the drug after each nursing session to minimize the amount of drug ingested by the baby through breast milk. Babies may experience excitement, irritability and other toxic reactions, so these drugs should be used with caution under the guidance of a doctor during breastfeeding. 5, glucocorticoids Glucocorticoids such as prednisone, dexamethasone, beclomethasone propionate, etc. will enter the breast milk in small amounts, low dose, short-term treatment is relatively safe for the baby, such as nebulized inhalation done when the cold. However, if the mother receives pharmacological, large doses of glucocorticoids, she should stop breastfeeding to avoid growth inhibition and suppression of adrenal cortical function for the baby. 6, anti-allergy drugs Allergic rhinitis, allergic conjunctivitis, as well as allergy-induced itching and hives are relatively common during pregnancy and breastfeeding. The first thing is to try to find allergens and try to stay away from them, and not to eat spicy and stimulating food. However, there are times when the itching is unbearable, and as long as the right choice of medication is made, it is possible to make the mother comfortable without affecting the breastfeeding and the health of the child. Allergic rhinitis can use saline to wash the nose; allergic conjunctivitis can be flushed with artificial tears; if the systemic symptoms of urticaria are preferred topical ointment or furnace glycolic lotion. If the symptoms are severe and uncontrollable, oral anti-allergy drugs such as loratadine and cetirizine can be used. 7, contraceptive pills Most of the common contraceptive pills on the market are compound contraceptives, which contain estrogen and progestin components, and long-term use will inhibit lactation and have an impact on the mother’s milk production. It is best to use other forms of contraception, such as condoms, IUDs, etc. 8, Chinese medicine Some Chinese medicines have very complex ingredients and lack information on metabolism and toxicity, so it is recommended that they should not be used during lactation. The principles of drug selection during breastfeeding 1, although breastfeeding can be used, but the general principles, or: can not use drugs for the disease as far as possible; can be taken orally not intravenously; must be used in the effective dose range, as far as possible, short course, small dose; the process of medication to observe adverse reactions. 2, try to use single-party, short-acting, immediate-release drugs, and avoid using long-acting drugs and several drugs at the same time. In other words, try not to use drugs with names such as “compound”; the same drug, try to choose to eat 3 to 4 times a day, rather than just once a day to eat the slow-release tablets. 3, choose to enter the breast milk secretion less, and there is clinical evidence that there is no significant damage to the baby drugs. 4, the priority is to choose topical medication, if the baby will come into contact with the parts, such as nipple chafing, can be applied after each nursing and thoroughly washed before the next nursing. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. 6. Take the medicine immediately after breastfeeding and postpone the next breastfeeding as much as possible, at least 4 hours apart. This way more of the drug is metabolized and excreted in the mother’s body, and the concentration of the drug in the breast milk can be at its lowest. This adjusts the time between taking the medication and breastfeeding to reduce the amount of medication absorbed by the baby. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. For example, breastfeeding mothers should pay attention to the baby’s rash when applying penicillin, and diarrhea when applying clindamycin. -If you’re not sure what you’re looking for, you’ll need to seek medical attention. 8, if you have to use the banned drugs during breastfeeding, you should suspend breastfeeding, and resume breastfeeding after 5 half-lives of the end of the drug, it is generally believed that about 5 half-lives, the drug can be cleared in the body. Drug half-lives are usually indicated within the instructions. (One half-life is 6 hours)