Chapter

Drugs and breastfeeding in women with diabetes

Denice S Feig

in Diabetes in Pregnancy

Published on behalf of Oxford University Press

ISBN: 9780199593033
Published online January 2012 | e-ISBN: 9780191730771 | DOI: http://dx.doi.org/10.1093/med/9780199593033.003.0055

Series: Oxford Diabetes Library

Drugs and breastfeeding in women with diabetes

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• When prescribing drugs to a breastfeeding mother careful consideration of passage of drugs into breast milk and potential effects on the infant needs to be made • Of the oral hypoglycaemics metformin appears to pass into breast milk in only tiny quantities and can be considered for use, although caution is advised while nursing premature infants and those with renal impairment. More limited evidence supports use of selected sulphonylureas (glibenclamide, glipizide) • Antihypertensive agents commonly used in pregnancy (methyldopa, labetalol, nifedipine) can also be considered in breastfeeding mothers along with selected beta blockers and ACE inhibitors • Breastfeeding exerts many benefits for the mother and child and should be encouraged. Recent evidence suggests that there may be long-term benefits reducing the risk of obesity and type 2 diabetes in offspring.

Chapter.  3317 words. 

Subjects: Endocrinology and Diabetes

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