Thursday, April 2, 2015

Antimicrobials for Dysentery in Breastfeeding Woman

Empirical Antibiotics
Dosage
Duration
Lactation
Ciprofloxacin
500mg BD
3 – 5 days
Enters breast milk / use not recommended
Norfloxacin
400mg BD
Excretion in breast milk unknown / not recommended
Levofloxacin
500mg OD
Enters breast milk / not recommended
*Azithromycin
500mg OD
3 days
Enters breast milk / use caution
*Erythromycin
500mg BD
5 days
Enters breast milk / use caution
*Use if fluoroquinolones resistance is suspected.
ü  Fluoroquinolones are not recommended to be used in lactating mothers.
ü  Either azithromycin or erythromycin can be used as both are present at low levels in breastmilk, as such adverse effects are unlikely to occur. Monitor infant for possible effects on GI tract such as diarrhea, candidiasis (thrush, diaper rash).

References:


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