Last update: June 1, 2019
Not risky for breastfeeding or infant.
Local anesthetic indicated for the relief of pain and cutaneous itching, vaginal, rectal, otic, dental and oral mucosa.
At latest update, relevant published data on excretion into breast milk were not found.
Topical anesthetics (intended for dermatological or oral use) when properly used, show limited systemic absorption which is practically nil, with nil or non-significant systemic levels in maternal plasma and breast milk and should pose no harm to the breastfed infant (Hale 2019 p, PDR 2018, AEMPS 2018, Briggs 2017, AEMPS 2008, Nice 2000).
Benzocaine may induce appearance of methemoglobinemia and systemic toxicity if absorbed (PCR 2018, Hoffman 2015, Lepe 2015, Bittmann 2011, Chung 2010, Bouziri 2010, Bong 2009).
Avoid use on the breast, otherwise, in case of use on the nipple, apply after a feed and wipe it out by thoroughly washing with water before the next feed.
Never apply on the nipple.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
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