Last update: June 1, 2019
Not risky for breastfeeding or infant.
Compatible with breastfeeding no matter the multiple ways it can be used: anesthetic, anti-arrhythmic, or anti-epileptic drug.
Excreted into breast milk in non-significant amount (Giuliani 2001, Dryden 2000, Ortega 1999, Lebedevs 1993, Zeisler 1986) with no side effects on breastfed infants from treated mothers (Ortega 1999).
As a topical anesthetic (dermatologic, dental-stomatologic, ophtalmotologic and otologic preparations) it has an almost nil systemic absorption (Reece 2017, Cobb 2015, Harrison 1987). Avoid using it on the nipple, but if necessary do it after the breast feed, wipe it out and rinse with water before the next feed,
An euptectic mixture with added Prilocaine (EMLA) is used for dermatologic anesthesia. There is an increased risk of Methemoglobinemia when applied on large surfaces or taken by mouth (PDR 2014, Touma 2001, Essink 1999, Vickers 1997).
Local infiltration of lidocaine and epinephrine in the incision area of the caesarean before and after the incision was associated with a precocious first breastfeeding (Tharwat 2016, Fouladi 2013).
Several medical societies, experts and expert consensus, consider the use of this medication safe or probably safe during breastfeeding (Reece 2017, Cobb 2015, Butler 2014, Jürgens 2009, Howie 2006, Mahadevan 2006, Giuliani 2001, Tan 2001).
American Academy of Pediatrics: medication usually compatible with breastfeeding (AAP 2001).
List of WHO essential medicines: compatible with breastfeeding (WHO / UNICEF 2002).
We do not have alternatives for Lidocaine since it is relatively safe.
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.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Academy of Breastfeeding Medicine from United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM