Last update: March 22, 2018
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 with no side effects on breastfed infants from treated mothers.
As a topical anesthetic (dermatologic, dental-stomatologic, ophtalmotologic and otologic preparations) it has an almost nil systemic absorption. 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.
Intrapartum anesthesia may delay the onset of phase II of Lactogenesis or milk coming-in.
The American Academy of Pediatrics rates it usually compatible with Breastfeeding.
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.
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