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Cincocaine or dibucaine is an amide-type local anesthetic used only for superficial local anesthesia. It is a very potent long-acting anesthetic that has been used in spinal anesthesia. Topical administration in the form of creams and ointments.
At the date of the last update we found no published data on its excretion in breast milk.
Topical anesthetics (well applied dermatological and stomatological preparations) have virtually no systemic absorption. Higher absorption possible if applied on inflamed skin.
After application to a perineal wound, the concentrations reached in serum were very low or undetectable without being able to produce systemic effects. (Harrison 1987)
Do not apply on the breast or, if necessary, apply after a feeding and clean well with water before the next feeding. It has caused severe and fatal intoxications in children after oral ingestion. (Nelsen 2009, Dayan 1996).
Avoid applying creams, gels and other locally applied products containing kerosene (mineral oil) on the nipple so that the infant does not absorb it. (Concin 2008, Noti 2003)