Last update July 10, 2017
Used in intravenous administration as an acidifier in severe metabolic alkalosis. It is also used orally to acidify urine and as a diuretic and as an expectorant because of its irritant properties on the respiratory mucosa.
Oral and general use of this drug has fallen into disuse because of its poor efficacy and irritant properties on the gastric mucosa.
Since the last update we have not found published data on its excretion in breast milk.
After being absorbed in the intestine, it is rapidly metabolized in the liver as urea.
The small amounts of ammonium in cough mixtures will hardly affect breastfeeding or the infant.
It is advisable to avoid it due to its inefficacy or to use it moderately during breastfeeding.
It has multiple industrial uses: fertilizers, explosives, metallurgy (soldered, galvanized and welded), batteries, detergents, etc. Exposure limits in these TLV industries (such as TWA) should be maintained: 10 mg / m³ and TLV (as STEL): 20 mg / m³. Ammonium chloride has no R-phrases or specific recommendations for breastfeeding.
It is also used in the food industry as an emulsifying and flavoring additive (E510); to be avoided.
We do not have alternatives for Sal ammoniac (Salmiak).
Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.
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Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Asociación Española de Bancos de Leche Humana of Spain
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM