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Is Itrasys Advisable For Fungal Infection While Breastfeeding?

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Posted on Mon, 5 Oct 2015
Question: Hi,
Can tablet itrasys be taken while breastfeeding. Patient has fungal infections on skin(very bad condition of ringworms) Her daughter is 3 mos old.
doctor
Answered by Dr. Sameer Kumar (33 minutes later)
Brief Answer:
not recommended for use.

Detailed Answer:
Hello,
Alternate therapy may be preferred. A decision should be made to discontinue breastfeeding or discontinue the drug, taking into account the importance of the drug to the mother. Expected benefits of therapy should outweigh the potential risk of nursing; breastfeeding is not recommended if there is doubt. Excreted into human milk: Yes (small amount) Comments: The effects in the nursing infant are unknown.

Exposure to this drug in the nursing infant has been calculated at about 450 times lower than in the mother. It has been estimated through data in the literature that fully breastfed infants (aged 3 to 12 months) would receive 1.48% of the mother's weight-adjusted dose and reach a plasma level of 0.77% of the mother's plasma
level.
Hence MONISTAT ( miconazole)should be used instead of itraconazole.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
So your suggestion is to take the alternate medicine (monistat) instead of intrasys. Is monistat risk free for breastfeed.
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
answered

Detailed Answer:
Yes monistat has been reported to be risk free for breast feeding women.
Even Fluconazole can be used but its a probably safe drug, not completely safe.
So you may safely use miconazole ( monistat).
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Is Itrasys Advisable For Fungal Infection While Breastfeeding?

Brief Answer: not recommended for use. Detailed Answer: Hello, Alternate therapy may be preferred. A decision should be made to discontinue breastfeeding or discontinue the drug, taking into account the importance of the drug to the mother. Expected benefits of therapy should outweigh the potential risk of nursing; breastfeeding is not recommended if there is doubt. Excreted into human milk: Yes (small amount) Comments: The effects in the nursing infant are unknown. Exposure to this drug in the nursing infant has been calculated at about 450 times lower than in the mother. It has been estimated through data in the literature that fully breastfed infants (aged 3 to 12 months) would receive 1.48% of the mother's weight-adjusted dose and reach a plasma level of 0.77% of the mother's plasma level. Hence MONISTAT ( miconazole)should be used instead of itraconazole. Regards