Jane is a 25-year-old who returns to the office with additional questions after being seen yesterday. She is breastfeeding 4-week-old Harrison and she was diagnosed with mastitis. She is nervous about taking the amoxicillin/clavulanate (Augmentin) she was prescribed. She wants to know if it is safe for Harrison who is fully breastfed. Harrison is nursing every 2 to 3 hours and gaining weight well. What reassurance can you offer Jane? Where can you find evidence-based information regarding the safety of medications for breastfeeding mothers? What education can you offer Jane about the potential side effects of Augmentin to Harrison? Explain the importance of the “Pregnancy and Lactation Labeling Rule” that is found on all prescription drugs.
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Amoxicillin/clavulanate (Augmentin) is a prescription antibiotic drug used to treat | PLACE YOUR ORDER NOW AT writtask.com | is considered safe during breastfeeding, both to the mother and the child. However, the drug is excreted in breast milk in small | PLACE YOUR ORDER NOW AT writtask.com | have some mild side effects on the | PLACE YOUR ORDER NOW AT writtask.com | therefore continue breastfeeding Harrison even when taking the medication, and in case of severe side effects on the baby, she should seek further medical advice.
Evidence-based information regarding the safety of medications for breastfeeding mothers can be searched from the US National Library of Medicine which maintains LactMed database with information about drugs that breastfeeding mothers may be | PLACE YOUR ORDER NOW AT writtask.com | information on the quantities of the drugs that can be available in the breast milk and the baby’s blood should the mother use them and the potential side effects on the breastfeeding baby. It also provides possible alternatives to the drugs where | PLACE YOUR ORDER NOW AT writtask.com | is derived from scientific literature and is peer reviewed for currency scientific | PLACE YOUR ORDER NOW AT writtask.com | is the InfantRisk Center which also offers up-to-date evidence-based information on the use of medication during pregnancy and breastfeeding Center for Disease Control (n.d).
Some studies about the use of the medication during lactation indicate that adverse reactions in infants are uncommon with the use | PLACE YOUR ORDER NOW AT writtask.com | might include restlessness, diarrhea, and rash but these are mild and cause no serious alarm.
The “Pregnancy and Lactation Labeling Rule” enables physicians to prescribe safe and effective drugs to pregnant women, lactating mothers and people of | PLACE YOUR ORDER NOW AT writtask.com | the safety and efficacy of prescription drugs (Brucker & King, 2017).
References
Brucker, M. C., & King, T. L. (2017). The 2015 US food and drug administration pregnancy and lactation labeling rule. Journal of Midwifery & Women’s Health, 62(3), 308-316.
Center for Disease Control (n.d). Prescription Medication Use. Retrieved from https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/prescription-medication-use.html#:~:text=Where%20can%20I%20search%20for,breastfeeding%20mothers%20may%20be%20exposed.
Dogruluk, A. A. (2019). Pharmacologic management of common ailments in women who are breastfeeding. Journal of Midwifery & Women’s Health, 64(6), 703-712.
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