Last update Nov. 4, 2023
Very Low Risk
Azelaic acid is a saturated dicarboxylic acid that inhibits the growth of Propionibacterium spp. and reduces keratinization. it is used to treat mild to moderate acne vulgaris and rosacea. Topical application twice daily.
At the time of the last update, we found no published data on its excretion in breast milk.
It is a natural product found in various foods including breast milk.
Less than 4% is absorbed through the skin (Täuber 1992) and eliminated rapidly, so it is unlikely to reach a significant concentration in breast milk and may be considered safe during lactation. (Ly 2023, Kong 2013, Fluhr 2010, Leachman 2006, Worret 2006, Akhavan 2003)
Do not apply on the breast or clean well before breastfeeding.
It is advisable to avoid applying creams, gels and other topical products containing kerosene (mineral oil) to the nipple so that the infant does not absorb it. (Concin 2008, Noti 2003)
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 Academy of Breastfeeding Medicine - 2012 of United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM