Lidocaine

Medication which is compatible with breastfeeding in its multiple applications: local anesthetic (dermatological, dental), antiarrhythmic and epidural anesthesia.

It is excreted in breastmilk in insignificant quantities ^{(Galderma 2012, Giuliani 2001, Dryden 2000, Ortega 1999, Lebedevs 1993, Zeisler 1986)} and no problems have been observed in infants whose mothers were taking it. ^{(Ortega 1999)}

There is controversy about whether or not neuraxial analgesia during labor can affect the initiation and success of lactation. ^{(Heesen 2021, see analgesia epidural)}

As a TOPICAL ANESTHETIC (dermatological, stomatological-dental, ophthalmological and otological preparations) it has virtually no systemic absorption ^{(Reece 2017, Cobb 2015, Harrison 1987)}. Do not apply to the breast or, if necessary, apply after a feed and clean thoroughly with water before the next one.

With prilocaine it forms a eutectic mixture (EMLA) which is useful for dermatological anesthesia. Application over large areas or orally can cause methemoglobinemia. ^{(PDR 2014, Touma 2001, Essink 1999, Vickers 1997)}

Local infiltration of lidocaine and epinephrine in the incision area of ​​a caesarean section, before and after the incision was associated with earlier first breastfeeding. ^{(Tharwat 2016, Fouladi 2013).}

The manufacturer ^{(Galderma 2012)} and several medical associations and expert consensus consider the use of this medication to be safe during breastfeeding. ^{(Reece 2017, Cobb 2015, Butler 2014, Jürgens 2009, Schaefer 2007 p632, Howie 2006, Mahadevan 2006, Giuliani 2001, Tan 2001)} 

American Academy of Pediatrics: medication usually compatible with breastfeeding. ^{(AAP 2001)}

List of WHO essential medicines: compatible with breastfeeding. ^{(WHO / UNICEF 2002)}

See below the information of this related product:

• Local and Epidural Anesthesia / Neuraxial analgesia (Safe substance and/or breastfeeding is the best option.)