Last update July 2, 2015
Very Low Risk
Excretion into breast milk is highly unlikely due to an almost nil systemic absorption through the skin, vaginal mucosa and even the intestine, with non-significant plasma levels (< 1 mcg/ mL) observed.
In case of use on the nipple, let it be done after the feed and wipe it out any excess of cream before the next feed.
Do not apply creams, gels and other products that would contain paraffin (mineral oil) to avoid absorption by the infant since it is a hydrocarbon-derived substance.
Miconazole has not been found to be more effective than pure lanolin for treatment of sore or cracked nipples.
List of Essential Medicines by WHO 2002: compatible with breastfeeding.
We do not have alternatives for R-18134 since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM team, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it.
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