Last update Dec. 13, 2019
Very Low Risk
Sodium salt of citric acid.
It is used rectally in enemas as it acts as an osmotic laxative and in bladder irrigations to dissolve clots. It has the alkalizing properties of urine, neutralizing gastric pH and is an anticoagulant.
Since the last update, we have not found published data on its excretion in breast milk.
Given the small amounts and route of administration, systemic absorption is practically nil (AEMPS 2013), so no significant excretion in breast milk is expected.
If absorbed, it is metabolized to bicarbonate, which is compatible with breastfeeding.
Both sodium and bicarbonate are normal components of the body and are found in breastmilk at concentrations which are different to plasma (Allen 1991).
We do not have alternatives for Trisodium 2-hydroxypropane-1,2,3-tricarboxylate dihydrate 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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