Re: solu-medrol 125 mg injection - ok to bf?
I've looked it up in Dr. Hale's book for you. Here's the info:
A Medication Guide for Breastfeeding Moms by Thomas Hale and Ghia McAfee, p. 155
Used in normal doses, it would be very unikely to affect a breastfed infant. But, the effect depends on dose and duration of exposure. In general, the amount of this and other steroids transferred into breast milk is minimal as long as the dose does not exceed 80mg per day. However, relating the side effects of steroids received from breastmilk with the maternal dose is difficult. Each situation should be evaluated individually. Extended use of high doses could cause the infant to have steroid side effects including decreased linear growth rate (height). Low to moderate doses are believed to have minimal effects on breastfed infants. See prednisone.
Time to clear: 11-14hrs
Pregnancy Risk Catergory: C
Adult dose: 2-60mg daily
Prednisone: p. 200
Only small amounts (0.14%) of most corticosteroids are transferred into breastmilk. Even in larger doses, they are not contraindicted in breastfeeding mothers. Brief applications of high dose steroids are probably not contraindicted as the overall exposure is low.
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