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Thread: Weaning because of surgery..HELP

  1. #1

    Default Weaning because of surgery..HELP

    I have recently been having major issues with my gallbladder. This latest stint I ended up in the hospital for 24hrs. I just got home and I was reading the medicine that they gave me LEVAQUIN(antibiotic) and it says that you shouldn't take it while BF. I am suppose to be on it until Wednesday when I have my gallbladder taken out and for 4days after that.

    That makes me think that I am going to have to wean. I can't pump and dump for 9 days and go back to BF, I don't know if my LO would come back. I am upset because for 14months things have been going great. I knew that I was going to try to start weaning soon, but I didn't want it to be this way. How am I going to do it in that short amount of time anyway? My husband has been on me all day that I should just wean because he is worried about all of the medicine getting into her system and it is making me worry too, I just don't really know what to do here. I am also on Vicodin.

    My main concern is right now my daughter WON'T drink more that 9oz of cows milk every day and 6 of those ounces are out of a bottle which we have been trying to get rid of too.

    Please any input would be great.

  2. #2
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    Dec 2006
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    Default Re: Weaning because of surgery..HELP



    I searched Dr Hale's Medications & Mothers Milk on Amazon.com He is a very well-respected doctor and the go-to for the safety of medications during nursing.

    Levaquin is catergorized as L3

    http://www.amazon.com/reader/0981525...evaquin#reader
    From Kellymom (http://www.kellymom.com/health/meds/..._risk_cat.html)

    L3 MODERATELY SAFE:
    There are no controlled studies in breastfeeding women, however the risk of untoward effects to a breastfed infant is possible; or, controlled studies show only minimal non-threatening adverse effects. Drugs should be given only if the potential benefit justifies the potential risk to the infant.
    Here is some info about gall bladder surgeries from KellyMom:
    http://www.kellymom.com/health/illne...surgery01.html

    Did you ask your doctor if there is another medicine you can take?
    Lyn
    Nursing the girl with kaleidoscope eyes


    Mama to Daniel (12/3/06) and Lucy Jane (8/28/08)

  3. #3
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    Jan 2009
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    5,883

    Default Re: Weaning because of surgery..HELP

    I would take it and keep BF. L3 is not so bad. Dr. Hale is THE source that doctors look to to determine if a medicine is ok. It's not usually necessary to do a blanket "no" but doctors often do.

  4. #4

    Default Re: Weaning because of surgery..HELP

    Thank you girls so much, I will definitely show this to my husband.

  5. #5
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    Default Re: Weaning because of surgery..HELP

    Below Q&A from Dr. Hale's forum. Net - it is OK. I trust his info and so do many many in the healthcare field.

    From Dr. Hale's forum:

    http://neonatal.ttuhsc.edu/discus/me...tml?1218123036

    QUESTION:
    Mother has stated doctor said to take 500 mg of Levaquin once a day. Stop breastfeeding for the 7 days of drug use plus an additional seven days. (14 days total) I noticethat you are doing a study on the use of Levaquin and breastfeeding.
    Baby is five days old.

    Anwer:
    Tom Hale Ph.D. posted on Tuesday, December 23, 2003 - 08:35 am
    Charlene:

    Levaquin is a close sister of Ciprofloxacin(Cipro), but milk levels have not yet been published. However, a closer sister is Ofloxacin whose levels are actually published and 'lower' than Cipro levels. Thus I anticipate that Levaquin levels in milk will be much lower than Cipro levels. AND Cipro is approved by the AAP for use in breastfeeding mothers.

    Therefore I don't see any real complication of using Levaquin in a breastfeeding situation as long as the infant is stable. Observe for changes in gut flora and diarrhea.

    Tom Hale, Ph.D.

    ANOTHER ONE
    We have a pt who rec'd 8 days of Levaquin while nursing.

    What should I counsel the patient and her pediatrician re risk of arthropathy?

    Philip De Hoff, MD,FACOG
    pwd@providencewomenscare.com}

    Tom Hale Ph.D. posted on Wednesday, February 04, 2004 - 03:26 pm Edit Post Delete Post Print Post
    Dr De. Hoff:

    Levaquin(levofloxacin) levels have not been measured in milk, but I'm sure they are probably going to be quite low. We've measured ofloxacin and they are quite small. The infant dose for ofloxacin is only 0.4 mg/kg/day after the mom received 800 mg/day.

    As for risk of arthropathy, absolutely no risk at all. The only published data I've seen that has demonstrated arthropathy in humans was in children with cystic fibrosis who received large doses over prolonged periods.

    I seriously doubt the amount of levofloxacin in milk would ever cause such a problem. But you do need to watch for C. Difficle overgrowth...this is possible although unlikely.

    Tom Hale, Ph.d.

    ANOTHER ONE:
    Dr Hale,

    I have a mother who has been given a prescription of Levaquin 5oomg for a repeat sinus infection.

    Her 16mo 2lbs daughter (who nurses 6-8x a day and is eating solids) was given Amoxicillin 250mg liquid for a similar upper respiratory condition.

    Today she's been pumping and dumping as directed by her doctor but is quite upset about it. I've shared with her the 2004 MMM information on Levaquin and Ofloxacin (approved AAP), but would like to inform her whether there are contraindications due to her daughter's simultaneous use of Amox 500.

    She's called several places, Dr, pharmacists, hospital and gotten completely conflicting information. We are hoping that you'll can clarify it's use in a breastfeeding mother when the child is also on antibiotics.

    Would any risk be reduced if she used Ofloxacin instead, as it is listed as a L2 versus Levaquin's L3?

    Respectfully,
    RLascody


    Tom Hale Ph.D. posted on Thursday, December 09, 2004 - 02:45 pm Edit Post Delete Post Print Post
    Ricki:
    First, the amount of milk likely transferred at 16 months postpartum is not high...hence the clinical dose transferred via milk would be even less.

    As for using levofloxacin in the mom and amoxicillin in the infant, the only likely complication may be diarrhea, or candida overgrowth, but this could occur with just amoxicillin alone. Overgrowth of C. Difficle is possible but remote.

    I don't see any problem with the use of either one.

  6. #6
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    Default Re: Weaning because of surgery..HELP

    It sounds like your daughter is much older aswell, which is less of a concern than if you were nursing a newborn. He mentions watching the gut flora. You may want to take probiotics and give your daughter probiotics as preventative measures. This would hopefully ward off any yeast issues and/or diarrhea.
    Lyn
    Nursing the girl with kaleidoscope eyes


    Mama to Daniel (12/3/06) and Lucy Jane (8/28/08)

  7. #7
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    Jul 2006
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    Default Re: Weaning because of surgery..HELP

    I took Levaquin when DD was very young. I took it for 21 days and made sure to take a lot of probiotics at the same time. DD had no apparent ill effects. I wouldn't give up nursing for an antibiotic. Good luck with your surgery.

    BTW Kellymom also has good info on nursing and anesthesia too.
    Mama to:
    DS 12/14/05 10lbs. 3oz. 22.5"
    DD 01/26/08 8lbs. 5oz. 19.5"

    Attachment parenting begins with leaving the foreskin attached. http://nocirc.org/




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  8. #8
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    Oct 2007
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    Default Re: Weaning because of surgery..HELP

    You have lots of great advice about the surgery/ meds already. I just wanted to say not to worry too much about your dd drinking cows milk.
    I just weaned my 22 month old and she probably only drinks maybe 2-4oz of soy milk on a good day. The rest of her fat/calcium she gets from yogurt, kefir, cheese etc... She is just not a big milk drinker.

    Married my man Michael 5/12/2006
    Keira Joyce 6/1/07 Breastfed for 22 months Peanut Allergy- Outgrown 11/2010!!!!
    Israel Benedict 10/10/09- Breastfed for 27 months ( 9 months tandem with his sister)
    Nairi Anne 4/1/2011 still nursing at 14 months
    My Daily Blog
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  9. #9
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    Default Re: Weaning because of surgery..HELP

    My DD was 12 months old when I had my gallbladder removed. We stopped nursing for a week. At the end of the week, she went right back to nursing like she had never stopped. But I am not going to lie to you, it was a very very hard week. She was miserable because she did not understand why she couldn't nurse. We got through it, but it was tough. You just need to do what you feel is right for you. Good luck with the surgery!

    Loving my Beautiful High Needs Baby Girl born 12/28/06

  10. #10
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    Default Re: Weaning because of surgery..HELP

    Quote Originally Posted by @llli*babygirlsmom View Post
    My DD was 12 months old when I had my gallbladder removed. We stopped nursing for a week. At the end of the week, she went right back to nursing like she had never stopped. But I am not going to lie to you, it was a very very hard week. She was miserable because she did not understand why she couldn't nurse. We got through it, but it was tough. You just need to do what you feel is right for you. Good luck with the surgery!
    I was just curious, why couldn't your DD nurse for a week?
    Mama to:
    DS 12/14/05 10lbs. 3oz. 22.5"
    DD 01/26/08 8lbs. 5oz. 19.5"

    Attachment parenting begins with leaving the foreskin attached. http://nocirc.org/




    175****170****165****160****155****150****145

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