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To request full article click here. OBJECTIVE: To provide a guide for practicing pharmacists, pharmacy technicians, and other healthcare professionals so that they are able to counsel and advise breast-feeding mothers and fellow healthcare professionals on the safety and use of antiinfectives, vaccines, antiepileptics, benzodiazepines, psychotherapeutic drugs, and radiopharmaceuticals during breast-feeding. DATA SOURCES: Primary texts used by the breast-feeding community (Medications and Mothers Milk ,Drugs in Pregnancy and Lactation , Drugs and Human Lactation )were searched, as well as Micromedex, MEDLINE, PubMed, EMBASE, and EMBASE2 (1984 February 2004). STUDY SELECTION AND DATA EXTRACTION: Multiple sources were used wherever available to validate the data, and primary articles were used to verify all tertiary source information. Search terms included breast-feeding, lactation, nursing, and medications, as well as specific drug names. DATA SYNTHESIS: Concerns regarding medication use during breast-feeding have caused mothers to either discontinue nursing or not take necessary medications. Complete avoidance of medications or cessation of breast-feeding is often unnecessary. Although there are drugs that can be harmful to nursing infants, breast-milk concentrations of most drugs are insufficient to cause any harm. CONCLUSIONS: Having objective and reliable information on medications enables pharmacists, pharmacy technicians, other healthcare providers, and mothers to make educated decisions regarding drug therapy and breast-feeding. J Pharm Technol 2004;20:165-77. ACPE Universal Program Number: 407-000-04-053-H01 To order the complete CE article click here. To request full article click here. |
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