Hale’s Medications & Mothers’ Milk

A Manual of Lactational Pharmacology
  • Hale, Thomas W., R.Ph., Ph.D.








Human milk is best for human infants. The benefits are simply enormous and supported by a world of good literature. However, the use of medications in breastfeeding mothers is often controversial, particularly with clinicians unexposed to this literature. This book is dedicated to reducing some of these misconceptions. It is designed to aid the reader in determining risk to an infant from maternal medications and in using the pharmacokinetic parameters throughout this reference. The book contains current, complete, and evidence-based information on the transmission of maternal drugs into human milk. It presents evidence-based, current information on over 1300 drugs, diseases, vaccines and syndromes. The book has been extensively revised, and now includes 39 completely new and 331 updated medications, and state-of-the-art coverage of multiple diseases, vaccines, and syndromes. It addresses the use of radiopharmaceuticals, chemotherapeutic agents, and vaccines in breastfeeding mothers, and covers adult concerns, methods of reducing risk to infants, and infant monitoring. The following review of drugs, and even diseases, is a thorough review of what has been published and what is presently know about the use of medications in breastfeeding mothers. The alphabetical ordering of entries is provided to assist the reader in easily locating a topic. The entries include abacavir, bacitracin, cabergoline, dabigatran etexilate, echinacea, famciclovir, G6PD deficiency, haloperidol, ibandronate, ketamine, l-methylfolate, macitentan, n-acetylcysteine, ocrelizumab, paclitaxel, quazepam, rabeprazole, salicylamide, tacrolimus, ulipristal acetate, valacyclovir, warfarin, xylometazoline, yellow fever vaccine, and zafirlukast

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