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MEDICATIONS FOR VAGINAL INFECTIONS
I tend to get a lot of vaginal yeast infections. What can I safely take while breastfeeding?
Nystatin (both in cream and oral form) is one of the oldest and safest
medications to take for the treatment of yeast infections (candida)
. It is also the one used most frequently to treat oral thrush
and diaper-rash candida in baby, which are other forms of yeast infections.
Since the medication is not well-absorbed through the skin, the mucous membranes of the mouth
and vagina, or through the intestines, very little of the medication used by the mother gets into
the baby. Other antifungal creams, such as Mycostatin
and GyneLotrimin , are also effective against yeast and may be
preferable to using an oral medication. Only a tiny bit of the active ingredient in these creams is
absorbed into mother's system, so very little gets into her milk.
Diflucan (fluconazole) is safe to take while
breastfeeding. For treatment of candida on the nipples, mycostatin
suspension is safe, since it is the same medication given to babies. If mother has a yeast infection
on her nipples, the baby should be treated at the same time. (See "Candida (Yeast or
Thrush) Infection on Nipples").
For certain non-yeast vaginal infections, your doctor may recommend the drug Flagyl (metronidazole) . This drug is in the "safe to use, but with
caution" category. Studies show that only a minimum amount of this drug enters the baby, even
if given three times a day for ten days. However, because the safety of extended use of Flagyl has
not yet been proven, the current recommendation is to give a single 2-gram dose and to stop
breastfeeding for twelve hours.
AskDrSears.com is intended to help parents become better informed consumers
of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.