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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


woomen

Is it allowed to take Nicotine replacement therapy during lactation?
Is it safe for a nursing mother and a child?

Patch: Nicotine serum levels in the mother (hence in the milk) may be similar to those of women who smoke if high concentration patches are used. Lowest effective concentration ones for treatment of tobacco dependency are recommended. Patches should be taken off while sleeping. Chewing gum: Nicotine serum levels in the mother (hence in the milk) may be one-half than those in women who smoke but may arrive to be as high as in smokers. The fewer number of chewing gums effective for treatment of tobacco dependency is recommended, with a lapse of 2-3 hours before the next breast feed after taking a nicotine chewing gum. Inhaler: Nicotine serum levels in the mother (hence in the milk) is usually one-eighth than those in women who smoke. The fewer number of inhalations that would be effective for treatment of tobacco dependency are recommended. Offspring of women who smoke are at lower risk of harm to health when they are breastfed than formula fed. Breastfeeding minimizes risks originated by tobacco smoke exposure. Those risks are even lower with the use of Nicotine Replacement Therapy (patch, chewing gum or inhaler) See below the information of these related products:

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woomen

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/28556464
  2. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-spanish.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/25836677
  4. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-english.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/23467656
  6. http://www.ncbi.nlm.nih.gov/pubmed/24575992
  7. http://www.ncbi.nlm.nih.gov/pubmed/24388325
  8. http://www.ncbi.nlm.nih.gov/pubmed/23772176
  9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668891/pdf/sart-7-2013-085.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  11. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  12. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/21501542
  14. http://www.ncbi.nlm.nih.gov/pubmed/19210131
  15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2981379/pdf/bfm.2008.0119.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/19169678
  17. http://www.ncbi.nlm.nih.gov/pubmed/18498428
  18. http://www.ncbi.nlm.nih.gov/pubmed/18501868
  19. http://www.ncbi.nlm.nih.gov/pubmed/16497633
  20. http://www.ncbi.nlm.nih.gov/pubmed/15817867
  21. http://ajcn.nutrition.org/content/81/4/880.full.pdf
  22. http://www.ncbi.nlm.nih.gov/pubmed/15980787
  23. http://www.ncbi.nlm.nih.gov/pubmed/15980790
  24. http://www.ncbi.nlm.nih.gov/pubmed/14976103
  25. http://www.ncbi.nlm.nih.gov/pubmed/14988974
  26. http://www.ncbi.nlm.nih.gov/pubmed/15088573
  27. http://www.ncbi.nlm.nih.gov/pubmed/14552828
  28. http://www.ncbi.nlm.nih.gov/pubmed/14663454
  29. http://www.ncbi.nlm.nih.gov/pubmed/11330657
  30. http://www.ncbi.nlm.nih.gov/pubmed/9775850
  31. http://www.ncbi.nlm.nih.gov/pubmed/2919386

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