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


woomen

Is it allowed to take Crack during lactation?
Is it safe for a nursing mother and a child?

High excretion into breast milk which is very toxic for the infant. Newborn and very young infants eliminate it at a lower rate than adults. Cocaine is detected in urine of infants until 60 hours after a breast feed. Reportedly, cases of irritability, tremulousness, vomiting, diarrhea, dilated pupils, tachycardia and arterial hypertension in infants whose mothers had taken this drug have occurred. Applying on mother's nipple as anesthetic is highly hazardous since seizures, lethargy or coma may occur, Also, severe health troubles by passive inhalation of Cocaine smoke (Crack) have been shown. Drug abuse behavior incapacitates the mother for appropriate baby care and poses a life hazard for both the mother and the infant. Bed-sharing is not recommended for mothers who are taking this drug. After exceptional cocaine consumption a free period of 24 hours should be observed before resuming breastfeeding.

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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/25836677
  2. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-english.pdf
  3. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/21-drug-dependency-protocol-spanish.pdf
  4. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  5. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  6. http://www.unicef.org.uk/Documents/Baby_Friendly/Statements/UNICEF_UK_statement_bed_sharing_research_210513.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/23152457
  8. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3498013/pdf/0581218.pdf
  9. http://www.pap.es/files/1116-1449-pdf/pap53_10.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/21729296
  11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141724/pdf/1752-1947-5-288.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/17904221
  13. http://www.ncbi.nlm.nih.gov/pubmed/19653786
  14. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811070/pdf/nihms154498.pdf
  15. http://www.bfmed.org/Media/Files/Protocols/VERSION%20FINAL%20PROTOCOLO%206_Spanish.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/18333768
  17. http://www.bfmed.org/Media/Files/Protocols/Protocol_6.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/17541461
  19. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595306/pdf/JPE150050.pdf
  20. http://www.ncbi.nlm.nih.gov/pubmed/15665737
  21. http://www.ncbi.nlm.nih.gov/pubmed/16143741
  22. http://archpedi.jamanetwork.com/data/Journals/PEDS/12016/POA50029.pdf
  23. http://www.ncbi.nlm.nih.gov/pubmed/11569568
  24. http://www.ncbi.nlm.nih.gov/pubmed/11013791
  25. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2145042/pdf/canfamphys00031-0055.pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/9763035
  27. http://www.ncbi.nlm.nih.gov/pubmed/8346780
  28. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.1993.tb07130.x/epdf
  29. http://www.ncbi.nlm.nih.gov/pubmed/1549534
  30. http://www.ncbi.nlm.nih.gov/pubmed/1310702
  31. http://www.ncbi.nlm.nih.gov/pubmed/1994688
  32. http://www.ncbi.nlm.nih.gov/pubmed/2086554
  33. http://www.ncbi.nlm.nih.gov/pubmed/2910042
  34. http://www.ncbi.nlm.nih.gov/pubmed/2584360
  35. http://www.ncbi.nlm.nih.gov/pubmed/3335951
  36. http://www.ncbi.nlm.nih.gov/pubmed/3684393

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