Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Lady´s Thistle during lactation? |
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Milk thistle is a herb from which its fruits are used. It contains flavonolignans, silymarin and especially silibinin isomers, silychristin and silydianin, flavonoids, steroids and estrogen-like compounds. Attributed properties: Liver Protector.Indications based on the Commission E of the German Ministry of Health: cholelithiasis, liver disorders. Devoid of toxicity. It is excreted into breast milk in little or no amount.There is no evidence of its effectiveness as a galactogogue. Two studies have been performed (one with cows and the other with women) trying to show a galactogogue effect, but both are limited by a very flawed methodology.Best galactogogue is a frequent and on-demand breastfeeding together witn an appropriate technique. Precaution is recommended before taking herbal infusions:1. Ensure a reliable source: poisoning occurred by confusion with another plant that resulted to be toxic, poisoning from heavy metals and food poisoning by contamination with bacteria or fungi.2. Avoid excessive consumption. The "natural" products are not good in any amount: plants contain active substances from which come out much of our traditional pharmacopoeia and can cause poisoning if eaten in exaggerated quantity or prolonged time. |
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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:- http://www.ncbi.nlm.nih.gov/pubmed/25881578
- http://www.ncbi.nlm.nih.gov/pubmed/25878948
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4397262/pdf/40203_2015_Article_8.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/25253186
- http://www.ncbi.nlm.nih.gov/pubmed/24219150
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835544/pdf/1472-6882-13-317.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23468043
- https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Herbal-traditional-medicines-in-breastfeeding.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23012383
- http://www.ncbi.nlm.nih.gov/pubmed/22220176
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246777/pdf/OGI2012-562704.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22392841
- http://www.ncbi.nlm.nih.gov/pubmed/21332371
- http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2011.9998
- http://www.bfmed.org/Media/Files/Protocols/Spanish%20Protocol%20Galactogogues%20and%20Appendix.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/21894275
- http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/21951025
- http://www.altmedrev.com/publications/16/3/239.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/20816003
- http://ejournals.library.ualberta.ca/index.php/JPPS/article/download/6663/7429
- http://www.ncbi.nlm.nih.gov/pubmed/20630837
- http://www.ncbi.nlm.nih.gov/pubmed/17913795
- http://www.ncbi.nlm.nih.gov/pubmed/19260380
- http://www.ncbi.nlm.nih.gov/pubmed/11446601
- http://www.ncbi.nlm.nih.gov/pubmed/10468651
- http://www.altmedrev.com/publications/4/4/272.pdf
- http://apps.who.int/medicinedocs/pdf/s4927e/s4927e.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/1807027