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


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Is it allowed to take Mediterranean Milk Thistle during lactation?
Is it safe for a nursing mother and a child?

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:
  1. http://www.ncbi.nlm.nih.gov/pubmed/25881578
  2. http://www.ncbi.nlm.nih.gov/pubmed/25878948
  3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4397262/pdf/40203_2015_Article_8.pdf
  4. http://www.ncbi.nlm.nih.gov/pubmed/25253186
  5. http://www.ncbi.nlm.nih.gov/pubmed/24219150
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835544/pdf/1472-6882-13-317.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/23468043
  8. https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Herbal-traditional-medicines-in-breastfeeding.pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/23012383
  10. http://www.ncbi.nlm.nih.gov/pubmed/22220176
  11. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246777/pdf/OGI2012-562704.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/22392841
  13. http://www.ncbi.nlm.nih.gov/pubmed/21332371
  14. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2011.9998
  15. http://www.bfmed.org/Media/Files/Protocols/Spanish%20Protocol%20Galactogogues%20and%20Appendix.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/21894275
  17. http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/21951025
  19. http://www.altmedrev.com/publications/16/3/239.pdf
  20. http://www.ncbi.nlm.nih.gov/pubmed/20816003
  21. http://ejournals.library.ualberta.ca/index.php/JPPS/article/download/6663/7429
  22. http://www.ncbi.nlm.nih.gov/pubmed/20630837
  23. http://www.ncbi.nlm.nih.gov/pubmed/17913795
  24. http://www.ncbi.nlm.nih.gov/pubmed/19260380
  25. http://www.ncbi.nlm.nih.gov/pubmed/11446601
  26. http://www.ncbi.nlm.nih.gov/pubmed/10468651
  27. http://www.altmedrev.com/publications/4/4/272.pdf
  28. http://apps.who.int/medicinedocs/pdf/s4927e/s4927e.pdf
  29. http://www.ncbi.nlm.nih.gov/pubmed/1807027

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