Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take N,N-Diethyl-3-methylbenzamide during lactation? |
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Diethyltoluamide or DEET is an effective insect repellent against mosquitoes, black flies, ticks and fleas. Since the last update, we have not found published data on its excretion in breast milk. Its pharmacokinetic data (low molecular weight, moderate cutaneous absorption and highly lipophilic) make its transfer to milk possible in amounts that could be significant. There is no evidence that the use of DEET in breastfeeding mothers affects the child (Koren 2003). Avoid the use of products with a concentration higher than 25%, do not use over extended areas of skin (Chen 2009) and do not apply to the chest. Avoid contact with the baby and ventilate well. It is a product which is approved by the American Academy of Pediatrics for use in infants older than two months at concentrations not exceeding 30% (AAP 2017). WHO list of essential medicines: compatible with breastfeeding (WHO / UNICEF, 2002). |
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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:- https://www.aap.org/en-us/about-the-aap/aap-press-room/news-features-and-safety-tips/pages/summer-safety-tips.aspx
- http://www.ncbi.nlm.nih.gov/pubmed/20074099
- http://jtm.oxfordjournals.org/content/jtm/17/1/32.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/12900480
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC167123/pdf/20030805s00016p209.pdf
- http://whqlibdoc.who.int/hq/2002/55732.pdf