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


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Is it allowed to take Silicone Topical Use during lactation?
Is it safe for a nursing mother and a child?

A polymer made out of silicon-oxygen-methyl combination with a high molecular weight, water repellent and low superficial tension. It is used in many ways (dimethicone, simethicone, -see specific items)orally to treat infant colic and flatulence; as pediculicide, in cosmetic creams and lotions and skin protectants as to prevent ulcers and scars; arthroplasties, retinal detachments and reconstruction or cosmetic surgery as injections and implants. Silicone is widely distributed in our environment with several cosmetic and medicinal uses. No evidence of toxicity on human tissues has been shown. A 1994 report on immunological side effects in infants breastfed by mothers with silicone implants, was denied categorically by means of meta-analysis and other work. The absorption by oral or dermal route is negligible. Both a high molecular weight and polymer molecular structure make it practically impossible excretion in the milk and hence a significant amount of intestinal absorption by the infant. Those circumstances make silicone implants safe for lactation even if broken or manufacturing fault (Poly Implant Prothèse, PIP). After extensive analysis of such silicone prosthesis, where lack of health risk was demonstrated, it can be concluded that many of the initial recommendations published lacked scientific validity, including that carriers of such prosthesis should not breastfeed. Silicon levels in blood and milk of women with implants (55 ng / ml) are similar to those of women without implants (51 ng / ml), 13 times lower than that found in cow's milk (709 ng / ml) and 80 times lower than in commercial infant formulas (4403 ng / ml). American Academy of Pediatrics: Product usually compatible with breastfeeding. To view other possible effects on breastfeeding of breast implant unrelated to silicone, see the term 'Augmentation Mammoplasty'. See below the information of these related products:

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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/25606483
  2. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4297804/pdf/aps-42-4.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/25332722
  4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203468/pdf/1746-4358-9-17.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/25644728
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4321505/pdf/274-278.pdf
  7. http://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_038.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/22214792
  9. http://www.mhra.gov.uk/home/groups/comms-ic/documents/websiteresources/con216930.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/20927519
  11. http://www.google.es/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CDEQFjAC&url=http%3A%2F%2Fansm.sante.fr%2Fcontent%2Fdownload%2F27938%2F370725%2Fversion%2F1%2Ffile%2Flp-100928courrier-PIP.pdf&ei=fswGVdqwJcbjU8u6gaAG&usg=AFQjCNEyB6kEnShR3HHURnmiDqZlQVT43A&bvm=bv.88198703,d.d2s
  12. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/377227/Results_of_the_UK_testing.pdf
  13. http://www.ncbi.nlm.nih.gov/pubmed/18754289
  14. http://www.ncbi.nlm.nih.gov/pubmed/18090822
  15. http://www.ncbi.nlm.nih.gov/pubmed/18090823
  16. http://www.ncbi.nlm.nih.gov/pubmed/12415051
  17. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  18. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/11293521
  20. http://www.ncbi.nlm.nih.gov/pubmed/10717013
  21. http://www.nejm.org/doi/pdf/10.1056/NEJM200003163421105
  22. http://www.ncbi.nlm.nih.gov/pubmed/10836532
  23. http://www.ncbi.nlm.nih.gov/pubmed/10490190
  24. http://www.ncbi.nlm.nih.gov/pubmed/9703094
  25. http://www.ncbi.nlm.nih.gov/pubmed/9870113
  26. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2277793/pdf/canfamphys00058-0051.pdf
  27. http://www.ncbi.nlm.nih.gov/pubmed/8704900
  28. http://www.ncbi.nlm.nih.gov/pubmed/8277548
  29. http://www.ncbi.nlm.nih.gov/pubmed/7863844
  30. http://www.ncbi.nlm.nih.gov/pubmed/7936870

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