Best answer: Are ACE inhibitors safe in breastfeeding?


Can ACE inhibitors be used during breastfeeding?

ACE inhibitors and angiotensin II receptor antagonists: recommendations on how to use for breastfeeding. Mothers who are breastfeeding should not take ACE inhibitors or angiotensin II receptor antagonists in the first few weeks after delivery.

Is lisinopril safe to take while breastfeeding?

Is it safe to take lisinopril while breastfeeding? It’s not known if lisinopril passes into breast milk. It is not recommended for women who are breastfeeding because other medicines with a more established safety profile are available. Ask your doctor for further advice.

Which one of the medication should be avoided while breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

Is blood pressure medicine safe while breastfeeding?

Does high blood pressure medication pass into breast milk? Most high blood pressure drugs pass into breast milk in very small amounts. Many drugs used to treat high blood pressure during pregnancy are considered safe to take when nursing, but they’re not all the same.

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Why ACE inhibitors are not used in pregnancy?

It is well accepted that angiotensin-converting enzyme (ACE) inhibitors are contraindicated during the second and third trimesters of pregnancy because of increased risk of fetal renal damage. First-trimester use, however, has not been linked to adverse fetal outcomes.

Why do ACE inhibitors cause birth defects?

Fetal urine production begins towards the end of the first trimester. Angiotensin converting enzyme (ACE) inhibitors are thought to produce a fetopathy by inhibiting fetal urine production and therefore only do so when taken in the second and third trimesters: the drugs have been considered safe in the first trimester.

Can high blood pressure affect breast milk supply?

Certain factors such as premature birth, obesity, high blood pressure, and poorly controlled diabetes can also affect milk production. Previous surgeries on breasts can also contribute to low milk supply.

What birth defects are caused by lisinopril?

Problems can include poor lung and skull development, growth restriction and facial deformities. ACE inhibitors can also cause low blood pressure and kidney failure in the newborn baby. In some cases, the baby has survived the complications after treatment. In other cases, the baby has died from these complications.

What is the safest blood pressure medication during pregnancy?

Methyldopa has been used for decades to treat high blood pressure in pregnancy and it appears to be safe. Labetalol has been extensively studied and has become increasing prescribed in pregnancy. Labetalol is now commonly used as a first-line treatment choice.

What is the best pills for breastfeeding?

Progestin-only oral contraceptives, or “The Mini-Pill,” contain only a progestin (a female hormone). The method, when used daily, is highly effective for breastfeeding women. This method of contraception has a slightly higher failure rate than oral contraceptives (OCs) containing both estrogen and progestin.

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What diseases can be passed through breast milk?

The concern is about viral pathogens, known to be blood-borne pathogens, which have been identified in breast milk and include but are not limited to hepatitis B virus (HBV), hepatitis C virus (HCV), cytomegalovirus (CMV), West Nile virus, human T-cell lymphotropic virus (HTLV), and HIV.

What drugs pass into breastmilk?

Tabulated summary of drug distribution into breast milk

Drug M/PAUC % maternal dose
Codeine 2.16 6.8
Ibuprofen < 0.6
Indomethacin 0.37 < 1.0
Mefenamic acid ID 0.3