Fluconazole Breastfeeding Safety

Fluconazole Breastfeeding Advice

Fluconazole (Diflucan™) is an artificial, synthetic product that is used to treat yeast and fungal infections.

Fluconazole is usually only used, if other measures to treat the problem have failed.

Cracked and broken nipples can encourage the growth of yeast (Candida Albicans). The use of antibiotics can also encourage the yeast to grow.

Symptoms of a Yeast Infection

•    Nipple pain that occurs after the mother has been breastfeeding for a while. 

•    Nipple pain before, during and after feeding the baby. Usually described as a burning pain. 

• Shooting pains within the breast that might feel worse in the evenings or towards the end of a feeding.

Read more symptoms here. 

Treating Yeast Infections of the Nipples

•    There are many natural ways to get rid of a yeast infection of the nipples. Grapefruit seed extract and Gentian Violet are often used. Use a couple of drops of pure tea tree oil mixed with coconut oil or olive oil and apply to the nipples after each feeding. The mother needs to make sure that she washes her nipples before breastfeeding her baby again. Fluconazole should only be used, if other methods have failed to fix the problem and it should be used in conjunction with other methods. 

•    Fluconazole works the best if you use it with probiotics and grapeseed extract taken orally.

Fluconazole and Breastfeeding Safety

Side Effects of using Fluconazole to watch out for while Breastfeeding

•    Vomiting.
•    Diarrhea.
•    Skin rashes.
•    Abdominal pain.

Does Fluconazole enter into the breast milk?

Yes, it does and it should! It will help treat the mother and the baby at the same time. Some doctors may say that you need to stop breastfeeding while taking it, but you do not need to. 

Recommended Dosage of Fluconazole while Breastfeeding

400mg as the first dose. Then 100mg twice per day for two weeks or until you are pain free. In extremely resistant cases, a 100mg dose is given three times daily for 7 days. 

You will need to treat your baby as well. A baby can be given a 6mg per kg of the baby’s weight followed by a 3mg per kg per day for the same time period as the mother. It is always best to first try treating your baby with probiotics orally. A probiotic powder can be placed on the mother's wet finger and placed in the baby’s mouth. It should be given twice daily for 7 days.

Reference: Course information at Child Birth International. 

Other pages on breastfeeding problems in connection with this page on fluconzole breastfeeding

- Yeast infections and breastfeeding

- Oral thrush in the breastfed baby

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