Patient's question:
Detailed medical condition and consultation purpose: Please advise on the best medication for mild endometritis in breastfeeding mothers. The doctor prescribed metronidazole and amoxicillin drips. Is this safe for the baby's breastfeeding? Thank you!Doctor's answer:
Hello, as long as medication is taken, it will have some effect on the child to some extent. Let us introduce how lactating mothers can choose antibiotics:1. Drugs that are easily excreted in milk (more than 50%) include: Amikacin, Gentamicin, Isoniazid, Sulfonamides, Tetracyclines, and also Benzylpenicillin, Amoxicillin, Erythromycin, Metronidazole, etc. Since the first five are highly unfavorable for the infant and can easily cause harm, it is best to avoid using them.
2. Drugs that are not easily excreted in milk (less than 50%) include: Streptomycin, Kanamycin, Quinolones (such as Norfloxacin, Ciprofloxacin), Furazolidone, and also Cephalexin, Ceftriaxone, Penicillin G, Penicillin V, Monocillin, Clindamycin, and most cephalosporins, etc. However, since the first four can still cause harm to the infant, even though they are present in smaller amounts in the milk, they should also be avoided.