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 drip. Does this affect the baby's milk intake? Thank you!Doctor's answer:
Hello, as long as medication is used, it will have some impact on the child to some extent. We will 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 Penicillin V, Amoxicillin, Erythromycin, Metronidazole, etc. Since the first five are highly harmful to the infant, great effort should be made to avoid their use.
2. Drugs that are not easily excreted in milk (less than 50%) include: Streptomycin, Kanamycin, Quinolones (e.g., Norfloxacin, Ciprofloxacin), Furantoin, and Cephalexin, Ceftriaxone, Penicillin G, Penicillin V, Monocillin, Clindamycin, and most cephalosporins, etc. However, since the first four can still be harmful to the infant, even though they are present in smaller amounts in milk, they should also be avoided.