There is no contraindication to breastfeeding with herpes (cold sores). There are very few illnesses that require a mother to stop nursing. Some of the symptoms of an allergic reaction may include skin rash, itching or hives; swelling of the face, lips, mouth or throat which may cause difficulty swallowing or breathing; wheezing or shortness of breath. 6, lactose, magnesium stearate, povidone, and starch. Let’s take a closer look at herpes, and whether this infection is a contraindication to breastfeeding. Here is some general information about OTC (over the counter) drugs and breastfeeding &endash; remember, though, that drug manufacturers often change their active ingredients, so always read the label carefully and/or consult your health care provider before taking any drug when you are nursing. Alphamox may be used in pregnancy.
Absorption: Norethindrone is rapidly absorbed with maximum plasma concentrations occurring within 1 to 2 hours after Nor-QD administration (see Table 1). The nipple can be massaged to help blood flow return to reduce pain, as well as avoiding cold. (These include Cepastat, Listerine, and Sucrets lozenges, and Vicks Chloraseptic Sore Throat Spray). Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking Alphamox. The mean (SD) Cavg was 885 (250) pg/mL, however, the mean concentration at 24 hrs was 130 (47) pg/mL. It will not cure herpes, but it can lessen the symptoms of the infection. Joseph Nasal Decongestant, and Neo-Synephrine Spray and Drops) rather than those which contain oxymetazoline, naphazoline, or phenylephrine (such as Afrin, Dristan, Privine, or Vicks Sinex Nasal Spray or Inhaler).
Your infection may not clear completely if you stop taking your medicine too soon. Norethindrone is excreted in both urine and feces, primarily as metabolites. The safety of Valtrex in breastfeeding infants has not been established. For coughs: Avoid products with an alcohol content of over 20%. Diarrhoea may mean that you have a serious condition affecting your bowel. If used perfectly, the first-year failure rate for progestin-only oral contraceptives is 0.5%. If you’re a woman, let your doctor know if you are or may be pregnant or if you’re breastfeeding.
Avoid those containing mineral oil, phenolphthalein, bisacodyl, and castor oil (Correctol, Dulcolax, Ex-Lax, Feen- a-Mint, Peri-Colace, and Senokot. Also tell your doctor if you get vaginal itching or discharge. In: Hatcher RA, Trussell J, Stewart F, Cates W, Stewart GK, Kowal D, Guest F, Contraceptive Technology: Seventeenth Revised Edition. Typically, there is no scarring as it heals. For nausea and vomiting: Benadryl, Emetrol, and Dramamine aren’t harmful. If you have to test your urine for sugar, make sure your doctor knows which type of test you use. The percentage of women becoming pregnant noted in columns (2) and (3) are based on data from populations where contraception is not used and from women who cease using contraception in order to become pregnant.
Topical acyclovir – Prescription genital herpes and cold Sore Treatment: Discreet Online Topical Acyclovir consult only 49. First, the scariest one of all &endash; cancer. All medicines can have side effects. The Food and Drug Administration has declared the following brands of oral contraceptives to be safe and effective for emergency contraception: Ovral® (1 dose is 2 white pills), Alesse® (1 dose is 5 pink pills), Nordette® or Levlen® (1 dose is 4 yellow pills). Herpes- The infant should avoid contact with herpes lesions and if there are no vesicles on the breast, the mother may breastfeed. As part of the procedure, you will be injected with a dye that may or may not be harmful, so if you are concerned, you can discard the milk pumped after the procedure. any type of skin rash, itching, blistering or peeling of the skin, hives swelling of the face, lips, mouth or throat which may cause difficulty swallowing or breathing wheezing, shortness of breath or difficulty breathing.
The relationship between progestin-only oral contraceptives and these risks have not been established and there are no studies definitely linking progestin-only pill (POP) use to an increased risk of heart attack or stroke. Lysine is used for preventing and treating cold sores (caused by the virus called herpes simplex labialis). -If you need to undergo radioactive isotope testing, you will need to wean your baby temporarily. The incidence of ectopic pregnancies for progestin-only oral contraceptive users is 5 per 1000 woman-years. Up to 10% of pregnancies reported in clinical studies of progestin-only oral contraceptive users are extrauterine. Breastfeeding is not recommended until the lesions are completely cleared. -If you have high blood pressure, the relaxing effects of prolactin are also beneficial.
2. Delayed follicular atresia/Ovarian cysts. 4.3 Contraindications. If steroid treatments are necessary, consult your health care provider to discuss the lowest possible doses. Often they are asymptomatic; in some cases they are associated with mild abdominal pain. Rarely they may twist or rupture, requiring surgical intervention. 3.
If this happens, express your milk and give it to your baby. Irregular menstrual patterns are common among women using progestin-only oral contraceptives. If genital bleeding is suggestive of infection, malignancy or other abnormal conditions, such nonpharmacologic causes should be ruled out. If prolonged amenorrhea occurs, the possibility of pregnancy should be evaluated. -Hepatitis A is a viral infection of the liver, which causes jaundice in the mother. Carcinoma of the breast and reproductive organs. Some epidemiologic studies of oral contraceptive users have reported an increased relative risk of developing breast cancer, particularly at a younger age and apparently related to duration of use.
These studies have predominantly involved combined oral contraceptives and there is insufficient data to determine whether the use of POPs similarly increase the risk. It is transmitted by contact with body fluids such as blood, saliva, and mucus, and can also be transmitted sexually. Some studies suggest that oral contraceptive use has been associated with an increase in the risk of cervical intraepithelial neoplasia in some populations of women. However, there continues to be controversy about the extent to which such findings may be due to differences in sexual behavior and other factors. There is insufficient data to determine whether the use of POPs increases the risk of developing cervical intraepithelial neoplasia. Half of those who contract it will develop chronic liver disease. Hepatic neoplasia.
Benign hepatic adenomas are associated with combined oral contraceptive use, although the incidence of benign tumors is rare in the United States. Rupture of benign, hepatic adenomas may cause death through intraabdominal hemorrhage. Discuss this with your doctor. have shown an increased risk of developing hepatocellular carcinoma in combined oral contraceptive users. However, these cancers are rare. There is insufficient data to determine whether POPs increase the risk of developing hepatic neoplasia. -If you have an STD (sexually transmitted disease) during pregnancy, you may infect your newborn during delivery, and will require treatment immediately postpartum.
It is considered good medical practice for sexually active women using oral contraceptives to have annual history and physical examinations. The physical examination may be deferred until after initiation of oral contraceptives if requested by the woman and judged appropriate by the clinician. Some users may experience slight deterioration in glucose tolerance, with increases in plasma insulin, but women with diabetes mellitus who use progestin-only oral contraceptives do not generally experience changes in their insulin requirements. According to Dr. Lipid metabolism is occasionally affected in that HDL, HDL2, and apolipoprotein A-I and A-II may be decreased; hepatic lipase may be increased. There is no effect on total cholesterol, HDL3, LDL, or VLDL. a.
If you have Cystic Fibrosis, you can produce normal breastmilk, but must monitor your nutrition carefully. Contraceptive effectiveness may be reduced when hormonal contraceptives are co-administered with antibiotics, anticonvulsants, and other drugs that increase the metabolism of contraceptive steroids. This could result in unintended pregnancy or breakthrough bleeding. Examples include rifampin, barbiturates, phenylbutazone, phenytoin, carbamazepine, felbamate, oxcarbazepine, topiramate, and griseofulvin. You will need to monitor your blood-glucose levels carefully because the hormonal changes of pregnancy and childbirth can cause changes in the levels. Anti-HIV protease inhibitors. Several of the anti-HIV protease inhibitors have been studied with co-administration of oral contraceptives; significant changes (increase and decrease) in the plasma levels of the estrogen and progestin have been noted in some cases.
The safety and efficacy of OC products may be affected with the co-administration of anti-HIV protease inhibitors. There are two major concerns: that you remain seizure free and able to care for your infant, and that the medications you take to control the seizures don’t adversely your baby. c. Herbal products. Herbal products containing St. In case of seizure activity, consider practical tips such as: nursing in a padded chair, elevate your feet with a small stool, use guardrails or pillows if you nurse in bed, have a playpen on each floor of the house so you can lay the baby down if you feel a seizure coming on, and when you go out with your baby, attach a tag to your stroller explaining that you have epilepsy and listing the name of a friend or relative who can take care of the baby in an emergency situation. This may also result in breakthrough bleeding.
Many studies have found no effects on fetal development associated with long-term use of contraceptive doses of oral progestins. The few studies of infant growth and development that have been conducted have not demonstrated significant adverse effects. -Thyroid levels can change during pregnancy and lactation. Small amounts of progestin pass into the breast milk, resulting in steroid levels in infant plasma of 1-6% of the levels of maternal plasma.6 However, isolated post-market cases of decreased milk production have been reported in POPs. Very rarely, adverse effects in the infant/child have been reported, including jaundice. If you have a headache or a worsening migraine headache with a new pattern that is recurrent, persistent, or severe, this requires discontinuation of oral contraceptives and evaluation of the cause. If you need to take a thyroid suppressant, you need to work closely with your doctor to make sure the baby’s levels aren’t lowered as well An alternative to weaning would be to give the baby a thyroid supplement if his levels fall below normal.
Safety and efficacy are expected to be the same for postpubertal adolescents under the age of 16 and for users 16 years and older. Use of this product before menarche is not indicated. To achieve maximum contraceptive effectiveness, Nor-QD must be taken exactly as directed. Her site, www.BreastfeedingBasics.com, provides expert advice and solutions to breast-feeding problems and gives basic information on how to breast feed. Administration is continuous, with no interruption between pill packs. See PATIENT LABELING for detailed instructions. Patients should be counseled that oral contraceptives do not protect against transmission of HIV (AIDS) and other sexually transmitted diseases (STDs) such as Chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis.
This leaflet is about birth control pills that contain one hormone, a progestin. Please read this leaflet before you begin to take your pills. It is meant to be used along with talking with your doctor or clinic. Progestin-only pills are often called “POPs” or “the minipill.” POPs have less progestin than the combined birth control pill (or “the pill”) which contains both an estrogen and a progestin. About 1 in 200 (0.5%) POPs users will get pregnant in the first year if they all take POPs perfectly (that is, on time, every day). About 1 in 20 (5%) “typical” POPs users (including women who are late taking pills or miss pills) gets pregnant in the first year of use. The following table will help you compare the efficacy of different methods.
WARNING: If you have sudden or severe pain in your lower abdomen or stomach area, you may have an ectopic pregnancy or an ovarian cyst. If this happens, you should contact your doctor or clinic immediately. 1. Ectopic pregnancy. An ectopic pregnancy is a pregnancy outside the womb. Because POPs protect against pregnancy, the chance of having pregnancy outside the womb is very low. If you do get pregnant while taking POPs, you have a slightly higher chance that the pregnancy will be ectopic than do users of some other birth control methods.
2. Ovarian cysts. These cysts are small sacs of fluid in the ovary. They are more common among POP users than among users of most other birth control methods. They usually disappear without treatment and rarely cause problems. 3. Cancer of the reproductive organs and breasts.
Some studies in women who use combined oral contraceptives that contain both estrogen and a progestin have reported an increase in the risk of developing breast cancer, particularly at a younger age and apparently related to duration of use. There is insufficient data to determine whether the use of POPs similarly increases this risk. Some studies have found an increase in the incidence of cancer of the cervix in women who use oral contraceptives. However, this finding may be related to factors other than the use of oral contraceptives and there is insufficient data to determine whether the use of POPs increases the risk of developing cancer of the cervix. 4. Liver tumors. In rare cases, combined oral contraceptives can cause benign but dangerous liver tumors.
These benign liver tumors can rupture and cause fatal internal bleeding. In addition, a possible but not definite association has been found with combined oral contraceptives and liver cancers in studies in which a few women who developed these very rare cancers were found to have used combined oral contraceptives for long periods of time. There is insufficient data to determine whether POPs increase the risk of liver tumors. 1. Irregular bleeding. The most common side effect of POPs is a change in menstrual bleeding. Your periods may be either early or late, and you may have some spotting between periods.
Taking pills late or missing pills can also result in some spotting or bleeding. 2. Other side effects. Less common side effects include headaches, tender breasts, nausea and dizziness. Weight gain, acne and extra hair on your face and body have been reported, but are rare. POPs must be taken at the same time every day, so choose a time and then take the pill at the same time every day. Every time you take a pill late, and especially if you miss a pill, you are more likely to get pregnant.
If you want to stop taking POPs, you can do so at any time, but, if you remain sexually active and don’t wish to become pregnant, be certain to use another birth control method. If you decide to take your first POP on another day, use a backup method (such as condom and/or spermicide) every time you have sex during the next 48 hours. If you are not sure what to do about the pills you have missed, keep taking POPs and use a backup method until you can talk to your doctor or clinic. If you are switching from the combined pills to POPs, take the first POP the day after you finish the last active combined pill. Do not take any of the 7 inactive pills from the combined pill pack. You should know that many women have irregular periods after switching to POPs, but this is normal and to be expected. If you are switching from POPs to the combined pills, take the first active combined pill on the first day of your period, even if your POPs pack is not finished.
If you are breastfeeding, you can switch to another method of birth control at any time, except do not switch to the combined pills until you stop breastfeeding or at least until 6 months after delivery. If you become pregnant, or think you might be, stop taking POPs and contact your physician. Even though research has shown that POPs do not cause harm to the unborn baby, it is always best not to take any drugs or medicines that you don’t need when you are pregnant. If you are breastfeeding, POPs will not affect the quality or amount of your breast milk or the health of your nursing baby. However, isolated cases of decreased milk production have been reported. If you suspect that you are not producing enough milk for your baby, contact your doctor or clinic. If you have any questions or concerns, check with your doctor or clinic.
You can also ask for the more detailed “professional package labeling” written for doctors and other health care providers.