Arnica
The flowers as well roots and leaves of this herbaceous plant are used.
It contains sesquiterpenic lactones, essential oil, flavonoids and traces of pyrrolizidine alkaloids.
Used topically on unbroken skin.
Indicated in traditional medicine without evidence of its effectiveness: topical anti-inflammatory to treat bruises, sprains and localized muscle aches (EMA 2014).
Do not apply on damaged skin.
It is very toxic when taken orally (Anderson 2017) with reports of gastroenteritis, cardiac arrhythmia, neurological problems and death (WHO 2007 p.77, nal 2001) in people who have taken it and a case of severe hemolytic anemia in a 9-day newborn whose mother took an arnica infusion (Miller 2009).
Since the last update date we have not found published data on its excretion in breastmilk.
The small dose and the low plasma absorption of most topical dermatological preparations make transfer to breastmilk in significant amounts unlikely to happen.
Do not apply on the chest so as to prevent the infant from swallowing it, nor over extended areas or for prolonged periods in order to avoid systemic absorption.
Wash your hands after application of arnica in order to avoid possible contact with the infant's mouth.
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Synonyms
- Arnica flower
- Leopard's Bane
- Mountain Tobacco
- Wolf's Bane
Writings
- Arnica montana (Latin, botanical name)
- Άρνικα (Greek)
- Арника (Cyrillic)
- HD03WX5003 (ATC Code/s)
Drug trade names
References
- Anderson PO. Herbal Use During Breastfeeding. Breastfeed Med. 2017Abstract
- EMA. Arnica montana L., flos. Committee on Herbal Medicinal Products (HMPC). 2014 Full text (in our servers)
- Miller AD, Ly BT, Clark RF. Neonatal Hemolysis Associated with Nursing Mother Ingestion of Arnica Tea. Abstracts of the 2009 North American Congress of Clinical Toxicology.47 p 726, abstract 120. 2009 Full text (link to original source) Full text (in our servers)
- WHO. World Health Organization. Geneva. WHO monographs on selected medicinal plants. Volume 3. WHO monographs. 2007 Full text (link to original source) Full text (in our servers)
- [No authors listed] Final report on the safety assessment of Arnica montana extract and Arnica montana. Int J Toxicol. 2001Abstract