Is Atropine Ophtalmic Use compatible with breastfeeding? Do we have alternatives for Atropine Ophtalmic Use?

Atropine Ophtalmic Use

August 12, 2014 (Very Low Risk)

Like most ophthalmologic compounds for topical use a low dose and poor absorption make it compatible with breastfeeding. Pomade is preferred. When applying press with a finger on conjunctival sac for 2 minutes to avoid systemic absorption.

American Academy of Pediatrics rates it as a safe drug.

Alternatives

We do not have alternatives for Atropine Ophtalmic Use since it is relatively safe.

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.

References

  1. WHO / UNICEF. BREASTFEEDING AND MATERNAL MEDICATION Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs. Department of Child and Adolescent Health and Development (WHO/UNICEF) 2002 Full text (link to original source) Full text (in our servers)
  2. AAP - American Academy of Pediatrics Committee on Drugs. Transfer of drugs and other chemicals into human milk. Pediatrics. 2001Abstract Full text (link to original source) Full text (in our servers)
  3. Hagemann TM. Gastrointestinal medications and breastfeeding. J Hum Lact. 1998Abstract
  4. De Martino F, De Matteo A, L'Abbate V, Soricelli A, Fontana A, Petrenga E, Cesarone M. [Inhibitory effects of atropine on serum prolactin levels after TRH stimulation]. Boll Soc Ital Biol Sper. 1980Abstract
  5. Bizzarro A, Iannucci F, Tolino A, Soricelli A, Guarino G, Verdoliva A. Inhibiting effect of atropine on prolactin blood levels after stimulation with TRH. Clin Exp Obstet Gynecol. 1980Abstract