Is Beclomethasone inhaled compatible with breastfeeding? Do we have alternatives for Beclomethasone inhaled?

Beclomethasone inhaled

September 4, 2014 (Very Low Risk)

Serum levels are usually very low because a low absorption by inhalation (<5%).

Because a high serum protein-binding capacity, excretion into breast milk is unlikely.

No harm effects have been found among breastfed babies whose mothers were receiving this medication.

Most expert's opinion is that topical, oral or inhaled steroid medication is compatible with breastfeeding,

WHO Model List of Essential Drugs 2002 rates it as compatible with breastfeeding.

Alternatives

We do not have alternatives for Beclomethasone inhaled 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. Amir LH, Pirotta MV, Raval M. Breastfeeding--evidence based guidelines for the use of medicines. Aust Fam Physician. 2011Abstract Full text (link to original source) Full text (in our servers)
  2. National Asthma Education and Prevention Program Asthma and Pregnancy Working Group. Quick Reference from the Working Group Report on Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. 2004;1-12. 2004 Full text (link to original source) Full text (in our servers)
  3. National Asthma Education and Prevention Program Asthma and Pregnancy Working Group. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. 2004;1-57. 2004 Full text (link to original source) Full text (in our servers)
  4. 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)
  5. Ellsworth A. Pharmacotherapy of asthma while breastfeeding. J Hum Lact. 1994Abstract
  6. Ghaeli P, Kaufman MB. Oral antihistamines/decongestants and breastfeeding. J Hum Lact. 1993Abstract
  7. Greenberger PA, Patterson R. The management of asthma during pregnancy and lactation. Clin Rev Allergy. 1987Abstract
  8. Brown HM, Storey G. Treatment of allergy of the respiratory tract with beclomethasone dipropionate steroid aerosol. Postgrad Med J. 1975Abstract