Mate
Tree, bush. The dried leaves in infusion (social consumption of mate) are used. Widely consumed in Uruguay, Argentina, Paraguay, southern Brazil, Bolivia and Chile.
It contains alkaloids, xanthines (caffeine 2%, 0.2% theobromine, theophylline 0.05%), tannins, flavonoids.
Attributed properties are: mood stimulant, diuretic, bronchodilator, vasoconstrictor.
Indication by the Commission E of the German Ministry of Health: physical and mental fatigue.
It should not exceed the amount equivalent to 300 mg of caffeine a day (200 cc = 50-100 mg) during lactation. Average ingestion of Yerba mate by consumers is around 100-200 mg of caffeine a day, though it can reach 1 gram daily. It was published neonatal abstinence syndrome following chronic maternal consumption of mate.
At last update, there were not found published data on excretion in breast milk but it is known that xanthines are excreted in breast milk; however and since there is no proof of their effectiveness as galactagogue, it seems prudent not to increase but instead moderate the intake during lactation.
A best galactagogue is a frequent and on-demand breastfeeding together with a proper technique.
Precautions with herbal teas:
1. Make sure that you get them from reliable sources: poisoning may occur by a confusion with other plant which is toxic (Hsu 1995), poisoning from heavy metals and food poisoning due to contamination with bacteria or fungi.
2. Avoid large doses. "Natural products” are not good by themselves in any amount: many plants contain active substances where from many pharmaceutical products of the traditional Phamacopeia have been obtained and hence may be a cause of poisoning if consumed in inappropriate quantity or duration.
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
- Jesuit´s Brazil Tea
- Paraguay Tea
- St Bartholomew´s Tea
- Tereré
- Yerba Maté
Writings
- Ilex paraguariensis (Latin, botanical name)
- Ilex paraguensys (Latin, botanical name)
References
- Mannion C, Mansell D. Breastfeeding self-efficacy and the use of prescription medication: a pilot study. Obstet Gynecol Int. 2012Abstract Full text (link to original source) Full text (in our servers)
- ABM. Comité de Protocolos de la Academia Médica de Lactancia Materna. ABM Protocolo Clínico #9: Uso de Galactogogos para Iniciar o aumentar la tasa de secreción de Leche Materna. Breastfeed Med. 2011 Full text (link to original source) Full text (in our servers)
- ABM. Academy Of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #9: Use of galactogogues in initiating or augmenting the rate of maternal milk secretion (First Revision January 2011). Breastfeed Med. 2011Abstract Full text (link to original source) Full text (in our servers)
- EMA. Community herbal monograph on Ilex paraguariensis St. Hilaire, folium. Committee on Herbal Medicinal Products (HMPC) 2010 Full text (in our servers)
- Martín I, López-Vílchez MA, Mur A, García-Algar O, Rossi S, Marchei E, Pichini S. Neonatal withdrawal syndrome after chronic maternal drinking of mate. Ther Drug Monit. 2007Abstract
- Pepino MY, Mennella JA. Advice given to women in Argentina about breast-feeding and the use of alcohol. Rev Panam Salud Publica. 2004Abstract Full text (link to original source) Full text (in our servers)
- Hsu CK, Leo P, Shastry D, Meggs W, Weisman R, Hoffman RS. Anticholinergic poisoning associated with herbal tea. Arch Intern Med. 1995Abstract
- Vázquez A, Moyna P. Studies on mate drinking. J Ethnopharmacol. 1986Abstract