Is Nicotine replacement therapy compatible with breastfeeding? Do we have alternatives for Nicotine replacement therapy?

Nicotine replacement therapy

July 21, 2017 (Very Low Risk)

Patch: Nicotine serum levels in the mother (hence in the milk) may be similar to those of women who smoke if high concentration patches are used. Lowest effective concentration ones for treatment of tobacco dependency are recommended. Patches should be taken off while sleeping.

Chewing gum: Nicotine serum levels in the mother (hence in the milk) may be one-half than those in women who smoke but may arrive to be as high as in smokers. The fewer number of chewing gums effective for treatment of tobacco dependency is recommended, with a lapse of 2-3 hours before the next breast feed after taking a nicotine chewing gum.

Inhaler: Nicotine serum levels in the mother (hence in the milk) is usually one-eighth than those in women who smoke. The fewer number of inhalations that would be effective for treatment of tobacco dependency are recommended.

Offspring of women who smoke are at lower risk of harm to health when they are breastfed than formula fed. Breastfeeding minimizes risks originated by tobacco smoke exposure.

Those risks are even lower with the use of Nicotine Replacement Therapy (patch, chewing gum or inhaler)


See below the information of these related products:

Alternatives

We do not have alternatives for Nicotine replacement therapy 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.

Synonyms

  • ニコチン
  • Nicotine Gum
  • Nicotine Nebulizer
  • Nicotine Patches
  • Nicotine Spray
  • νικοτίνη

Drug trade names

References

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  3. Reece-Stremtan S, Marinelli KA. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015. Breastfeed Med. 2015Abstract Full text (link to original source) Full text (in our servers)
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