Is Tonic water compatible with breastfeeding? Do we have alternatives for Tonic water?

Tonic water

July 6, 2018 (Very Low Risk)


A refreshing beverage containing carbon dioxide (carbonated beverage), quinine extract, sugar or sweeteners and other authorized additives.

The concentration of quinine contained in this type of beverage is limited by various international health control agencies at 83 mg/L (FDA 2017) or 100 mg/L (EFSA 2012 L267/3) in such a way that the amount of quinine that can be consumed through these drinks is much lower than the therapeutic dose of quinine (González 2015).

Maternal consumption should be avoided if there is a history of glucose-6-phosphate-dehydrogenase deficiency, as cases of haemolytic crises have been reported in infants breastfed by mothers who were consuming tonic water (Bichali 2017).

Quinine is a medication which is compatible with breastfeeding.


See below the information of this related product:
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

  • Indian tonic water

Drug trade names

References

  1. Bichali S, Brault D, Masserot C, Boscher C, Couec ML, Deslandes G, Pissard S, Leverger G, Vauzelle C, Elefant E, Rozé JC, Cortey A, Chenouard A. Maternal consumption of quinine-containing sodas may induce G6PD crises in breastfed children. Eur J Pediatr. 2017Abstract
  2. FDA. FOOD ADDITIVES PERMITTED FOR DIRECT ADDITION TO FOOD FOR HUMAN CONSUMPTION. Code of Federal Regulations. Title 21, Volume 3. 2017 Full text (link to original source) Full text (in our servers)
  3. González Reyes AB, Hardisson de la Torre A, Gutiérrez Fernández AJ, Rubio Armendáriz C, Frías Tejera I, Revert Gironés C. Cafeína y quinina en bebidas refrescantes; contribución a la ingesta dietética. [CAFFEINE AND QUININE IN SOFT DRINKS; CONTRIBUTION TO THE DIETARY INTAKE]. Nutr Hosp. 2015Abstract Full text (link to original source) Full text (in our servers)
  4. EFSA. REGLAMENTO DE EJECUCIÓN (UE) N o 872/2012 DE LA COMISIÓN de 1 de octubre de 2012 por el que se adopta la lista de sustancias aromatizantes prevista en el Reglamento (CE) n o 2232/96 del Parlamento Europeo y del Consejo. Diario Oficial de la Unión Europea. 2012 Full text (link to original source) Full text (in our servers)