Is Tyrothricin compatible with breastfeeding? Do we have alternatives for Tyrothricin?

Tyrothricin

October 9, 2016 (Very Low Risk)

Polypeptide with antibacterial properties which is isolated through fermentation of Bacillus brevis. It contains a mixture of Gramicidin and Tyrocidine.
Topically used on skin and mouth infections, often associated with benzocaine.
It is highly toxic when systemically used. It has been withdrawn from the market in some countries due to lack of therapeutic effectiveness.

Given its negligible systemic absorption and high molecular weight, excretion into breastmilk is highly unlikely.

Do not apply on the breast to prevent ingestion by the infant.

Alternatives

We do not have alternatives for Tyrothricin 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.