If you are breastfeeding, Azulfidine should be taken with care. Bloody diarrhea has been reported in nursing infants whose mothers took this medication. Breastfeeding women who are taking the drug should watch for this and other side effects in their child. In fact, the manufacturer recommends that the drug be used with caution in such cases. Because of the potential risks involved, be sure to talk to your healthcare provider about your particular situation.
Azulfidine and Breastfeeding: An Overview
Azulfidine® (sulfasalazine) is passed through breast milk. Because of the potentially serious side effects that could occur in the nursing infant, the manufacturer recommends that the drug be used with caution in pregnant women. Therefore, if you are breastfeeding or thinking of breastfeeding, make sure to let your healthcare provider know.
What Does the Research Say?
Azulfidine passes through breast milk. There have been reports of bloody diarrhea in breastfed infants whose mothers took sulfasalazine (the active ingredient in Azulfidine). If your healthcare provider recommends taking Azulfidine while breastfeeding, be sure to watch for diarrhea and other side effects in your child.
Talking With Your Healthcare Provider
You should talk with your healthcare provider about Azulfidine and breastfeeding. Everyone's situation is different, and your healthcare provider understands your situation best. After considering what you want and expect (and your current health situation), you and your healthcare provider can make a shared decision about breastfeeding and Azulfidine that is right for you.
Written by/reviewed by: Kristi Monson, PharmD;Arthur Schoenstadt, MD
Last reviewed by: KristiMonson, PharmD;
List of references (click here):
Azulfidine [package insert]. New York, NY: Pfizer Inc.2013 July.
Briggs GG, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation. 7th ed. Philadelphia (PA): Lippincott Williams & Wilkins;2005.
National Library of Medicine (US). Drugs and Lactation Database (LactMED). NLM Web site. Available at: http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT. Accessed April 19, 2007.
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