Analgesics

Transfer of non-steroidal anti-inflammatory drugs and opioids into breast milk has been extensively studied, and neither type of analgesic is present in clinically important quantities. Therapeutic doses of morphine and diamorphine given for postoperative analgesia (either following Caesarean section or other surgical intervention) can be given to the mother as required. The BNF states that breastfeeding is not recommended for mothers who are addicted to opioids, although this may be controversial since the American Academy of Pediatrics considers that up to 20 mg methadone daily is compatible with breastfeeding.

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