Clotrimazole is generally considered safe to use while you’re breastfeeding. If your baby is being treated for oral thrush you can carry on breastfeeding but you’ll need to be treated at the same time. Apply clotrimazole cream on and around your nipples after each time you breastfeed your baby.
Also question is, do I need to wipe off clotrimazole before breastfeeding?
Wash off Clotrimazole before you nurse (use water, not soap), and reapply afterward. This prevents the thrush yeast from reproducing; it must be applied to all affected areas four times a day, and you can’t nurse for 10 minutes after you use Nystatin.
Consequently, is clotrimazole safe for babies?
This drug is not approved for use in all children. Talk with the doctor to be sure that this drug is right for your child. If vaginal yeast infections happen often, talk with the doctor.
Which antifungal is safe in breastfeeding?
Antifungals. As for antifungals, topicals are safe, and nystatin and clotrimazole are the best first-line options (both L1). Oral antifungals are similarly fine, with griseofulvin, fluconazole, ketoconazole, itraconazole, and terbinafine all classified as L2 and amphotericin B as L3.
Thrush may reduce your milk supply. It may also be harder to breastfeed while you and your baby are experiencing symptoms. However, you can continue to breastfeed during treatment. Continuing to breastfeed can help maintain your milk supply.
Your baby may pull away from the breast and appear uncomfortable. To prevent reinfection it is important that both you and your baby are treated simultaneously, even if only one show symptoms of thrush. Once treatment has been started symptoms should improve within 2-3 days.
Yeast infections of the breast may also occur when the mother is taking or has recently taken antibiotics. Cuts, scrapes, and other injuries to the nipple increase the risk of a yeast infection. Thrush appears as white patches in the infant’s mouth and a rash in the diaper area (one type of diaper rash).
Summary of Use during Lactation
Fluconazole is acceptable in nursing mothers because amounts excreted into breastmilk are less than the neonatal fluconazole dosage.
The fluconazole elimination half-life in breast milk was calculated to be 26.9 hours in this report. In another report, breast milk concentrations of fluconazole after oral administration of 150 mg were 2.93 µg/mL, 2.66 µg/mL, 1.76 µg/mL, and 0.98 µg/mL at 2 hours, 5 hours, 24 hours, and 48 hours, respectively.