Is Paracetamol Heumann Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use Paracetamol Heumann? Is Paracetamol Heumann safe for nursing mother and child? Does Paracetamol Heumann extracts into breast milk? Does Paracetamol Heumann has any long term or short term side effects on infants? Can Paracetamol Heumann influence milk supply or can Paracetamol Heumann decrease milk supply in lactating mothers?

Excreted in very low amount into breast milk. Infant intake may be lower than 4% of usual pediatric dose. The American Academy of Pediatrics rates it as compatible with Breastfeeding.

Paracetamol Heumann is a good choice for analgesia, and fever reduction in nursing mothers. Amounts in milk are much less than doses usually given to infants. Adverse effects in breastfed infants appear to be rare.

A maculopapular rash on the upper trunk and face of a 2-month-old infant was probably caused by Paracetamol Heumann in breastmilk. The rash occurred after 2 days of therapy in the mother at a dose of 1 gram at bedtime. It subsided when the drug was discontinued and recurred 2 weeks later after another Paracetamol Heumann dose of 1 gram was taken by the mother.[4] Two papers report 14 women who breastfed after taking Paracetamol Heumann or its prodrug phenacetin with no adverse effects to their infants.[1][5] In a telephone follow-up study, mothers reported no side effects among 43 infants exposed to Paracetamol Heumann in breastmilk.[6] Two clinicians speculated that breastmilk exposure to Paracetamol Heumann during breastfeeding might be a risk factor for asthma and wheezing in the breastfed infants based on their personal observations.[7] However, these observations were uncontrolled and cannot be considered to be valid proof of an association.[8]