Is Fluconazol [Spanish] Safe in Breastfeeding

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

Excreted into breast milk in much lesser amount than that used for the treatment of Candida infection in the infant. Problems have not appeared in breastfed infants from treated mothers. Widely used for the treatment of breast pain due or allegedly due to Candida infection. In those cases of breast candidiasis where topical treatment fails, oral Fluconazol [Spanish] may be used at a dose of 200 mg for the first day to be followed by 100 mg daily for two weeks. The American Academy of Pediatrics rates it compatible with breastfeeding.

Fluconazol [Spanish] is acceptable in nursing mothers because amounts excreted into breastmilk are less than the neonatal Fluconazol [Spanish] dosage.[1] Although no adequate clinical studies on Fluconazol [Spanish] in mastitis have been published, a survey of members of the Academy of Breastfeeding Medicine found that Fluconazol [Spanish] is often prescribed for nursing mothers to treat breast candidiasis, especially with recurrent or persistent infections.[2] Treatment of the mother and infant simultaneously with Fluconazol [Spanish] is often used when other treatments fail.[2][3][4][5] The most common maternal dosage regimen is 400 mg once, followed by 200 mg daily for at least 2 weeks or until pain is resolved,[6][7] although a study in Australia used a dose of 150 mg every other day until breast pain resolved.[8] The dosage of Fluconazol [Spanish] in breastmilk with these maternal dosages is not sufficient to treat oral thrush in the infant.

In a study of Fluconazol [Spanish] for treatment of lactation-associated thrush of the breasts, mothers took an average of 7.3 capsules (range 1 to 29 capsules) of 150 mg every other day until pain resolved. Seven of the 96 women reported side effects possibly caused by Fluconazol [Spanish] in their breastfed infants. These included flushed cheeks, gastrointestinal upset, and runny or mucous stools.[8]