Question

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

Sodium bicarbonate lactation summary

Sodium bicarbonate is safe in breastfeeding
  • DrLact safety Score for Sodium bicarbonate is 1 out of 8 which is considered Safe as per our analyses.
  • A safety Score of 1 indicates that usage of Sodium bicarbonate is mostly safe during lactation for breastfed baby.
  • Our study of different scientific research also indicates that Sodium bicarbonate does not cause any serious side effects in breastfeeding mothers.
  • Most of scientific studies and research papers declaring usage of Sodium bicarbonate safe in breastfeeding are based on normal dosage and may not hold true for higher dosage.
  • Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.

Answer by Dr. Ru: About Sodium bicarbonate usage in lactation

It is contained in preparations used for treatment of excessive gastric acidity, oral rehydration solutions and fluids for intravenous use that aim the correction of acute metabolic acidosis. Also used for long-standing treatment of chronic metabolic acidosis due to kidney malfunction. Oral bicarbonate solutions neutralize gastric acidity with production of Carbon Dioxide. The rest is absorbed by the gut. In the plasma, bicarbonate is kept at normal physiological range, with the excess eliminated by the kidney. Epithelial cells of the mammary gland regulate the entrance of sodium and bicarbonate into the mother's milk, with little effect on milk composition due to diet. Bicarbonate decreases secretion of Prolactin in cases of secondary Hyperprolactinemia due to metabolic acidosis, but does not affect production of the milk. WHO Model List of Essential Medicines (2002): compatible with breastfeeding
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