Question

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

Triamcinolone (topical use) lactation summary

Triamcinolone (topical use) is safe in breastfeeding
  • DrLact safety Score for Triamcinolone (topical use) is 1 out of 8 which is considered Safe as per our analyses.
  • A safety Score of 1 indicates that usage of Triamcinolone (topical use) is mostly safe during lactation for breastfed baby.
  • Our study of different scientific research also indicates that Triamcinolone (topical use) does not cause any serious side effects in breastfeeding mothers.
  • Most of scientific studies and research papers declaring usage of Triamcinolone (topical use) 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 Triamcinolone (topical use) usage in lactation

A corticosteroid with a mainly glucocorticoid action and moderate anti-inflammatory effects (ATC D07AB), slightly higher than that of prednisolone (ATC D07AA).Its topical dermatological use is indicated in the treatment of various types of dermatitis. This comment is about the TOPICAL USE of triamcinolone. Limited absorption through the skin and even mucous (Ramadas 2016, Meynadier 1981, Rasmussen 1978) makes it unlikely that significant amounts will pass into breast milk. If it is required to treat eczema or dermatoses of the nipple, it is advisable to choose the mildest corticoid, apply it just after the feed is finished so that it has been reabsorbed before the next feed, if it is necessary residues can be removed with a gauze and do not use it for more than a week after. Mineralocorticoid intoxication has occurred in an infant due to continuous application of a corticoid to the nipple (De Stefano 1983). It is advisable to avoid application to the nipple of creams, gels and other topically-applied products that contain paraffin (mineral oil) so that the infant does not absorb them (Concin 2008, Noti 2003). See below the information of these related products:

Alternate Drugs for Corticoid, dermatological, topical use. ATC D07A

Clobetasol(Safe)
Fluticasone, Topical(Safe)
Fluticasone, Inhaled(Safe)
Prednicarbate(Safe)
Beclomethasone Oral / Rectal(Low Risk)
Beclomethasone - Topical Use(Safe)
Betamethasone - Topical Use(Safe)
Budesonide Oral(Safe)
Budesonide Rectal(Safe)
Clobetasol Propionate(Safe)
Fluticasone(Safe)
Fluocinolone Acetonide(Safe)
Hydrocortisone Topical Use(Safe)
Mometasone Topical Use(Safe)
Fluocortolone(Safe)
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