Question

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

Povidone Iodide lactation summary

Povidone Iodide is unsafe in breastfeeding
  • DrLact safety Score for Povidone Iodide is 5 out of 8 which is considered Unsafe as per our analyses.
  • A safety Score of 5 indicates that usage of Povidone Iodide may cause serious side effects in breastfed baby.
  • Our study of different scientific research indicates that Povidone Iodide may cause moderate to high side effects or may affect milk supply in lactating mother.
  • Our suggestion is to use safer alternate options rather than using Povidone Iodide .
  • It is recommended to evaluate the advantage of not breastfeeding while using Povidone Iodide Vs not using Povidone Iodide And continue breastfeeding.
  • While using Povidone Iodide Its must to monitor child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to 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 Povidone Iodide usage in lactation

Disinfectant that contains huge amount (until 12%) of Iodine. Not absorbed through intact skin of adults. However, it may trespass the inflamed skin, wounds, mucosa surfaces like vagina, in which case can reach concentration in grams in the human serum (1 g = 1,000 milligrams = 1,000,000 micrograms). Normal daily allowance is considered to be as high as 100 to 150 micrograms that increases to 200 – 300 micrograms in pregnancy or nursing period. The latter means less than one third of a milligram. Iodine is concentrated into breast milk with a level that could reach 20 times higher than the concentration in the blood. It has been found higher levels of Iodine, altered results of neonatal screening test for thyroid function, and, transient hypothyroidism in infants whose mothers were exposed to Iodine Povidone. Use should be avoid in the Delivery Room, Operating Room (C-section), Neonatal Units, Toddler admision areas and during the breastfeeding period. Sporadic or inadvertent use, specially on normal skin, does not require special test or procedures because it does not pose higher risk to the child.

Alternate Drugs for Antiseptics and Disinfectants, Dermatological, topical use. ATC D08A

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