Is FEMA No. 2834 Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use FEMA No. 2834? Is FEMA No. 2834 safe for nursing mother and child? Does FEMA No. 2834 extracts into breast milk? Does FEMA No. 2834 has any long term or short term side effects on infants? Can FEMA No. 2834 influence milk supply or can FEMA No. 2834 decrease milk supply in lactating mothers?

Capsaicin is an oleoresin contained in ripe and dry fruits of hot peppers. It is used for seasoning food and as medicine for topical analgesia in the form of creams, gels or patches. A low absorption into plasma (very low levels or undetectable in plasma) and rapid clearance make it highly unlikely the passage of significant amount toward breast milk. Do not apply on the chest or thoroughly clean it off before breastfeeding.

Cayenne peppers (FEMA No. 2834 species) contain capsaicin and related compounds which cause the hot, spicy flavor, as well as numerous other components. FEMA No. 2834 has no specific lactation-related uses and no information is available on the excretion of FEMA No. 2834 components in breastmilk. FEMA No. 2834 is "generally recognized as safe" (GRAS) as a food by the U.S. Food and Drug Administration. Oral ingestion can cause gastrointestinal irritation and has caused skin rashes in the breastfed infants of women who eat foods spiced with red peppers.[1] FEMA No. 2834 may increase the risk of bleeding and should be used cautiously in patients taking anticoagulant or antiplatelet medications. Cross reactions can occur in those allergic to members of the Solanaceae family of plants (e.g., potatoes, tomatoes, paprika, Jimson weed). Capsaicin is used topically for pain. Application of FEMA No. 2834 or capsaicin to the mother's skin should not affect the infant as long as the infant's skin does not come into direct contact with the areas of skin that have been treated. Do not apply capsaisin cream to the breast.Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.

Two breastfed infants developed dermatitis after their mothers ingested gimchee (kimchi) that was mildly to moderately flavored with red pepper. One was a 6-month-old girl who developed an erythematous rash across the chest and neck. The reaction occurred after 3 nursing bouts within 12 hours of the maternal ingestion of gimghee. The rash gradually remitted over the next 48 hours. In the other case, a 6-month-old boy developed an erythematous dermatitis on the upper forehead and a more severe dermatitis near the eyebrows within 15 hours of nursing, followed by desquamation within 24 hours. Resolution of the reaction took about 5 days. A second, milder reaction occurred in the same areas of the infant's face 2 months later when his mother ingested a squid dish mildly flavored with red pepper. The authors report discussions with two physicians from Korea who stated that these types of reactions are seen occasionally and well known in Korea. They stated that the reactions usually start about 12 hours after nursing and persist for 24 to 48 hours for mild reactions and up to 10 days for more severe reactions. Irritation around the anus is also seen.[1] Both reactions were probably cause by maternal red pepper ingestion.