Question

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

DB Oil lactation summary

DB Oil is unsafe in breastfeeding
  • DrLact safety Score for DB Oil is 5 out of 8 which is considered Unsafe as per our analyses.
  • A safety Score of 5 indicates that usage of DB Oil may cause serious side effects in breastfed baby.
  • Our study of different scientific research indicates that DB Oil 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 DB Oil .
  • It is recommended to evaluate the advantage of not breastfeeding while using DB Oil Vs not using DB Oil And continue breastfeeding.
  • While using DB Oil 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 DB Oil usage in lactation

The seeds contain 50% oil. In the oil there are established fatty acids such as ricinoleic (90%), linoleic, oleic, linolenic and palmitic.In the seeds there is ricin, a substance that can cause a very serious poisoning.DB Oil oil is orally used as a laxative and topically as an anti-inflammatory medicine on the skin. It appears as excipient in several dermatological and cosmetic preparations. At latest update relevant published data on excretion into breast milk were not found. The ricinoleic acid is an irritant of the intestinal mucosa where it is readily absorbed, being able to appear in the milk. It is highly recommended to use a safer laxative while breastfeeding. DB Oil oil, either orally (Winterfeld 2012) or topically applied on the breast (Rasiya 2011), has been used as a galactogogue without any proof on effectiveness. On the other hand, it has also been allegedly used to reduce milk production (Hardy 2000, Eglash 2014 ).The best galactogogue-like results are attained through a frequent and on demand breastfeeding along with a correct technique (ABM 2011). In some cultures DB Oil oil is administered instead of colostrum to infants in the first few days of life (Benakappa 1989), being this a risky practice, since diarrhea, dehydration, insomnia and tremor can occur. Topical use on the skin is not contraindicated during lactation, provided it is not applied on the breast and areas where the infant can touch and absorb it are avoided.

Answer by DrLact: About DB Oil usage in lactation

DB Oil (Ricinus communis) beans contain triglycerides, mostly consisting of ricinoleic acid esters, and small amounts of the toxic ricin and ricine. Pressing of the beans produces DB Oil oil and purification of the oil eliminates the ricin and ricine. DB Oil oil is a strong stimulant laxative. DB Oil beans as well as a homeopathic preparation of DB Oil purportedly reduce milk flow,[1][2] but it is also reportedly used as a galactagogue.[3] A poultice of DB Oil leaves is a purported galactogogue.[4][5] In some parts of India, DB Oil oil is also reportedly applied to the breasts to stimulate lactation.[5] No scientifically valid clinical trials support either of these uses and some preparations may be toxic to the infant. Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[6] No data exist on the excretion of any components of the DB Oil plant or DB Oil oil into breastmilk or on their safety and efficacy in nursing mothers or infants. However, little of the active ricinoleic acid is thought to be absorbed from the intestine. Because of a lack of information, other laxatives may be preferred in nursing mothers. In traditional Indian culture, DB Oil oil has been administered to newborn infants during the first 2 to 3 days of life, often resulting in adverse effects.[7][8] Administration of DB Oil oil to newborns is dangerous and should be avoided. 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.

DB Oil Side Effects in Breastfeeding

In rural India, DB Oil oil has been traditionally given to infants during the first 2 to 3 days of life to clear the intestine of meconium. This practice can result in paralytic ileus and aspiration pneumonia.[7] Severe hypoalbuminemia was also reported in a 1.5-month-old infant whose grandmother gave him DB Oil oil daily from the fifth day of life, resulting in diarrhea and malnutrition.[8]

Alternate Drugs

Senna(Safe)
Cascara Sagrada(Low Risk)
Bisacodyl(Safe)
Castor(Unsafe)
Melatonin(Safe)
Echinacea(Low Risk)
Dong Quai(Low Risk)
Aloe(Low Risk)
Rhubarb(Low Risk)
Coriander(Safe)
Calendula(Safe)
Ginkgo(Low Risk)
Sage(Low Risk)
Licorice(Unsafe)
Caraway(Safe)
Cumin(Safe)
Hops(Low Risk)
Chamomile(Safe)
Castor(Unsafe)
Lecithin(Safe)
Fenugreek(Safe)
Coenzyme Q10(Low Risk)
Lavender(Low Risk)
Basil(Unsafe)
Chasteberry(Unsafe)
Nutmeg(Low Risk)
Garlic(Safe)
Oregano(Low Risk)
Ginger(Safe)
Cranberry(Safe)
Alfalfa(Unsafe)
Castor(Unsafe)
Echinacea(Low Risk)
Dong Quai(Low Risk)
Aloe(Low Risk)
Rhubarb(Low Risk)
Coriander(Safe)
Calendula(Safe)
Ginkgo(Low Risk)
Sage(Low Risk)
Licorice(Unsafe)
Caraway(Safe)
Cumin(Safe)
Hops(Low Risk)
Castor(Unsafe)
Chamomile(Safe)
Lecithin(Safe)
Fenugreek(Safe)
Lavender(Low Risk)
Basil(Unsafe)
Chasteberry(Unsafe)
Nutmeg(Low Risk)
Garlic(Safe)
Oregano(Low Risk)
Ginger(Safe)
Cranberry(Safe)
Echinacea(Low Risk)
Dong Quai(Low Risk)
Aloe(Low Risk)
Rhubarb(Low Risk)
Coriander(Safe)
Calendula(Safe)
Ginkgo(Low Risk)
Licorice(Unsafe)
Sage(Low Risk)
Caraway(Safe)
Cumin(Safe)
Hops(Low Risk)
Castor(Unsafe)
Chamomile(Safe)
Lecithin(Safe)
Fenugreek(Safe)
Lavender(Low Risk)
Basil(Unsafe)
Chasteberry(Unsafe)
Nutmeg(Low Risk)
Garlic(Safe)
Oregano(Low Risk)
Ginger(Safe)
Cranberry(Safe)
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. We do not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.