Question

I am a breastfeeding mother and i want to know if it is safe to use Sodium 18F-fluoride? Is Sodium 18F-fluoride safe for nursing mother and child? Does Sodium 18F-fluoride extracts into breast milk? Does Sodium 18F-fluoride has any long term or short term side effects on infants? Can Sodium 18F-fluoride influence milk supply or can Sodium 18F-fluoride decrease milk supply in lactating mothers?

Answer by DrLact: About Sodium 18F-fluoride usage in lactation

Information in this record refers to the use of Sodium 18F-fluoride as a diagnostic agent. The manufacturer recommends withholding breastfeeding for 24 hours after a diagnostic dose of 300-450 MBq (8 to 12 mCi); however, this time might be longer than necessary given the minimal amount of fluoride that appears in breastmilk. Twenty-four hours is about 10 half-lives of fluoride F 18 and less than 0.01% of the radioactivity administered will remain in the body. The mother can nurse just before administration of the radiopharmaceutical. If the mother has expressed and saved milk prior to the examination, she can feed it to the infant during the period of nursing interruption.[1][2][3] Mothers concerned about the level of radioactivity in their milk could ask to have it tested at a nuclear medicine facility at their hospital. When the radioactivity is at background levels they may safely resume breastfeeding. A method for measuring milk radioactivity and determining the time when a mother can safely resume breastfeeding has been published.[4]

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