Is Vancomycin Safe in Breastfeeding

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

Antibacterial glycopeptide drug. A high molecular weight its a reason to be excreted in clinically non-significant amount into breast milk, much lower than the dose commonly used for infection in newborns and infants.Its low oral bioavailability hinders the passage toward infant’s plasma from ingested mother’s milk, except in preterm infants and immediate neonatal period, in which the infant may have an increased intestinal permeability. Take into account the possibility of negative results of bacterial cultures from febrile infants when their mothers are receiving antibiotics.

Limited information indicates that vancomycin produces low levels in milk and because vancomycin is poorly absorbed orally, it is not likely to reach the bloodstream of the infant or cause any adverse effects in breastfed infants. No special precautions are required.