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

Answer by DrLact: About Bismuth Subsalicylate usage in lactation

Because of the possibility of absorption of salicylate from the breastmilk by the infant, alternatives are preferred.[1]

Bismuth Subsalicylate Side Effects in Breastfeeding

One case report of metabolic acidosis was caused by salicylate in a 16-day old breastfed infant whose mother was taking aspirin 650 mg every 4 hours for arthritis.[3] However, there was no measurement of salicylate in maternal serum or milk and it is unclear whether the infant had received any salicylate directly.
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