Is Cefotaximum Safe in Breastfeeding

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

Third-generation cephalosporin for injection or parenteral administration. Like most cephalosporins for which data are available, excretion occurs in breast milk in very small or undetectable amount and it is clinically insignificant (Kafetzis 1980-1981, Takase 1982, Cho 1982, Yasuda 1982, Matsuda 1984). Cephalosporins are widely used in the Pediatric practice with a good tolerance, even in the neonatal period, so it is very unlikely that in small amounts through milk would be a cause of problems in the infant. Be aware of the possibility of false negative results of cultures in febrile infants whose mothers are taking antibiotics as well as the possibility of gastroenteritis (Ito 1993) by altering the intestinal flora. Tne American Academy of Pediatrics classifies it as a medication usually compatible with breastfeeding.

Limited information indicates that Cefotaximum produces low levels in milk that are not expected to cause adverse effects in breastfed infants. Occasionally disruption of the infant's gastrointestinal flora, resulting in diarrhea or thrush have been reported with cephalosporins, but these effects have not been adequately evaluated. Cefotaximum is acceptable in nursing mothers.