Question

I am a breastfeeding mother and i want to know if it is safe to use S 4? Is S 4 safe for nursing mother and child? Does S 4 extracts into breast milk? Does S 4 has any long term or short term side effects on infants? Can S 4 influence milk supply or can S 4 decrease milk supply in lactating mothers?

S 4 lactation summary

S 4 is unsafe in breastfeeding
  • DrLact safety Score for S 4 is 5 out of 8 which is considered Unsafe as per our analyses.
  • A safety Score of 5 indicates that usage of S 4 may cause serious side effects in breastfed baby.
  • Our study of different scientific research indicates that S 4 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 S 4 .
  • It is recommended to evaluate the advantage of not breastfeeding while using S 4 Vs not using S 4 And continue breastfeeding.
  • While using S 4 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 S 4 usage in lactation

We are working on a comment for this product.

Answer by DrLact: About S 4 usage in lactation

Both the hippurate and mandelate salts of S 4 pass into milk in small quantities and appear acceptable to use, even while nursing a newborn.

S 4 Side Effects in Breastfeeding

Four newborn infants were allowed to breastfeed in one study after a maternal dose of 1 gram of S 4 hippurate. No adverse effects were reported.[1]

Alternate Drugs

Methenamine(Unsafe)
Nalidixic Acid(Low Risk)
Doxycycline(Low Risk)
Nafcillin(Safe)
Amikacin(Safe)
Moxifloxacin(Low Risk)
Capreomycin(Low Risk)
Demeclocycline(Low Risk)
Ertapenem(Safe)
Cefixime(Safe)
Methicillin(Low Risk)
Cefepime(Safe)
Methenamine(Unsafe)
Cefdinir(Safe)
Iodine(Unsafe)
Cefazolin(Safe)
Mupirocin(Safe)
Cefaclor(Safe)
Erythromycin(Low Risk)
Lomefloxacin(Low Risk)
Ofloxacin(Safe)
Clindamycin(Low Risk)
Levofloxacin(Low Risk)
Kanamycin(Safe)
Cefprozil(Safe)
Aztreonam(Safe)
Neomycin(Safe)
Gatifloxacin(Low Risk)
Nalidixic Acid(Low Risk)
Cefoxitin(Safe)
Enoxacin(Low Risk)
Cefotetan(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.