Injury Composition while Breastfeeding

What is Injury Composition used for?

Is Injury Composition usage safe while breastfeeding? If a lactating mother is using it can there be any effect on growth or development of infant?

Calendula officinalis flowering top while Breastfeeding

CAS Number: 977001-93-6

The inflorescences of this plant originating in Europe are used.It contains polysaccharides, flavonoids, saponins… Attributed properties which do not have sufficient clinical evidence to support them: healing agent, antiseptic, anti-inflammatory (local, dermatological). There is no evidence of its efficacy when taken orally to treat gastrointestinal disorders. Indications from the Commission E of the German Ministry of Health and the EMA: topical treatment of minor skin inflammations, ulcers and burns. Since the last update we have not found any published data on its excretion in breast milk. A plant devoid of toxicity. Oral use during breastfeeding is not advised (EMA 2008, Amir 2011).The small dose and poor plasma uptake of most topical dermatological preparations make it very unlikely that significant amounts will pass into breast milk. There is no evidence of its effectiveness in treating nipple cracking or inflammation. If applied to the breast, do so after breastfeeding and clean before the next feed.

Arnica montana while Breastfeeding

CAS Number: 977000-27-3

Se utilizan las flores y también raíces y hojas de esta planta herbácea.Contiene lactonas sesquiterpénicas, aceite esencial, flavonoides y trazas de alcaloides pirrolizidínicos.Uso tópico sobre piel íntegra.Indicaciones en medicina tradicional sin pruebas de su eficacia: antiinflamatorio tópico en contusiones, esguinces y dolores musculares localizados (EMA 2014). No aplicar sobre piel dañada.Es muy tóxica por vía oral (Anderson 2017) habiéndose descrito gastroenteritis, arritmia cardiaca problemas neurológicos y muerte (WHO 2007 p.77, n.a.l. 2001) en personas que la tomaron y un caso de anemia hemolitica grave en un recién nacido de 9 días cuya madre tomaba infusión de arnica (Miller 2009). A fecha de última actualización no encontramos datos publicados sobre su excreción en leche materna. La pequeña dosis y la escasa absorción plasmática de la mayoría de preparaciones dermatológicas tópicas  hacen poco probable el paso de cantidad significativa a leche materna. No aplicar sobre el pecho para que el lactante no lo ingiera, ni en áreas extensas o por periodos prolongados para evitar absorción sistémica. Conviene lavarse las manos después de la aplicación de arnica para evitar un posible contacto con la boca del lactante.

Comfrey root while Breastfeeding

CAS Number: 84696-05-9

Roots and leaves are used. It contains allantoin, tannins, and pyrrolizidine alkaloids. Unproved effect: topical anti-inflammatory. Indications after Commission E of German Ministry of Health: contusion with undamaged skin. Do not apply on the breast. Pyrrolizidine alkaloids are highly hepatotoxic and poses an increased risk of liver carcinoma and cirrhosis to both the mother and the infant. Consider not to use it at all.

Atropa belladonna while Breastfeeding

CAS Number: 8007-93-0

In herbal medicine the leaves of this plant that contains numerous alkaloids are used: l-hyoscyamine and atropine, scopolamine or hyoscine and, all of them potentially high toxic.Traditionally used with poor clinical evidence based on trials as anti-asthmatic, for common colds and intestinal spasms. At latest update no published data on excretion into breast milk were found. With anticholinergic and antimuscarinic properties that may reduce milk production: if necessary take as low dose as possible and avoid long-term treatment if decreasing milk production is observed.Serious side effects (tachycardia, thirst, fever, mydriasis, seizures, coma), especially in infants and newborns (Caksen 2003 Laffargue 2011, Glatstein 2014, Rodríguez-González 2014).There have been cases of gangrene when applied to the chest (Wani 2011). Belladonna may be included in association with other “over the counter" medications of doubtful effectiveness or safety. Overall drug associations are not recommended. Cautions when taking herbal teas:1. Make sure it is obtained from a reliable source: reportedly, poisonings have occurred due to confusion after using another plant with toxic effects (Hsu 1995), some others contain heavy metals that may cause poisoning and others may cause food poisoning due to contamination with bacteria or fungi.2. Do not take it excessively. "Natural" products are not always good in any amount: plants contain active substances from which are made many compounds of our traditional pharmacopoeia that can cause poisoning if consumed in exaggerated quantities or for long periods.

Hamamelis virginiana root bark/stem bark while Breastfeeding

CAS Number: 68916-39-2

Leaves of the plant and sometimes bark also are used. It contains tannins, pro anthocyanidins and flavonic heterosides (quercitrin, isoquercitrin). Venous-tonic and anti-inflammatory properties have not been well established. The Commission E of the German Ministry of Health authorizes its use locally and by suppositories.

Hypericum perforatum while Breastfeeding

CAS Number: 68917-49-7

Herb commonly used from ancient times. Firm evidence is available on its effectiveness for treatment of depression, to the extent that it should be avoided a sudden stop of medication to prevent a rebound effect. It has been also topically used for the treatment of wounds, burns and eczema due to healing and antiseptical properties. Constituents are: Hypericin, Hyperforin and Quercetin. Antidepressant properties are attributed to Hypericin but mostly to Hyperforin. Quercetin is a flavonoid which is commonly found in many fruits and eatable vegetables. Hyperforin is excreted into breast milk in nil or clinically non-significant amount with not side-effects reported among breastfed infants from treated mothers, except for isolated and dubious cases of somnolence and colicky pain with spontaneous resolution with no medical intervention being required. Plasma levels in those infants were undetectable or close to the lower detectable point (0.1μg/L). Hypericin has not been detected in the breast milk. Quercetin levels found were as low as of few nanomols/L., and related to composition of fruits and vegetables of diet. It is most important to make sure that composition and amount of Hypericum contained in commercially available products is correct, do not take it without medical surveillance, avoid sudden stop and consider pharmacological interactions with many other medications.

Calendula officinalis flowering top while Breastfeeding

CAS Number: 84776-23-8; 70892-20

Calendula (Calendula officinalis) flowers contain triterpene glycosides and aglycones, carotenoids, and essential oils. Topical application of calendula products has been used to treat sore and cracked nipples during nursing, either in homeopathic or pharmacologic preparations,[1][2][3] although little high-quality evidence supports this use.[4] One uncontrolled case series found that a cream containing Mimosa tenuiflora and Calendula officinalis was useful for healing cracked nipples during breastfeeding;[5] however, the lack of a control group and the presence of another ingredient makes the evaluation of calendula's efficacy impossible. Oral calendula has no specific lactation-related uses and no information is available on the oral use of calendula during breastfeeding. Calendula is "generally recognized as safe" (GRAS) as a food by the U.S. Food and Drug Administration when used as a seasoning or flavoring. Allergic reactions, including cross-reactions to chrysanthemums, daisies and marigolds, occur rarely. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.

Comfrey root while Breastfeeding

CAS Number: 84696-05-9

Comfrey (Symphytum officinalis) herb and leaf contains allantoin and rosmarinic acid; comfrey also contains pyrrolizidine alkaloids. Comfrey preparations have been used topically for pain following episiotomy and cracked, painful nipples, either as aqueous preparations or in creams and ointments.[1][2][3][4][5][6][7] Scientific evidence of effectiveness for these indications is minimal. The pyrrolizidine alkaloids in comfrey can cause severe liver damage, liver cancer, mutagenicity, and even death.[8][9] For this reason, the U.S. Food and Drug Administration has banned the sale of oral comfrey products in the United States. Furthermore, most sources consider topical use of comfrey during breastfeeding to be contraindicated.[1][10][11] If it is used on the skin, it should only be applied to intact skin away from the breast on the smallest area of skin possible, and for a limited duration. It is particularly important to ensure that the infant not come into direct contact with the areas of skin that have been treated, because ingestion may cause severe liver damage. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.

Atropa belladonna while Breastfeeding

CAS Number: 8007-93-0

Belladonna (Atropa belladonna) contains anticholinergic alkaloids such as atropine and scopolamine. Belladonna has been used in the past for headache, airway obstruction, and irritable bowel syndrome among others, but its use has been supplanted by more specific and less toxic compounds. Long-term use of belladonna might reduce milk production by reducing serum prolactin.[1] Application of belladonna paste to the nipple to reduce milk secretion during lactation is an extremely old use.[2] However, it is still used this way in rural India for treating breast abscesses and may have contributed to cases of breast gangrene.[3] Because of the narrow therapeutic index and variable potency of plant-based (i.e., nonstandardized) belladonna, it should be avoided orally and topically during lactation. Homeopathic products are not likely to interfere with breastfeeding or cause toxicity. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information #about dietary supplements# is available elsewhere on the LactMed Web site.

Toxicodendron pubescens leaf and Breastfeeding

Poison ivy rash is caused by contact with poison ivy, a plant that grows almost everywhere in the United States. The sap of the poison ivy plant, also known as Toxicodendron radicans, contains oil called urushiol. This is the irritant that causes an allergic reaction and rash.

You dont even have to come in direct contact with the plant to have a reaction. The oil can linger on your gardening equipment, golf clubs, or even your shoes. Brushing against the plant — or anything thats touched it — can result in skin irritation, pain, and itching.

Poison ivy is not contagious. It cannot spread from person to person. It can, however, be spread in a few other scenarios. For example, a pet that encounters poison ivy leaves can carry the urushiol oil in its fur. When you touch the animal, you may pick up the oil and develop a rash. Clothing fibers can also spread poison ivys oil. If you touch poison ivy with a pair of pants or shirt and do not wash it after contact is made, you could develop another rash if you touch the clothing. You can also spread the oil to another person, if they come into contact with clothes that have touched poison ivy. A poison ivy rash cannot spread across your body either. If you come into contact with poison ivy that is burning, you may inhale plant compounds. This can lead to irritation in the lungs, airways, and eyes.

Poison ivy rash doesnt pose a serious risk to a pregnant woman or a developing baby. Your baby can get the rash only from touching something with the oil on it. And the liquid in the blisters doesnt contain urushiol, so the rash cant be spread by scratching or popping them. If you notice a new patch of rash on your baby a few days after the first one appears, its not because the rash has spread. If you have poison ivy it should not affect the milk and health of breastfed baby.

Homeopathic preparations of Poison ivy are used to treat pain, rheumatoid arthritis, menstrual period problems, swelling, and itchy skin disorders. Due to extreme dilution of poison ivy in homeopathic medicines its mostly safe in breastfeeding.

I am nursing mother and I have already used Injury Composition, what should I do?

I am nursing mother and my doctor has suggested me to use Injury Composition, is it safe?

If I am using Injury Composition, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Injury Composition in breastfeeding?