Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream while Breastfeeding

What is Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream ?

Is using Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream safe or dangerous while breastfeeding?

Benzocaine while Breastfeeding

CAS Number: 94-09-7

At latest update, relevant published data on excretion into breast milk were not found. Topical anesthetics (intended for dermatological or oral use) when properly used, show limited systemic absorption which is practically nil, with nil or non-significant systemic levels in the plasma and breast milk. Benzocaine may induce appearance of methemoglobinemia and systemic toxicity if absorbed. Avoid use on the breast, otherwise, in case of use on the nipple, let it be done after a feed and wipe it out by thoroughly washing with water before the next feed. Do not apply creams, gels and other products that would contain paraffin (mineral oil) to avoid absorption by the infant since it is a hydrocarbon-derived substance.

Menthol while Breastfeeding

Herb which is widely used by many cultures. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Since it is non toxic at appropriate dose and a tiny excretion into breast milk of active metabolite Menthol, a moderate consumption is believed compatible while breastfeeding. Dessicated leaves and essential oil of the plant that contains Menthol are used. Properties that have been demonstrated and approved indications are: as spasmolytic for Dyspepsia, Irritable Colon and flatulence. It has been used for the treatment of cracked nipple with best results than placebo or Lanolin. Although with no proven effectiveness, it is traditionally used for cough relief, common cold, pain or itching by local application or inhalation. Overdosing of essential oil may be harmful. Do not expose infants to inhalation of products that contain Menthol (irritation of the air way) In case of use on the nipple, do it after feeding the baby and cleanse thoroughly the surface before the next one.

Zinc cation while Breastfeeding

CAS Number: 7646-85-7

Zinc (Zn) is an essential element for nutrition. It is present in many foods.Recommended daily allowance of Zn is 8 to 15 mg. (Moran Hall 2010). Millions of people worldwide are Zn-deficient.It is used as a treatment for Wilson's disease and Acrodermatitis Enteropathica. Zn is involved in the regulation process of lactation (Lee 2016).Pasteurization of the milk does not affect the concentration of Zn and other trace elements (Mohd Taufek-2016). The average concentration of Zn in breastmilk is 4 to 16 mg / L (Picciano 1976, Hannan 2005, Dórea 2012) which is independent of plasma levels and maternal daily intake (Krebs 1995, Chierici 1999, Hannan 2009).Intestinal absorption of zinc is almost doubled during pregnancy and lactation (Fung 1997).Zinc levels in the infant are dependent on Zinc levels in the breast milk (Dumrongwongsiri 2015)With a varied and balanced diet, an extra intake of minerals is not needed. Excessive intake of Zinc may cause gastrointestinal problems and Pancytopenia (Irving 2003).

Benzocaine while Breastfeeding

CAS Number: 94-09-7

Topical benzocaine has not been studied during breastfeeding, but is unlikely to affect her breastfed infant if it is applied away from the breast. Benzocaine should not be applied to the breast or nipple, because the infant may ingest the drug during nursing and it has been associated with severe methemoglobinemia.

Menthol while Breastfeeding

Peppermint (Mentha x piperita) contains menthol, menthone, menthyl acetate as major ingredients. Minor ingredients include 1,8-cineole, pulegone, bitter substances, caffeic acid, flavonoids, and tannins. Peppermint is a purported galactogogue; however, no scientifically valid clinical trials support this use.[1] Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[2] Topical peppermint gel and solutions have been studied for the prevention of pain and cracked nipples and areolas in nursing women. The peppermint preparations were more effective than placebo and expressed breastmilk, and about as effective as lanolin,[3][4][5][6] although a meta-analysis concluded that application of nothing or breastmilk may be superior to lanolin, but good studies are lacking.[7] Menthol is excreted into breastmilk in small quantities; the excretion of other components have not been studied. Peppermint is "generally recognized as safe" (GRAS) as a food by the U.S. Food and Drug Administration. Large doses can cause heartburn, nausea and vomiting. Allergic reactions, including headache, have been reported to menthol. If peppermint is used on the nipples, it should be used after nursing and wiped off before the next nursing. 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.

What should I do if I am breastfeeding mother and I am already exposed to Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream?

My doctor has prescribed me Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream, what should I do?

If I am using Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Benzocaine, Menthol, Zinc Chloride | Orajel Instant Pain Relief Severe Cream in breastfeeding?