Cardiac Support Breastfeeding
Most health expert recommend six month of exclusive breastfeeding but statics suggest that numbers are not good, almost 95% mothers start breastfeeding but this number drops to 40% in first three month and further it drops to 15% till fifth month. Sometime its due to need of medication usage. Because of these statics its important to provide good information on safety of drugs in breastfeeding so that it can be improved when possible. In this FAQ sheet we will discuss about exposure to Cardiac Support while breastfeeding. We will also discuss about common side effects and warnings associated with Cardiac Support.

What is Cardiac Support used for?


PRODUCT NAME & INDICATIONS SECTION CARDIAC SUPPORT Formulated for symptoms associated with arteriosclerosis, tachycardia, arrhythmias, palpitations and other heart-related conditions.

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

Cardiac Support safe while breastfeeding
FDA does not regulate Cardiac Support. There is no credible study done on safety of Cardiac Support while breastfeeding, Same holds truth for almost all homeopathic medicines however homeopathic medicines go through a process called potentisation. In potentisation homeopathic preparation goes through repeated dilution and shaking. Homeopaths state that repeated dilution and shaking helps the body to heal naturally. Due to extreme dilution of active ingredients homeopathic medicines are mostly safe in breastfeeding, Hence we can consider Cardiac Support as safe to use while breastfeeding.. Below we have provided analysis of its active ingredients. Safety rating of ingredients holds truth for herbal product but may not apply for homeopathic diluted drugs.

Cardiac Support Breastfeeding Analsys


Aconitum napellus while Breastfeeding

Safe

The flowers and roots and leaves of this herbaceous plant are used. It contains sesquiterpene lactones, essential oil, flavonoids and traces of pyrrolizidine alkaloids. Topical use on whole skin. Indications in traditional medicine without evidence of its effectiveness: topical anti-inflammatory in bruises, sprains and localized muscle pain (EMA 2014). Do not apply to damaged skin It is very toxic orally (Anderson 2017), having described gastroenteritis, cardiac arrhythmia, neurological problems and death (WHO 2007 p.77, nal 2001) in people who took it and a case of severe hemolytic anemia in 9-day-old newborn whose mother was taking arnica infusion (Miller 2009). At the date of the last update, we did not find published data on its excretion in breast milk. The small dose and poor plasma absorption of most topical dermatological preparations make it unlikely that a significant amount will pass into breast milk. Do not apply on the breast so that the infant does not ingest it, or in large areas or for prolonged periods to avoid systemic absorption. Hands should be washed after applying arnica to avoid possible contact with the infants mouth.

Arsenic trioxide while Breastfeeding

Dangerous

Used in the treatment of promyelocitic leukemia in adults.

Gold while Breastfeeding

Low Risk

CAS Number: 7440-57-5

One case of facial edema that was barely related to this drug has been described. It has an extremely long half-life span.

Benzoic acid while Breastfeeding

Safe

CAS Number: 65-85-0

Anti-fungal and wound healing agent for topical use. Do not apply it on the nipple or areola.

Berberis vulgaris root bark while Breastfeeding

Dangerous

CAS Number: 84649-92-3

Roots and bark are used. It contains Berberine that may be a cause of gastritis, nephritis, phototoxicity and severe jaundice by displacement of albumin -linked bilirubin: higher risk of kernicterus to newborns, which is greater in cases of 6-Glucose-PD deficiency. It is popularly widely used, however, its effectiveness has not been shown. Use not approved by the Commission E of German Ministry of Health. It should be avoided.

Bryonia alba root while Breastfeeding

Low Risk

Climbing plant. The female inflorescences or flower tips are used.It contains phloroglucinols, estrogenic, quercetin, kaempferol, tannins, phenolic acids essential oil and flavonoids. One of its components, 8-prenylnaringenin (8-PN) is the most powerful phytoestrogen known. Properties that are attributed: hypnotic, sedative, orexigenic.It is used as a flavoring and stabilizer of the beer.Indications German Commission E Ministry of Health, EMA and ESCOP: insomnia, nervousness, anxiety There is no scientific evidence showing an improvement in milk production.A possible estrogenic effect may be a decrease in milk production.The best galactogogue is a frequent and on-demand breastfeeding along with proper technique. During breastfeeding its consumption should be moderate or occasional.

Calcium fluoride while Breastfeeding

Safe

Various calcium salts (Acetate, Carbonate, Chloride, Citrate, Phosphate, Gluceptate, Glucobionato, Lactate, Laxctobionato Pidolate, Silicate) are used in the management of hypocalcemia, supplements for treating calcium deficiency states and antacids ( Carbonate and Silicate) Daily requirement of calcium during lactation are 1 g (1.3 g in children under 20 years).Calcium supplements in the diet does not affect the concentration of calcium in milk.Excessive intake of calcium is not good for health. During lactation, consumption of calcium should not exceed 2.5 g a day. WHO List of Essential Medicines 2002 states that it is compatible with breastfeeding.

Nitroglycerin while Breastfeeding

Safe

CAS Number: 55-63-0

Vasodilator used to treat cardiac disorders like ischemia and mainly anal fissures.It is also used during pregnancy as a tocolytic drug in cases of threatened preterm labor and eclampsia.It has been used to treat heart disorders in babies and children. Even to treat anal fissures in children under 1 year, and noteworthy, in ischemic issues on premature infants without side effects.It is administered intravenously, orally, sublingually, on skin patches, ointment ... Because of a moderately-high volume of distribution and very fast metabolism (Tmax and t1 / 2 minutes) it is highly unlikely the passage of significant amounts to the breast milk, especially when applied topically. This explains why it has not been observed any troubles in 40 infants whose mothers with anal fissures were treated with nitroglycerin ointment application even for periods of 12 months. Mothers have complained of headaches that commonly occur with the use of various vasodilators drugs. The amount of nitrate / nitrite in this type of vasodilator drugs is of few milligrams, therefore, toxicity associated to nitrates such as methemoglobinemia in breastfed infants from treated mothers has not been reported (The dose of nitrite is Rectogesic 1.5 mg / 12 hours).

Potassium iodide while Breastfeeding

Safe

CAS Number: 7447-40-7

Human milk has a potassium concentration of 13 meq/L, almost a half of rehydration solution content and a quarter of maximal IV recommended dose. Potassium supplementation does not alter milk concentration without increasing mother’s serum concentration, which is strictly limited from 3,5 to 5,5 meq/L.

Strychnos nux-vomica seed while Breastfeeding

Dangerous

CAS Number: 8046-97-7

Dried seed of this plant has been used. It contains brucine and strychnine. It is highly toxic and easily lethal.

Echinacea, unspecified while Breastfeeding

Low Risk

CAS Number: 84696-11-7

Plant that is widely used even during pregnancy and breastfeeding. Because a lack of toxicity with an appropriate dose and moderate consumption it should be compatible with breastfeeding. The roots and aerial summits are used. It contains polysaccharides, essential oil, flavonoids, pyrrolizidine alkaloids among others. Unproven effects: immune stimulant, wound healing, anti-inflammatory. Indications are: common cold, bronchitis, skin lesions.Roots and aerial summits are used. It contains polysaccharides, essential oil, flavonoids, pyrrolizidine alkaloids ... Unproven effects: immune stimulant, wound healing, anti-inflammatory. Indications according to Commission E of German Ministry of Health: common cold, bronchitis, skin lesions. Contrary to the European Scientific Cooperative on Phytotherapy (ESCOP), the European Medication Agency does not recommend usage in younger than 12 years (allergy risk). Avoid using for longer than 8 weeks (risk for leukopenia)

Hypericum perforatum while Breastfeeding

Safe

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.

Valerian while Breastfeeding

Low Risk

CAS Number: 8057-49-6

At last update significant data on breastfeeding were not found. A commonly used herb in many cultures and countries, even during pregnancy and breastfeeding with very few reported side-effects. Whenever not abused it has a low toxicity. Moderate use is considered to be compatible with breastfeeding, however because of the possibility of sedative effect in infants should better be avoided in cases of prematurity and in the neonatal period. Be aware of sedative effects in the infant. Roots, rhizomes and stolons of the plant are used. It contains iridoids, valepotriates, steroids, essential oils, GABA and tannins. Unproven beneficial effects in adults: sedative, hypnotic, anti-spasmodic. Indication after Commission E of German Ministry of Health: insomnia, nervousness, anxiety. Maximal daily dose: 9 g (2 g of dried extract)

Cinchona officinalis bark while Breastfeeding

Safe

Cinchona alkaloid used in the prophylaxis and treatment of malaria (Pérez 2009). Administered orally or intravenously. It is excreted in breast milk in clinically insignificant amounts (Mathew 2004, Phillips 1986, Terwilliger 1934), much lower than the dose used in newborns and infants (Fulton 1992).No problems have been observed in infants whose mothers were taking it (FDA 2008, Terwilliger 1934). Its use is authorized in infants and children.Avoid in cases of glucose-6-phosphate dehydrogenase deficiency (Mathew 2004, WHO/UNICEF 2002, Fulton 1992). American Academy of Pediatrics: medication usually compatible with breastfeeding (AAP 2001). WHO list of essential medicines: compatible with breastfeeding (WHO / UNICEF, 2002).


Cardiac Support Breastfeeding Analsys - 2


Arsenic trioxide while Breastfeeding

CAS Number: 1327-53-3

Most sources consider breastfeeding to be contraindicated during maternal antineoplastic drug therapy. It might be possible to breastfeed safely during intermittent therapy with an appropriate period of breastfeeding abstinence; the manufacturer recommends an abstinence period of 1 week after the last dose. Chemotherapy may adversely affect the normal microbiome and chemical makeup of breastmilk.[1] Women who receive chemotherapy during pregnancy are more likely to have difficulty nursing their infant.[2]

Barium carbonate while Breastfeeding

CAS Number: 7727-43-7

Because barium sulfate is not absorbed after oral or rectal administration, it will not enter the milk, reach the bloodstream of the infant or cause any adverse effects in breastfed infants. No special precautions are required.

Nitroglycerin while Breastfeeding

CAS Number: 55-63-0

Topical use of nitroglycerin for anal fissures by nursing mothers appears to have no adverse effects on their breastfed infants. Topical use on the nipples has been used for alleviation of Raynaud phenomenon of the nipples, but only after cessation of breastfeeding.[1] Nitroglycerin should not be used topically on the nipples during breastfeeding. Sublingual and intravenous nitroglycerin have not been studied during breastfeeding. Observe infants for flushing and discomfort after breastfeeding.

Pulsatilla vulgaris while Breastfeeding



Pulsatilla (Anemone pulsatilla and other related species) contains ranunculin, protoanemonin, and anemonin as well as triterpene saponins and flavonoids. The fresh plant is extremely irritating to the skin, gastrointestinal tract and mucous membranes. Allergic reactions have been reported to pulsatilla. Homeopathic preparations of pulsatilla are reportedly used for sore nipples and mastitis,[1] to reduce an overabundant milk supply,[2] or to increase milk supply.[3] Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[4] No scientifically valid clinical trials support either of these uses. Because of a lack of information, other agents may be preferred in nursing mothers. 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

Echinacea, unspecified while Breastfeeding

CAS Number: 84696-11-7; 90028-20

Echinacea species (Echinacea angustifolia, Echinacea purpurea, Echinacea pallida) contain high molecular weight polysaccharides (e.g., heteroxylan, arabinogalactan) and lower molecular weight compounds (e.g., alkylamides, caffeoyl conjugates such as cichoric acid and echinacosides), but no single chemical is known to be responsible for echinacea's biological activity. Some products have been standardized based on echinacoside, and others on cichoric acid. Echinacea has no specific uses during breastfeeding, but is commonly used orally to treat or prevent upper respiratory infections. It is also used topically to treat skin infections. Excretion of some of the purportedly active alkamides was found in breastmilk in one mother. No data exist on the safety and efficacy of echinacea in nursing mothers or infants. In general, echinacea is well tolerated with gastrointestinal upset, diarrhea and constipation, skin rash and rarely allergic reactions reported. It may also alter the metabolism of some dugs metabolized by the P450 enzyme system. Some sources indicate that echinacea is safe in recommended doses,[1] while others recommend avoiding it during breastfeeding because of the lack of published safety data. 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.

Valerian while Breastfeeding

CAS Number: 8008-88-6; 8057-49-6

Valerian (Valeriana officinalis) root contains mono- and sesquiterpenes, and iridoid triesters (valepotriates). Preparations are sometimes standardized on valerenic acid content. Valerian has no specific uses in nursing mothers, but is most commonly used to treat anxiety and sleep disturbances, and occasionally for self-treatment of postpartum blues or depression.[1][2] No data exist on the safety and efficacy of valerian in nursing mothers or infants. In general, valerian is well tolerated, with side effects such as dizziness, hangover or headache reported occasionally. Valerian is "generally recognized as safe" (GRAS) for use in food by the U.S. Food and Drug Administration. Valerian is often not recommended during lactation because of the theoretical concerns over its valepotriates and baldrinals which have been shown to be cytotoxic and mutagenic in vitro. Because there is no published experience with valerian during breastfeeding, an alternate therapy may be preferred, especially while nursing a newborn or preterm infant. 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.

Cinchona officinalis bark while Breastfeeding

CAS Number: 130-95-0

Because of the low levels of quinine in breastmilk, amounts ingested by the infant are small and would not be expected to cause any adverse effects in breastfed infants. The dosage in milk is far below those required to treat an infant for malaria.[1] However, quinine should not be used in mothers with an infant who is glucose-6-phosphate dehydrogenase (G6PD) deficient.[2] Even the relatively small amounts of quinine in tonic water ingested by the mother have caused hemolysis in G6PD-deficient infants.


Cardiac Support Breastfeeding Analsys - 3


Calcium fluoride and Breastfeeding

Safe

Natural version of fluoride is called calcium fluoride and is usually found in soil. With any sort of spring or natural source of water there will always be trace amounts of calcium fluoride. Of course, like anything else consumed in extreme excess, this type of fluoride does have the potential to cause health problems.


Gelsemium sempervirens root and Breastfeeding

Unsafe

All parts of the false jasmine usually contain toxic alkaloids. Eating just one flower has reportedly been lethal to children. The plant can also cause skin allergies in some people and it is possible that the plant toxins can be absorbed through the skin, especially if there are cuts. Its not recommended to use false jasmine while breastfeeding. It is acceptable in homeopathic preparation.


Phosphorus and Breastfeeding

Safe

Next to calcium, phosphorus is the most abundant mineral in the body, making up about 1% of total body weight. Calcium, which gives strength to bones and teeth, needs to be combined with another mineral, such as phosphorous, to become stabilized before it can be effective.

Phosphorus also helps to release energy from food as it plays an important role in the metabolism of carbohydrate, fat and protein. Phosphorus is naturally found in many food sources and phosphorus supplementation while breastfeeding is mostly safe.

You can easily get all the phosphorus you need from a well-balanced diet (even though most prenatal vitamins dont contain phosphorus). For example, 2 cup of yogurt provides nearly all your phosphorus for the day.

Warning: Consuming high doses of phosphorus for a short time can cause diarrhea or stomach pain. The long term over-consumption of foods high in phosphorus can deplete calcium resources and lead to reduced bone mass, which means that bones are more likely to fracture.

Pulsatilla vulgaris and Breastfeeding

Low Risk

Note: Mostly safe in Homeopathic preparations


Toxicodendron pubescens leaf and Breastfeeding

Safe

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.



What should I do if already breastfed my kid after using Cardiac Support?

Due to high dilution of ingredients in homeopathic medicines they do not create much problem for baby. Cardiac Support is a homeopathic medicine and if your baby does not have any abnormal symptoms then there is nothing to worry about. Be careful with too much usage of ethanol based homeopathic medicines during breastfeeding.


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

Homeopathic medicines are usually safe in breastfeeding and if Cardiac Support has been recommended by doctor then there should be no concern about its usage in breastfeeding.


If I am using Cardiac Support, will my baby need extra monitoring?

Not exactly.


Who can I talk to if I have questions about usage of Cardiac Support in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week