Stress - Panic 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 Stress - Panic while breastfeeding. We will also discuss about common side effects and warnings associated with Stress - Panic.

What is Stress - Panic used for?


SECTION Stress - Panic Formulated for symptoms associated with stress and panic such as shock, anxiety, tension, fear or nervousness.

Purpose: OTC - PURPOSE SECTION Formulated for symptoms associated with stress and panic such as shock, anxiety, tension, fear or nervousness.

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

Stress - Panic safe while breastfeeding
FDA does not regulate Stress - Panic. There is no credible study done on safety of Stress - Panic 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 Stress - Panic 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.

Stress - Panic 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.

Arnica montana while Breastfeeding

Safe

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.

Arsenic cation (3+) while Breastfeeding

Dangerous

Used in the treatment of promyelocitic leukemia in adults.

Atropa belladonna while Breastfeeding

Unsafe

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.

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.

Calendula officinalis flowering top while Breastfeeding

Safe

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.

Matricaria recutita while Breastfeeding

Safe

CAS Number: 520-36-5

It is a widely used plant even in infants. Because of lack of toxicity, a moderate use is considered to be safe. If topically used, do not apply it on the nipple because risk of contact dermatitis has been reported. There are two different species with similar properties: 1) Common or Sweet Chamomile (Matricaria recutita or Chamomilla recutita). 2) Roman, English or Bitter Chamomile (Anthemis nobilis o Chamaemelum nobile). Inflorescence of the herb is used. Contains Essential Oil, Flavonoids, Lactones and Tannins. Unproven properties are: Anti-spasmodic. Digestive, Anti-inflammatory, Sedative.

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.

Strychnos ignatii 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.

Passiflora incarnata flowering top while Breastfeeding

Low Risk

CAS Number: 8057-62-3

At latest update, relevant information on excretion into breast milk was not found. Aerial summits of this climbing plant are used. Constituents are: flavonoids, pyranics, heterosides, alkaloids. Attributed effects with only weak scientific evidence on effectiveness are: sedative, hypnotic, anti-spasmodic. Because of paucity of data on toxicity, recommendations done are to use it at low doses for short term periods. The European Medicines Agency does not authorize its use for children younger than 12 years old , pregnancy and breastfeeding. When used while breastfeeding, it is recommended to use it at low dose for a short-term period. Following-up the infant for sedation is recommended.

Lactic acid, l- while Breastfeeding

Safe

CAS Number: 50-21-5

A natural product found in milk that may increase their concentration after exercise which is not harmful to the infant. At latest update published were not found data on excretion in breast milk.Because the small dose used and poor absorption to the plasma of most topical dermatological or vaginal preparations, make it unlikely the pass of a significant amount into breast milk. Do not apply on the nipple or areola.

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)


Stress - Panic Breastfeeding Analsys - 2


Arsenic cation (3+) 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]

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.

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.

Matricaria recutita while Breastfeeding

CAS Number: 8002-66-2

Two different plant species with similar effects are known as chamomile: German chamomile (Matricaria recutita) and Roman chamomile (Chamaemelum nobile). Both contain similar ingredients, including sesquiterpenes (e.g., bisabolol, farnesene), sesquiterpenelactones (e.g., chamazulene, matricin), flavonoids (e.g., apigenin, luteolin), and volatile oils. Chamomile is used orally as a sedative and for gastrointestinal conditions; it is used topically for wound healing. Both herbal and homeopathic preparations have been used to treat mastitis and cracked, bleeding nipples.[1] Chamomile has been used as a galactogogue;[2][3] however, no scientifically valid clinical trials support this use. Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production.[4] Chamomile is "generally recognized as safe" (GRAS) for use in food by the U.S. Food and Drug Administration as a spice, seasoning, or flavoring agent. No data exist on the safety of chamomile in nursing mothers or infants, although rare sensitization may occur (see below).[5] It has been safely and effectively used alone and with other herbs in infants for the treatment of colic, diarrhea, and other conditions,[6][7][8][9] so the smaller amounts expected (but not demonstrated) in breastmilk are likely not to be harmful with usual maternal doses. Note Clostridium botulinum (botulism) spores have been found in some loose-leaf chamomile teas sold in health food stores. Topical chamomile is a known sensitizing agent, even with homeopathic products.[10] Two women developed contact dermatitis of the nipples and areolas after applying Kamillosan ointment for cracked nipples. The product was purchased in England and contained 10.5% Roman chamomile extracts and oil. Reactions were confirmed to be caused by Roman chamomile by patch testing in both women. Drinking chamomile tea can exacerbate topical skin rashes and has caused anaphylaxis in sensitized individuals.[11] Chamomile has possible cross-reactivity with other members of the aster family (e.g., echinacea, feverfew, and milk thistle).[5] 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.

Sulfur while Breastfeeding

CAS Number: 7704-34-9

Sulfur 5% to 10% in a petrolatum base is safe for topical use in children, including infants under 2 months of age.[1] This makes it a useful alternative to organic insecticides for treating scabies in nursing mothers; however, the petrolatum base makes undesirable for use on the breast.

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.


Stress - Panic Breastfeeding Analsys - 3


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.

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.


Sulfur and Breastfeeding

Safe

Note: Study and data for tropical use only

Warning: Tropical usage in breast area shall be avoided to prevent the Thuja passing orally in Infants.


What should I do if already breastfed my kid after using Stress - Panic?

Due to high dilution of ingredients in homeopathic medicines they do not create much problem for baby. Stress - Panic 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 Stress - Panic, is it safe?

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


If I am using Stress - Panic, will my baby need extra monitoring?

Not exactly.


Who can I talk to if I have questions about usage of Stress - Panic 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