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.
CAS Number: 8012-95-1
Mineral oil, paraffin or petroleum jelly is a saturated hydrocarbon derived from petroleum. The length of molecular chain may range from 15 to 40 carbons with a molecular weight between 200 and 600 daltons.It is used as a laxative, also in cosmetics, as emollient and as excipient in topical products for the skin. LAXATIVE: Mineral oils with more than 34 carbons (480 daltons) are not absorbed, or, only have minimal absorption through the intestine being this a reason for which those are that should be used on humans (Hagemann 1998). Infant daily intake should be nil or less than 4 mg / kg. For oils with less than 25 carbons daily intake should not exceed 0.2 mg / kg.When used as a laxative it has been suggested, (Mahadevan 2006), although weakly evidence based, that it may interfere with the absorption of liposoluble vitamins (Gattuso 1994).Infants whose mothers received this treatment did not suffer any change on their usual bowel movements (Baldwin 1963). COSMETICS as lotions and creams (body, hands or breast) and lipsticks are a source to accumulation of saturated hydrocarbons in body fat tissue (Concin 2011). Paraffin-containing breast creams significantly increase paraffin concentration in breastmilk (Noti 2003, Concin 2008) which is a reason to be avoided as they may increase the infant's daily intake to 40 mg / kg (Noti 2003). During breastfeeding it should be wise to avoid the use of paraffin-containing creams and/or having them restricted to a minimum, not to apply them on the breast or only at least as possible when they are part of the excipient of an important topical treatment provided residual traces are been thoroughly removed before the next feeding at the breast. The use of mineral oil as a laxative should be replaced by other less risky product. Local injection of paraffin for allegedly aesthetic purposes (breast augmentation or others) is a common practice in Eastern and Southeastern Asia, has often serious complications (Alagaratnam 1996, Zekri 1996, Ho 2001, Markopoulos 2006) which is a practice pending of eradication (Di Benedetto 2002). Although published data on it is lacking, it is presumed that paraffin concentrations in breastmilk would be greatly increased in these cases.
CAS Number: 76-22-2
Substance which can be extracted under distillation from the Camphor tree bark. Nowadays it is synthesized from the Turpentine. Used with creams and lotions as local anti-inflammatory agent. There is no proof of effectiveness as decongestant or expectorant when used in inhaled preparations, but as a toxic agent. Camphor is a highly lipophilic substance which is well absorbed by whatever via of administration (skin, inhalation, mouth) that crosses easily the cell membrane. Pharmacokinetic data support the likelihood of excretion into breast milk in a significant amount. Camphor has been shown to be toxic at low dose on infants in whom it may cause headache, vomiting, seizures and coma. It should never be administered by mouth. It is not appropriate its use during breastfeeding, and, in whatever case, it should not be applied on the mother's breast, since severe intoxications be occurred in infants after use of small ingested amounts. Be aware of not using it in the nostrils.
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. Galactogogues should never replace evaluation and counseling on modifiable factors that affect milk production. 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, although a meta-analysis concluded that application of nothing or breastmilk may be superior to lanolin, but good studies are lacking. 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.
Not much study has been done on safety of Maximum Strength Cold Sore Treatment Gel in breastfeeding and its ingredients. Even we do not have complete information about usage of Maximum Strength Cold Sore Treatment Gel in breastfeeding so at this point a trained medical professional could be your best bet. If you observe anything abnormal with your baby please contact 911.
If your doctor considers Maximum Strength Cold Sore Treatment Gel safe enough to prescribe for you that means its benefits should outweigh its known risks for you.
We are not Sure, Please check with your healthcare provider or doctor.
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday
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
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week