Lymph Care 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 Lymph Care while breastfeeding. We will also discuss about common side effects and warnings associated with Lymph Care.

What is Lymph Care used for?


Lymphatic repair, cleansing and immune boosting.

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

Lymph Care safe while breastfeeding
FDA does not regulate Lymph Care. There is no credible study done on safety of Lymph Care 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 Lymph Care 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.

Lymph Care Breastfeeding Analsys


Euphrasia stricta while Breastfeeding

Safe

CAS Number: 790302-50-0

Aerial summits are used. It contains galic tannins, phenol-carboxylic acids, flavonoids and iridoid heterosides. The Commission E of German Ministry of Health does not support the traditional use as anti-diarrhea and eye anti-inflammatory agent.

Juglans regia leaf while Breastfeeding

Safe

It contains tannins and naphthoquinones. The E Commission of German Public Health Ministry accepts topical use only. The common systemic use as an anti-diarrheal and anti-hemorrhoid remedy has not been proved to be effective.

Sarsaparilla while Breastfeeding

Low Risk

CAS Number: 90131-10-5

The roots of this shrub are used. It contains triterpene saponosides, essential oils, starch, choline, mineral salts (K), tannins and phytosterols. Properties traditionally attributed to it without any clinical evidence: diuretic, depurative, sudorific, antirheumatic.Commission E of the German Ministry of Health does not consider any of its indications to be proven and advises against its use (Blumenthal 1998 p.372). Since the last update we have not found published data about its excretion in breast milk. Although apparently lacking toxicity, there are very few publications on this plant and no proven health effects, making its consumption totally non-essential, especially during breastfeeding. Precautions when taking plant preparations: 1. Ensure that they are from a reliable source: poisoning has occurred due to confusing one plant with another with toxic properties, as well as poisoning from heavy metals extracted from the ground and food poisoning due to contamination with bacteria or fungi. 2. Do not take in large amounts; follow recommendations from professional experts in phytotherapy. "Natural" products are not always good in any quantity: plants contain active substances from which much of our traditional pharmacopoeia has been obtained and can result in poisoning or act as endocrine disruptors if taken in excessive amounts or time periods.

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.

Pinus sylvestris leafy twig while Breastfeeding

Unsafe

Gems, leaves, tender branches and bark are used. Leaves and gems contain trementine, essential oil and colophony. Bark contains flavonoids, anthocyanides, trementine and tannins. Commission E of German Ministry of Health has approved the use of essential oil and trementine for treatment of common cold and topical use on joints, muscles and neural pain. Trementine use is contraindicated while pregnancy, suckling and childhood. Bark extractor (Pycnogenol) which is traditionally used as blood vessel protector and anti-oxidative agent is not contraindicated during breastfeeding.

Iodide ion while Breastfeeding

Unsafe

CAS Number: 7553-56-2

Disinfectant that contains high amount (2-7%) of Iodine in solution with alcohol or water (Lugol's solution) Not absorbed through intact skin of adults. However, it may trespass the inflamed skin, wounds, mucosa surfaces like vagina, in which case can reach concentration in grams in the human serum (1 g = 1,000 milligrams = 1,000,000 micrograms). Normal daily allowance is considered to be as high as 100 to 150 micrograms that increases to 200 – 300 micrograms in pregnancy or nursing period. The latter means less than one third of a milligram. Iodine is concentrated into breast milk with a level that could reach 20 times higher than the concentration in the blood. It has been found higher levels of Iodine, altered results of neonatal screening test for thyroid function, and, transient hypothyroidism in infants whose mothers were exposed to Iodine Povidone. Use should be avoid in the Delivery Room, Operating Room (C-section), Neonatal Units, Toddler admision areas and during the breastfeeding period. Sporadic or inadvertent use, specially on normal skin, does not require special test or procedures because it does not pose higher risk to the child.

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)

Capsicum while Breastfeeding

Low Risk

CAS Number: 84625-29-6

Capsaicin is an oleoresin contained in ripe and dry fruits of hot peppers. It is used for seasoning food and as medicine for topical analgesia in the form of creams, gels or patches. A low absorption into plasma (very low levels or undetectable in plasma) and rapid clearance make it highly unlikely the passage of significant amount toward breast milk. Do not apply on the chest or thoroughly clean it off before breastfeeding.

Sodium sulfate while Breastfeeding

Safe

CAS Number: 7727-73-3

Osmotic laxatives are often used to cleanse the bowel before medical procedures.They base their action on the very little or nothing they are absorbed and by this means forcing the water to enter the intestine with the result of watery diarrhea. At latest update no published data on excretion into breast milk were found. Another laxative with similar estructure which is Sodium Picosulfate (see specific info) is not excreted into breast milk Be aware of drinking enough fluids to avoid dehydration of the nursing mother who is already loosing water by producing about 1 liter of milk a day.

Calcium cation 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.

Calcium sulfide 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.


Lymph Care Breastfeeding Analsys - 2


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.

Iodide ion while Breastfeeding

CAS Number: 7553-56-2

Iodine is an essential trace nutrient for all infants that a normal component of breastmilk. Infant requirements are estimated to be 15 mcg/kg daily in fullterm infants and 30 mcg/kg daily in premature infants.[1] Systematic reviews and studies on iodine nutrition found that iodine in breastmilk is adequate in iodine-sufficient countries, but in countries with iodine fortification of foods, many mothers did not obtain adequate iodine and that additional supplementation was desirable.[2][3][4][5] In iodine-deficient areas, supplementation of breastfeeding mothers with iodine appears to be more effective than direct supplementation of the infant in reducing infant iodine deficiency.[6] The American Thyroid Association recommends that breastfeeding women should supplement their diet with a daily oral supplement that contains 150 mcg of iodine, but sustained iodine intake while breastfeeding that exceeds 500 to 1100 mcg daily should be avoided.[7] A survey in the United States between 2011 and 2014 found that only 19% of lactating women used a dietary supplement that contained iodine.[8] The use of excessive amounts of iodine in the mother near term and during breastfeeding (e.g., seaweed soup) can increase breastmilk iodine levels and cause transient hypothyroidism in breastfed infants. The absorption of iodine can be marked after application to open wounds or mucous membranes. Exposure of mothers to unnecessary iodine who are or will be breastfeeding should be avoided or minimized to the extent possible by avoiding its use on maternal mucous membranes (e.g., vaginal use, wound therapy), avoiding prolonged contact time, avoiding repeated applications, and applying it to the smallest possible surface areas of the body. It is possible that maternal exposure to iodine near term could interfere with thyroid studies done as a part of newborn screening tests.

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.

Capsicum while Breastfeeding

CAS Number: 84625-29-6

Cayenne peppers (Capsicum species) contain capsaicin and related compounds which cause the hot, spicy flavor, as well as numerous other components. Capsicum has no specific lactation-related uses and no information is available on the excretion of Capsicum components in breastmilk. Capsicum is "generally recognized as safe" (GRAS) as a food by the U.S. Food and Drug Administration. Oral ingestion can cause gastrointestinal irritation and has caused skin rashes in the breastfed infants of women who eat foods spiced with red peppers.[1] Capsicum may increase the risk of bleeding and should be used cautiously in patients taking anticoagulant or antiplatelet medications. Cross reactions can occur in those allergic to members of the Solanaceae family of plants (e.g., potatoes, tomatoes, paprika, Jimson weed). Capsaicin is used topically for pain. Application of Capsicum or capsaicin to the mother's skin should not affect the infant as long as the infant's skin does not come into direct contact with the areas of skin that have been treated. Do not apply capsaisin cream to the breast.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.

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.


Lymph Care Breastfeeding Analsys - 3


Thuja occidentalis leaf and Breastfeeding

Low Risk

Thuja is one of the most common remedies used for warts. Topical Usage of Thuja for wart is likely safe while breastfeeding. We do not have sufficient safety usage data for Thuja oral consumption, However its likely unsafe to use thuja orally while breastfeeding.

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 Lymph Care?

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

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


If I am using Lymph Care, will my baby need extra monitoring?

Not exactly.


Who can I talk to if I have questions about usage of Lymph Care 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