Medications and Breastfeeding, and Communication and Cultures

Research Assignment
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Institution Affiliation
Research Assignment
1 Medications and Breastfeeding
The selected medication is Antipsychotics. Riordan and Auerbach (2015) observe that phenothiazines and thioxanthenes transfer into milk in limited amounts causing moderate sedation. Using phenothiazines has contributed to an increase in sleep apnea in neonates. Older phenothiazines and thioxanthenes have also been associated with sudden infant death syndrome. Riordan and Auerbach (2015) advice that such medication should be avoided in breastfeeding mothers.
Riordan and Auerbach (2015) indicate that the transfer of haloperidol into milk is in limited amounts without sedation effects to infants. Newer atypical antipsychotics such as risperidone are reported to be quite low with an estimated relative infant dose of 4.3 percent.
Shah, Devit, and Wong (2016) report that antipsychotic is generally preferred during breastfeeding because of its less sedating effects and a short half-life. Consequently, Shah, Devit, and Wong (2016) recommend that choice should be based on suitability for the patient and not safe during breastfeeding. Haloperidol is the preferred first-generation antipsychotic whereas quetiapine is the preferred second-generation antipsychotic. Shah, Devit, and Wong (2016) recommend constant infant monitoring of infants during medication for common signs and symptoms such ...