macrobid breastfeeding kellymom

The American Academy of Pediatrics (AAP) publishes periodic statements on the transfer of drugs into breast milk. Information is provided for educational purposes only. Observe infants for possible diarrhea. Hi, I just finished taking keflex for mastitis and have also noticed a huge drop in my milk supply. National Library of Medicine [1] Until further data are accumulated, alternate agents should probably be used in jaundiced, ill, stressed or premature infants, because of the risk of bilirubin displacement and kernicterus. Potential adverse effects on the breastfeeding infant. Choose medications with the lowest lipid solubility. The new, nonsedating antihistamines are not well-studied in breast-feeding and are not rated by the AAP. Long courses e.g. Most of scientific studies and research papers declaring usage of Macrobid safe in breastfeeding are based on normal dosage and may not hold true for higher dosage. Can a nursing mother eat this food? (accessed 6 April 2020) . Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. These children should be observed closely. Before Penicillins and cephalosporins, which are excreted in milk in trace amounts, are compatible with breast-feeding.6 A remote possibility exists that the child will experience an allergic reaction to the antibiotic or develop diarrhea caused by changes in gut flora. This information is also available in PDF form by clicking here. Relevant published information was not found as of the revision date. Lutilisation de la nitrofurantone par des mres qui allaitent est gnralement scuritaire, car seulement de petites quantits passent dans le lait maternel. There is some concern about taking sulfamethoxazole and trimethoprim while breastfeeding if the baby is born before 37 weeks of pregnancy, has severe jaundice, or a condition known as glucose-6- phosphate dehydrogenase deficiency (G6PD deficiency). A 2013 clinical report by the American Academy of Pediatrics (AAP), The Transfer of Drugs and Therapeutics into Human Breast Milk: An Update on Selected Topics, indicates that most medications and immunizations are safe to use during lactation. Question: Scores are primarily calculated using . This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. LactMed includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant. Peak milk levels occurred 1 to 2 hours after the dose. Choose medications with the shortest half-life and highest protein-binding ability. Progress in Chemotherapy. [5] Effects on Lactation and Breastmilk Relevant published information was not found as of the revision date. Also located in Provence-Alpes-Cte d'Azur, the town of Arles - a hub of Roman monuments and creativity alike - offers a perfect blend of heritage and modernity. Re-starting support services during Covid-19, Breastfeeding support in the UK during the coronavirus (COVID-19) situation. Fluoxetine's long half-life and potential for accumulation in breast milk has prompted some recommendations to avoid its use in women who are breast-feeding young infants.3 Colic and fussiness have been attributed to elevated serum concentrations of fluoxetine and its metabolite in nursing infants.4 Results from a recent study showed a decrease in the level of fluoxetine and its metabolite in the early weeks of life in nursing infants whose mothers were maintained on fluoxetine throughout pregnancy and breast-feeding. DrLact safety Score for Macrobid is 1 out of 8 which is considered Safe as per our analyses. How does a mother's diet affect her milk? Her son is only 3 weeks old. Breastfeeding information for children and young people, National Breastfeeding Helpline Live Chat Support. Compliments, comments, concerns or complaints? The use of nitrofurantoin in breastfeeding mothers is generally safe, as only small amounts transfer into the breast milk. due to nitrofurantoin has two main presentations: an acute onset approximately nine days after a short course of therapy and a chronic onset developing after several months or years of nitrofurantoin therapy . Adult. Repeated exposure to analgesic agents, especially meperidine, may result in drug accumulation and toxic effects in young or compromised infants because of their underdeveloped hepatic conjugation.16 When possible, mothers should breast-feed their infants before taking the medication, and low to moderate dosages should be used.3,7,17, Hormones contained in combination oral contraceptive pills (OCPs) are not harmful to infants but, because estrogen diminishes the maternal milk supply, these products should be avoided in breast-feeding mothers whenever possible, especially during the first two months of breast-feeding. Contraindicated. Prescribing medications for a breast-feeding mother requires weighing the benefits of medication use for the mother against the risk of not breast-feeding the infant or the potential risk of exposing the infant to medications. Patient. Under these conditions, peak milk levels occurred 4 to 6 hours after the dose. Log in. [1] Nitrofurantoin doses in milk are low and it can be used while breastfeeding older infants, but alternate drugs are preferred in mothers of infants under 8 days of age, or infants with G6PD deficiency of any age. Talk with your doctor about breastfeeding your child. Breastmilk contains all the necessary biological factors to heal the babys gut. What can I do? Specific information from high-quality studies of individual medications in lactation is rarely available, and misinformation abounds. Use reliable references for obtaining information on medications in breast milk. Drug which has been taken by a large number of breastfeeding mothers without any observed increase in adverse effects in the infant. Antibacterial chemotherapy. Long half-life NSAIDs such as naproxen (Naprosyn), sulindac (Clinoril) and piroxicam (Feldene) can accumulate in the infant with prolonged use.7, Epidural use of bupivacaine (Marcaine), lidocaine (Xylocaine), morphine, fentanyl (Sublimaze) and sufentanil (Sufenta) is generally safe in breast-feeding mothers.8,15,16 Morphine, codeine and hydrocodone are considered compatible with breast-feeding by the AAP.6, Meperidine (Demerol) is not the preferred analgesic for use in breast-feeding women because of the long half-life of its metabolite in infants. Pregnancy, breastfeeding and fertility while taking nitrofurantoin Nitrofurantoin and pregnancy Nitrofurantoin may be taken during pregnancy, but it is generally best avoided in the third trimester because there's a small chance it could cause problems with your baby's red blood cells. Mother's Diet Archives KellyMom.com. Medically reviewed by Drugs.com. - Milk supply normally varies somewhat throughout the day and over weeks and months. Propranolol (Inderal), metoprolol (Lopressor) and labetalol (Normodyne) are excreted in small quantities and are compatible with breastfeeding even in compromised infants. [3] With the usual dose of sulfamethoxazole 800 mg daily, an exclusively breastfed infant would be expected to receive 0.68 mg/kg daily of sulfamethoxazole. Potential effects of the drug on milk production. 2006;8:24-36. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. [PubMed, Ito S, Blajchman A, Stephenson M et al. Bookshelf Two mothers reported poor feeding in their infants. Medications that are safe for use directly in an infant of the nursing infant's age are generally safe for the breast-feeding mother. Need to ask a question? Table 45,6 lists medications that are not recommended for use in breast-feeding mothers. The passage of trimethoprim/sulfamethoxazole into breast milk and its significance. Hormones contained in combination oral contraceptive pills (OCPs) are not harmful to infants but, because estrogen diminishes the maternal milk supply, these products should be avoided in. Retrograde diffusion of the drug from breast milk to plasma may remove a medication from the milk even if the mother has not emptied her breasts.3 Medications that are highly protein bound, that have large molecular weights or that are poorly lipid-soluble tend not to enter the breast milk in clinically important quantities. During breast-feeding, anticonvulsants other than phenobarbital and primidone (Mysoline) are preferred because the slow rate of barbiturate metabolism by the infant may cause sedation.6,10,12 Infant serum levels may be helpful in monitoring toxicity. Log in. "In situations when severe illness in a mother due to COVID-19 or other complications prevent her from caring for her infant or prevent her from continuing direct breastfeeding, mothers should be encouraged and supported to express milk, and safely provide breastmilk to the infant, while applying appropriate IPC measures. A drug that is safe for use during pregnancy may not be safe for the nursing infant. Available for Android and iOS devices. Mothers of premature or otherwise compromised infants may require altered dosing to avoid drug accumulation and toxicity in these infants. However, the time of greatest risk for hemolysis in fullterm newborns without G6PD deficiency might be as short as 8 days after birth. Rapid-release capsules of nitrofurantoin macrocrystals reach their peak milk levels either 1 to 2 hours after the dose with food or 4 hours after a high-fat meal. In short courses (less than a month) this appears not to be a problem as the drug forms a complex with the calcium in the milk and is not absorbed by the baby. maintaining milk supply when baby is not nursing, contact a local lactation consultant, or breastfeeding counselor, Analgesia and Anesthesia for the Breastfeeding Mother, The transfer of drugs and therapeutics into human breast milk: an update on selected topics, Medications and Breastfeeding: Tips for Giving Accurate Information to Mothers, Breastfeeding and Maternal Medication: Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs, Breastfeeding your newborn what to expect in the early weeks, COVID-19: Mental Health, Anxiety, and Social Stresses. Choice of antibiotic to treat any condition depends primarily on the organism likely to be causing the symptoms, taking into account any previous allergies e.g. No rashes or candidiasis were reported among the exposed infants.[6]. Does Macrobid has any long term or short term side effects on infants? Choose medications that are well-studied in infants. Relevant published information was not found as of the revision date. Also, the possibility of developing diarrhea due to bacterial flora imbalance. The time of the peak amounts in milk depends on the food taken with the drug and the dosage form of the drug. Hydantoin, 1-((5-nitrofurfurylidene)amino)-, 2,4-Imidazolidinedione, 1-(((5-nitro-2-furanyl)methylene)amino)-, N-(5-Nitrofurfurylidene)-1-aminohydantoin, N-(5-Nitro-2-furfurylidene)-1-aminohydantoin, 1-(5-Nitro-2-furfurylideneamino)hydantoin, N-(5-Nitro-2-furfurylideno)-1-aminohydantoina [Polish], N-(5-Nitro-2-furfurylideno)-1-aminohydantoina. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Table 33,612,1518 summarizes medication use in breast-feeding mothers with common maternal conditions. FAQs. 2007 Aug;110(2 Pt 2):510-2. doi: 10.1097/01.AOG.0000267134.21517.41. HHS Vulnerability Disclosure, Help The infant's medication exposure can be limited by prescribing medications to the breast-feeding mother that are poorly absorbed orally, by avoiding breast-feeding during times of peak maternal serum drug concentration and by prescribing topical therapy when possible. In theory exposure may sensitise the baby to later doses e.g. You should consult your healthcare provider for breastfeeding advice related to your particular situation. Table 12,3 lists ways to minimize the risk of toxicity to infants from maternal medications. https://www.facebook.com/groups/kellymamas/ KellyMom.com provides evidence- [PMC free article, Chung AM, Reed MD, Blumer JL. A more recent article on medication safety in breastfeeding is available. These effects are not clinically significant and do not require treatment. 1974;1:687-91. COVID-19: Resources for Lactation Professionals. In the UK doses of 200-400milligrammes three times a day are used and breastfeeding can continue. Are mothers supposed to love breastfeeding 24 hours a day? In addition, information in the Physicians' Desk Reference regarding breast-feeding is often inaccurate.2,3. Exclusive breastfeeding for at least 3-4 months (compared to non-exclusive breastfeeding) further decreases the risk of respiratory tract infections, ear infections, necrotizing enterocolitis (NEC), sudden infant death syndrome (SIDS), allergic disease, celiac disease, and type 1 diabetes. At this time, it seems prudent to choose an SSRI with the lowest plasma levels in infants, such as sertraline (Zoloft) or paroxetine (Paxil).7,14 Another option is to measure serum concentrations of the SSRI and major metabolites in the infant at two to six weeks postpartum to verify that the medication is not accumulating. I am a breastfeeding mother and i want to know if it is safe to use Macrobid? Greater precaution is advised when prescribing medications for mothers of premature or otherwise compromised infants or newborns in the first week of life than for older, healthy infants. Anecdotally increased maternal consumption of garlic masks the taste of the Metronidazole. Nitrofurantoin-associated Sweet's syndrome. Yale-New Haven Hospital Lactation Center: 7162750088 (9 a.m. to 5 p.m. EST weekdays), Dr. Hale's Breastfeeding Pharmacology Page (http://www.neonatal.ttuhsc.edu/lact). : Infant Formula, Breastfeeding and perinatal mental health, Resources for Volunteers and Professionals. We also use third-party cookies that help us analyze and understand how you use this website. According to the AAP, health care providers should weigh the risks and benefits when prescribing medications to breastfeeding mothers by considering the following: Review LactMedfor the most up-to-date information available on medications and lactation when advising breastfeeding mothers on medication safety. Am J Obstet Gynecol. Occasionally it can alter the colour of the milk. Antibiotics are not appropriate in viral conditions such as the majority of coughs and colds. This website uses cookies to improve your experience but you can opt-out if you wish. Showing results for Macrobid (Nitrofurantoin) Nitrofurantoin-induced pulmonary injury. In the early postpartum period, large gaps between the mammary alveolar cells allow many medications to pass through this milk that may not be able to enter mature milk. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. [1] Macrobid doses in milk are low and it can be used while breastfeeding older infants, but alternate drugs are preferred in mothers of infants under 8 days of age, or infants with G6PD deficiency of any age. Delaying the use of OCPs, including the progestin-only mini-pill, until six weeks after starting breast-feeding and then using a progestin-only mini-pill (such as Micronor) will allow the mother to assess the drug's effect on her milk supply. Large doses of antibiotics may encourage overgrowth of thrush (candida) in the mother by killing all the natural gut bacteria. Does Macrobid extracts into breast milk? Paced bottle feeding is a method of bottle feeding that is designed to mimic breastfeeding. Son fils nest g que de 3 semaines. Centers for Disease Control and Prevention. Observe infants for possible diarrhea. Despite the lack of documented reports, there is a risk of hemolytic anemia in all newborns exposed to nitrofurantoin owing to their glutathione instability, especially in infan You can review and change the way we collect information below. official website and that any information you provide is encrypted Dr Wendy Jones MBE, MRPharmS and the Breastfeeding Network October 2022. Im not pumping enough milk. Contraindicated. macrobid - UpToDate. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Because of the potential for serious side effects (e.g., lactic acidosis, hepatotoxicity) in adults, it may be advisable to avoid the use of metformin (Glucophage) and thiazolidinediones (e.g., rosiglitazone [Avandia], pioglitazone [Actos]) until more information is available on their use in breast-feeding. 1993;168:1393-9. COVID-19: Resources for Lactation Professionals. Can Macrobid influence milk supply or can Macrobid decrease milk supply in lactating mothers? Glyburide (Micronase) and glipizide (Glucotrol) are highly protein-bound (92 to 99 percent), second-generation sulfonylureas. [Hemolytic anemia in a newborn after maternal treatment with nitrofurantoin at the end of pregnancy]. The following antibiotics are all safe to take whilst breastfeeding; Amoxycillin, Amoxil , Azithromycin, Zithromax, Cefaclor, Distaclor, Cefuroxime, Zinnat Cephalexin, Cefalexin, Keflex, Cephradine, Velosef, Clarithromycin, Klaricid, Co-amoxiclav, Augmentin, Co-fluampicil, Flucloxacillin+ Ampicillin, Magnapen By bike, on horseback, on a hike, in the snow, or even in a. What can I do? The use of antibiotics to treat mastitis is discussed in the BfN leaflet Breastfeeding and Mastitis. In any such case the suckling infant should be monitored by his or her physician. The InfantRisk Centerprovides up-to-date evidence-based information on the use of medications during pregnancy and breastfeeding. Accessibility This group maintains a website called Mother to Baby. This serum concentration tends to be lower with medications that have large volumes of distribution and fluctuates more with medications that have short half-lives. CDC twenty four seven. These statements classify many medications used in lactating women based on their safety for nursing infants. In general, it is preferable to avoid high dosages of any one medication by either changing medications or adding an additional agent.9, Low dosages of thiazide diuretics (e.g., 25 mg per day or less of hydrochlorothiazide [Esidrix]) are excreted in small amounts into the breast milk but do not suppress lactation and, consequently, are compatible with nursing.6,9 Beta blockers vary widely in the amount excreted into breast milk. Cookies used to make website functionality more relevant to you. COVID-19: Resources for Lactation Professionals. Would you like email updates of new search results? M et al not recommended for use in breast-feeding and are not appropriate in viral conditions as! Nitrofurantone par des mres qui allaitent est gnralement scuritaire, car seulement de quantits. Maternal conditions a day are used and breastfeeding can continue tends to lower... Physicians ' Desk Reference regarding breast-feeding is often inaccurate.2,3 Blajchman a, Stephenson M et.! Are safe for the latest medication news, new drug approvals, alerts and updates table 45,6 medications... Medication records information was not found as of the Metronidazole est gnralement scuritaire, car seulement petites... Is discussed in the infant exposed infants. [ 6 ] services during Covid-19, breastfeeding support the! And perinatal mental health, Resources for Volunteers and Professionals the breast-feeding mother classify medications! Breastfeeding Network October 2022 identify pills, check interactions and set up your own personal medication.!, nonsedating antihistamines are not recommended for use in breast-feeding mothers breast-feeding mothers is 1 macrobid breastfeeding kellymom... Taste of the milk weeks and months in lactating mothers their safety for nursing infants. 6. De la nitrofurantone par des mres qui allaitent est gnralement scuritaire, car seulement de quantits... The Physicians ' Desk Reference regarding breast-feeding is often inaccurate.2,3 would you like email updates of new search results,! Pmc free article, Chung AM, Reed MD, Blumer JL diarrhea due to bacterial flora.! By going to our Privacy Policy page Macrobid has any long term or short term side effects Lactation! This information is also available in PDF form by clicking here natural gut bacteria the milk Chung AM Reed! Chung AM, Reed MD, Blumer JL shortest half-life and highest protein-binding ability addition information! Your experience but you can always do so by going to our Privacy Policy page antibiotics to mastitis! Safety Score for Macrobid ( nitrofurantoin ) Nitrofurantoin-induced pulmonary injury breastfeeding Helpline Live Chat support by killing all necessary! Rated by the AAP be lower with medications that have short half-lives the Physicians ' Desk Reference breast-feeding! Has any long term or short term side effects on Lactation and Breastmilk relevant published information was not as. The use of antibiotics to treat mastitis is discussed in the BfN leaflet breastfeeding and mastitis is... The dosage form of the macrobid breastfeeding kellymom amounts in milk depends on the food taken with the shortest half-life and protein-binding! Lait maternel the breastfeeding Network October 2022 and colds support services during Covid-19 breastfeeding... As 8 days after birth:510-2. doi: 10.1097/01.AOG.0000267134.21517.41 is a method of bottle feeding is a of! Breast-Feeding mother the latest medication news, new drug approvals, alerts and updates et.. Breastfeeding Helpline Live Chat support changes, you can opt-out if you need to go back make. Lists medications that are not appropriate in viral conditions such as the majority of coughs and colds her. You need to go back and make any changes, you can opt-out if you need go... After maternal treatment with nitrofurantoin at the end of pregnancy ] Formula, breastfeeding and.. Toxicity to infants from maternal medications age are generally safe macrobid breastfeeding kellymom use breast-feeding. Of breastfeeding mothers without any observed increase in adverse effects in the infant of pregnancy ] into. Love breastfeeding 24 hours a day ( AAP ) publishes periodic statements on use. Increase in adverse effects in the infant, Chung AM, Reed,. These effects are not recommended for use in breast-feeding and are not recommended use! 99 percent ), second-generation sulfonylureas diarrhea due to bacterial flora imbalance Chat support use third-party cookies that help analyze! Or short term side effects on Lactation and Breastmilk relevant published information not... Diet affect her milk, MRPharmS and the dosage form of the Metronidazole and have noticed. Among the exposed infants. [ 6 ] to our Privacy Policy page may not be for. Lait maternel feeding in their infants. [ 6 ] of greatest risk for hemolysis in newborns... Drug which has been taken by a large number of breastfeeding mothers is generally safe for during! Medications with the shortest half-life and highest protein-binding ability does Macrobid has long! Many medications used in lactating mothers are generally safe, as only small amounts transfer into the breast.! As per our analyses, you can always do so by going to our Policy. Drug which has been taken by a large number of breastfeeding mothers without observed! Directly in an infant of the drug check interactions and set up your own medication. Age are generally safe, as only small amounts transfer into the breast milk always do so going. Any observed increase in adverse effects in the BfN leaflet breastfeeding and perinatal mental health, Resources for Volunteers Professionals. Time of the revision date ( 92 to 99 percent ), second-generation sulfonylureas i want to if... Of 200-400milligrammes three times a day are used and breastfeeding day are used and breastfeeding can continue safe the! You provide is encrypted Dr Wendy Jones MBE, MRPharmS and the Network. S diet Archives KellyMom.com for hemolysis in fullterm newborns without G6PD deficiency might be as short as 8 after! The possibility of developing diarrhea due to bacterial flora imbalance this website the. Nitrofurantoin at the end of pregnancy ] in PDF form by clicking here taken by a large number breastfeeding. Contains all the natural gut bacteria recent article on medication safety in breastfeeding mothers is generally safe for use pregnancy! Antibiotics to treat mastitis is discussed in the UK doses of 200-400milligrammes three times a day of! As short as 8 days after birth infant of the revision date search results 6 ] be short. In Lactation is rarely available, and misinformation abounds feeding macrobid breastfeeding kellymom is designed to breastfeeding... And understand how you use this website uses cookies to improve your experience but can... Jones MBE, MRPharmS and the breastfeeding Network October 2022 Aug ; 110 ( 2 Pt 2:510-2.! Safe, as only small amounts transfer into the breast milk effects on Lactation and Breastmilk relevant published was...: infant Formula, breastfeeding and perinatal mental health, Resources for and... Weeks and months the AAP and i want to know if it is safe to use Macrobid out! In a newborn after maternal treatment with nitrofurantoin at the end of pregnancy.! Infants may require altered dosing to avoid drug accumulation and toxicity in these infants. [ 6 ] any,! Pills, check interactions and set up your own personal medication records small amounts into... And Breastmilk relevant published information was not found as of the milk concentration tends to be lower medications! Of developing diarrhea due to bacterial flora imbalance can always do so going. Pediatrics ( AAP ) publishes periodic statements on the food taken with the drug and the Network... Mothers supposed to love breastfeeding 24 hours a day safety for nursing infants [. Has been taken by a large number of breastfeeding mothers without any observed increase in effects... The breast milk three times a day are used and breastfeeding medication news, drug! Altered dosing to avoid drug accumulation and toxicity in these infants. [ 6 ] the milk... May require altered dosing to avoid drug accumulation and toxicity in these.. Transfer into the breast macrobid breastfeeding kellymom KellyMom.com provides evidence- [ PMC free article, Chung AM, Reed MD Blumer... Without any observed increase in adverse effects in the BfN leaflet breastfeeding and.. Jones MBE, MRPharmS and the dosage form of the drug AM a breastfeeding mother i. These statements classify many medications used in lactating mothers breastfeeding support in the UK of... ) in the UK during the coronavirus ( Covid-19 ) situation after maternal treatment with nitrofurantoin at the of. Her physician MD, Blumer JL baby to later doses e.g nitrofurantone par mres... Should consult your healthcare provider for breastfeeding advice related to your particular.... Should be monitored by his or her physician par des mres qui allaitent est gnralement scuritaire, car seulement petites. Mothers with common maternal conditions masks the taste of the Metronidazole Macrobid decrease milk supply maternal... Peak milk levels occurred 4 to 6 hours after the dose Macrobid decrease milk.! //Www.Facebook.Com/Groups/Kellymamas/ KellyMom.com provides evidence- [ PMC free article, Chung AM, Reed,. By killing all the necessary biological factors to heal the babys gut the transfer of drugs breast! Pregnancy may not be safe for use directly in an infant of the revision date effects are not in. Stephenson M et al dosing to avoid drug accumulation and toxicity in infants... Two mothers reported poor feeding in their infants. [ 6 ] can! Individual medications in Lactation is rarely available, and misinformation abounds to improve your but. Set up your own personal medication records de petites quantits passent dans le lait maternel lactating women on! Revision date infants. [ 6 ] way to lookup drug information, identify,. Is considered safe as per our analyses mothers reported poor feeding in their infants. [ 6 ] this concentration! ( Glucotrol ) are highly protein-bound ( 92 to 99 percent ), second-generation sulfonylureas mothers. Keflex for mastitis and have also noticed a huge drop in my milk supply in lactating women based on safety... The time of the milk of trimethoprim/sulfamethoxazole into breast milk Score for Macrobid ( nitrofurantoin ) pulmonary! Affect her milk garlic masks the taste of the revision date developing diarrhea due bacterial... Amounts transfer into the breast milk the suckling infant should be monitored by his or her physician the... Summarizes medication use in breast-feeding mothers with common maternal conditions in my milk supply or can Macrobid decrease supply! The infant it can alter the colour of the milk diet affect her milk gnralement scuritaire, car seulement petites!

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