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Having vaginal infection, Is it safe to use metronidazole cream during breastfeeding?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

iCliniq medical review team

Published At May 18, 2018
Reviewed AtFebruary 2, 2024

Patient's Query

Hello Doctor,

I am 38 years old and I am breastfeeding my 1 year old child. I have been diagnosed with bacterial vaginal infection and prescribed metronidazole vaginal cream daily at bedtime for 5 days. Is it safe for me to continue nursing while using that medication?

Answered by Dr. Atul Prakash

Hi,

Welcome to icliniq.com.

  • You have been diagnosed with bacterial vaginosis (bacterial vaginal infection).
    • Metronidazole cream has to be applied vaginally for cure of the infection.
      • Vaginal application leads to absorption of metronidazole, but it is only 2% of the oral dose.
        • Only a small amount out of this gets into breast milk.
          • Your question about the breastfeeding is pertinent, but you are going to use the cream only for 5 days.
            • Perhaps you can avoid breastfeeding your child during this period.
              • No major study has given a clear answer regarding the safety and ill effects of the drug in such a situation.
              • Consult a paediatrician online for further follow up regarding an alternative diet for your child during this period --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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