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

Question

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?

Answer 1

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.