Rephresh Pro B Is It Bad If Im Still Breastfeeding My 34 Month Old Child

My daughter doesn't wantt to stop breastfeeding but lately ive been getting sick and have been prescribed penicilin , prednisone, and sulfameth/tmp ds tabs im a bit worried what side effects she may get i want to know but no one can explain she uselly just takes it at night twice will it hurt her if i take my meds before 9 am

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The packaging warning label for Rephresh Pro-B states the following:
"CONTAINS MILK. Do not use if pregnant or nursing unless directed to do so by your doctor. Keep out of reach of children."

As far as the other medications go:

Penicillin is excreted into human milk in small amounts. Risk to the nursing infant is "unlikely". The manufacturer recommends that caution be used when administering penicillin to nursing women.

Prednisone and its active metabolite prednisolone are excreted into human milk in small amounts. Animal studies have revealed an increased incidence of cleft palate in offspring. In one study of six lactating women, prednisolone milk concentrations were 5% to 25% of corresponding serum concentrations. The authors estimated that "a nursing infant would be exposed to negligible amounts of the drug with maternal doses of 20 to 40 mg per day." The authors recommend that nursing be withheld for four hours after administration of doses greater than 20 mg. Prednisone is considered compatible with breast-feeding by the American Academy of Pediatrics. The manufacturer recommends that caution be used when administering prednisone to nursing women.

Trimethoprim and Sulfamethoxazole are excreted into human milk. The manufacturer considers the use of trimethoprim-sulfamethoxazole to be contraindicated in breast-feeding women. The American Academy of Pediatrics considers the drug compatible with breast-feeding if the infant is healthy and full-term. Breast-feeding should be avoided if the infant is premature, ill, hyperbilirubinemic, or G6PD-deficient. Because sulfonamides may cause kernicterus in infants less than 2 months of age, a decision should be made to discontinue (or substitute) drug therapy or discontinue nursing based on the importance of the drug to the mother.


Based on the above information, the amount of medication that seeps into breast milk should not be enough to cause any adverse effects on her, unless she under 2 months of age or has other illnesses or conditions that make her more susceptible to these symptoms.

I hope this helps to answer your question.

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