Is prednisone safe for breastfeeding women with rheumatoid arthritis (RA)?

Updated: May 11, 2018
  • Author: Katherine K Temprano, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

Prednisone can be used safely during breastfeeding, because only small amounts (5% of the glucocorticoid dose) are secreted in breast milk. Nursing mothers taking doses higher than prednisone 20 mg once or twice daily should pump and discard breast milk for 4 hours following the steroid dose to minimize drug exposure to the infant. [52]

BSR-BHPR guidelines find prednisolone compatible with breastfeeding. [19]


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