Prednisone effect on milk supply?

Robin - posted on 06/10/2009 ( 6 moms have responded )

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I've recently had to be on prednisone for a tooth problem and towards the end of the treatment I'm noticing a dramatic decrease in my milk supply. I could barely pump a full bottle altogether today. Anyone else out there that's been on this medicine notice a change in milk supply or should I be looking for another cause of the drop?

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Sara - posted on 04/09/2011

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This is an article that I found...prednisone shouldn't effect your milk supply.
Can I take prednisone/prednisolone while breastfeeding?

Yes. Small amounts of prednisone and prednisolone enter breast milk. Prednisone is very similar to the body’s naturally occurring hormones, which are necessary for milk production and the health of infants. Since people produce these hormones naturally, it is not expected that the amount of prednisone or prednisolone in the breast milk would cause harmful effects in the nursing infant or the mother’s milk production.
The amount of prednisone or prednisolone in breast milk is highest approximately one hour after taking the medicine. To limit the amount in the breast milk, you can wait four hours after taking prednisone or prednisolone before breastfeeding your baby. Keeping your dose as low as possible will also help to limit the amount of medicine in your breast milk.
The American Academy of Pediatrics classifies prednisone and prednisolone as usually compatible with breastfeeding.

Jodi - posted on 04/27/2011

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FYI Grace-
Be very careful about altering your dosages of prednisone without first consulting your doctor. Prednisone has some dramatic effects on your body's hormone balance and there can be severe complications from suddenly stopping this drug. It isn't likely if you're on small dosages for a short period of time, but it is not a medication you should mess with lightly.

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Grace - posted on 04/09/2011

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I am having THE SAME EXACT PROBLEM! Only for me it seems even worse than yours! I don't know what to do...I am not going to take the prednisone tomorrow to see if that helps, I have also been drinking the mother's milk tea and it hasn't helped out any! Only one of my breasts is producing milk...so it is so scary! Let me know if you find out any answers! I need some to please!

Geralyn - posted on 06/13/2009

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I agree with Cassy that it may be because of changes in the feedings. I would try cuddling and breastfeeding on demand over the weekend, and see if that doesn't increase your supply again.



When I have taken meds that have affected my supply, and then I come off of them, my supply would rush back, and I have gotten mastitis because of the surge in the supply. Just watch for blocked ducts...

Cassy - posted on 06/12/2009

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I never noticed a difference in my milk supply on prednisone. I do know that you have to wait about 4 hours after taking the medication to nurse. That's how long it takes for it to get out of your system. How often does your baby feed? Maybe lowering your feedings has caused the decrease. Also what is the dosage? That may be a factor. I was on 5mg 2 times a day. My son doesn't nurse too much during the day anymore so I didn't have a problem on it.

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