Breastfeeding and Medications

The benefits of breastfeeding are important to both mother and baby. Not every medication poses a risk during breast feeding but some do. It is important to discuss your medications with your doctor.

Safe in Breastfeeding

The following medications can be used safely while Breastfeeding:

  • NSAIDs
  • Prednisone
  • Hydroxychloroquine
  • Sulfasalazine with folic acid 5 mg/day
  • Azathioprine at less than 2mg/kg/day
  • IVIG
  • Etanercept
  • Certolizumab
  • Infliximab
  • Golimumab
  • Adalimumab

Use with CAUTION in Breastfeeding

Some medications must be used with caution while breastfeeding. Discuss these with your rheumatologist:

  • Cyclosporine
  • Tacrolimus

AVOID in Breastfeeding

The following medications are NOT SAFE while breastfeeding:

  • Methotrexate
  • Leflunomide
  • Cyclophosphamide
  • Mycophenolate

There is not enough data on the safety of the following medications while breastfeeding: Anakinra, Tocilizumab, Tofacitinib, Ustekinumab, Belimumab, Abatacept, and Rituximab.

Breastfeeding and Medications Quick Reference Guide