Salicylic Acid & Breastfeeding
Women who are breastfeeding need to be particularly careful about what medications they take or use topically, since these can end up in breastmilk. You don't want to be accidentally medicating your baby, especially since even small doses of most drugs can be dangerous to children because of their smaller size. Salicylic acid is one drug you should speak with your doctor about.
Uses
Salicylic acid is used topically to treat a number of different skin conditions, including acne, calluses, corns, dandruff, psoriasis, seborrheic dermatitis and both common and plantar warts. It causes the outer layers of skin to peel, and is absorbed into the skin. It is included in both over-the-counter and prescription medications, so if you are breastfeeding you should check the ingredients of the products you use for treatment of skin conditions.
Potential Problem
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According to Healthwise, a publication of the University of California, San Diego, salicylic acid topical treatments may pass into the breast milk of nursing mothers, and thus get ingested by the baby 1. As this medication is not recommended for children under two years of age, it is important to tell your doctor you are breastfeeding so you can make an informed decision about whether this is the right treatment plan for you.
Considerations
Rather than using a medication that might potentially be harmful to your child, you can ask your doctor whether there are any alternative treatments that are known to be safe for women who are breastfeeding. You should also consider whether you really need the condition to be treated. For example, acne is not pretty or pleasant, but you don't necessarily need to use medication for it.
Prevention/Solution
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If you must take salicylic acid and don't want to risk your baby ingesting any of this medication, you can pump your milk and toss it out during the treatment period and bottle feed your baby with either previously pumped milk or formula. This would keep you from having to stop breastfeeding for good while still allowing you to get the treatment you need.
Expert Insight
According to the Mayo Clinic, you should speak with your doctor so that you can weigh the potential benefits against the potential risks of using salicylic acid when breastfeeding 1. No studies have been done to determine its safety for nursing babies.
Related Articles
References
- Mayo Clinic: Salicylic Acid (Topical Route)
- Arif T. "Salicylic acid as a peeling agent: a comprehensive review." Clinical Cosmetic and Investigational Dermatology. 2015 Aug; 8:455-61.
- Arif T. "Salicylic Acid as a Peeling Agent: A Comprehensive Review." Clinical Cosmetic and Investigational Dermatology. 2015 Aug 26;8:455-61.
- Castillo DE, Keri JE. "Chemical Peels in the Treatment of Acne: Patient Selection and Perspectives." Clinical Cosmetic and Investigational Dermatology. 2018; 11: 365–372.
- Zaenglein AL, Pathy AL, Schlosser BJ, et al. "Guidelines of Care for the Management of Acne Vulgaris."Journal of the American Academy of Dermatology. 2016 May;74(5):945-73.
Writer Bio
Based in Massachusetts, Jessica Bruso has been writing since 2008. She holds a master of science degree in food policy and applied nutrition and a bachelor of arts degree in international relations, both from Tufts University.