Many new mothers continue to have acne issues after pregnancy due to fluctuating levels of their hormones. Breast-feeding mothers may be concerned with the safety of using acne treatments. Certain medications, topical and oral, may affect the mother's milk and add potential harm to the baby. However, there are many safe acne treatments available that have a low lactation risk. Similar to any medications, it is always best to consult with a physician first.
Over-the-Counter
Benzoyl peroxide and salicyclic acid are safe over-the-counter acne medications available as creams or facial cleansers.
Oral Treatments
According to the American Academy of Pediatrics, the oral antibiotic tetracycline is excreted in small amounts to the breast milk, but the calcium limits its absorption. It is deemed compatible with breast feeding, but other oral medications, such as erythromycin, are recommended for long-term use.
Topical Treatments
Tretinoin, adapalene and azelaic, when used as topical treatments, are unabsorbed into the mother's milk and are deemed compatible.
Warning
Tretinoin, as an oral antibiotic, and isotretinoin, commonly found in Accutane, are both deemed hazardous for breast-feeding mothers and their babies.
Other Alternatives
Consider a natural acne treatment like tea tree oil. Also, be sure to wash with a mild facial cleanser, exfoliate, and wear oil-free products to avoid further irritation.
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