From the Research
Hydrocortisone cream is generally considered safe to use while breastfeeding, as it has limited systemic absorption when applied topically in normal amounts to small areas of the skin. When used as directed, typically a thin layer 1-4 times daily, the amount of hydrocortisone that passes into breast milk is unlikely to be significant, posing minimal risk to the infant 1. For most skin conditions, short-term use (1-2 weeks) is recommended. Key considerations include:
- Applying the cream to small areas of the skin to minimize absorption
- Using the cream as directed on the package to avoid excessive application
- Wiping the area gently before nursing or expressing milk if the cream is applied to the breasts or nipples
- Consulting a healthcare provider for extensive use, high-potency corticosteroids, or application over large body areas, as these situations may require additional precautions. The safety of hydrocortisone cream during breastfeeding is supported by its use in pediatric populations, including infants as young as 3 months, without significant adverse events when used appropriately 1.