From the Research
Hydrocortisone 1% is the safest topical steroid to use during breastfeeding due to its minimal systemic absorption and low risk of adverse effects on the infant. When using topical steroids while breastfeeding, it is essential to apply them sparingly to the affected area after nursing and wipe the area clean before the next feeding if the application site could contact the baby's skin or mouth. Limit application to the smallest effective area for the shortest duration needed to control symptoms, typically 1-2 weeks for most conditions. These recommendations are based on the minimal transfer of topical steroids into breast milk, especially when used in small amounts on limited body surface areas 1.
Some key points to consider when using topical steroids during breastfeeding include:
- Using low to moderate potency topical steroids like hydrocortisone, triamcinolone, and mometasone
- Avoiding higher potency steroids like clobetasol or using them very cautiously with strict adherence to limited application
- Applying topical steroids sparingly to the affected area after nursing
- Wiping the area clean before the next feeding if the application site could contact the baby's skin or mouth
- Limiting application to the smallest effective area for the shortest duration needed to control symptoms
It is also important to note that the risk of adverse effects from topical corticosteroids increases with prolonged use, a large area of application, higher potency, occlusion, and application to areas of thinner skin such as the face and genitals 2. If you need to treat a large body surface area or require extended treatment, consult your healthcare provider for personalized guidance.