From the Research
Buscopan (hyoscine butylbromide) is generally considered safe during breastfeeding, as it passes into breast milk in very small amounts, resulting in minimal exposure to the nursing infant. The medication works locally in the digestive tract to relieve spasms and cramping, with limited absorption into the bloodstream, further reducing potential transfer to breast milk 1.
Key Considerations
- The typical adult dose is 10-20 mg taken up to four times daily.
- If breastfeeding and needing to take Buscopan for digestive cramps or IBS symptoms, it is recommended to continue nursing the baby as usual.
- However, it's always best to use the lowest effective dose for the shortest time needed.
- Some mothers may notice a slight reduction in milk production as anticholinergic medications can theoretically affect milk supply, though this is uncommon with Buscopan.
- If unusual symptoms in the baby such as irritability, drowsiness, or feeding difficulties are noticed after taking this medication, it is advised to contact the healthcare provider.
Evidence Summary
The safety of Buscopan during breastfeeding is supported by general principles of drug transfer into breast milk, as most drugs cause relatively low-level exposure below 10% of the weight-adjusted maternal dose 2. Although specific data on Buscopan is not provided in the referenced studies, the medication's pharmacokinetic properties suggest minimal risk to the breastfeeding infant. It is essential for healthcare providers to assess the risks and benefits for both mother and child when considering medication use during breastfeeding, as emphasized in several studies 3, 4, 5.
Clinical Implications
Given the available evidence, the use of Buscopan during breastfeeding is considered safe, with minimal risk of adverse effects on the infant. However, as with any medication, it is crucial to monitor the infant for any signs of unusual symptoms and to use the lowest effective dose for the shortest duration necessary. Healthcare providers should consult reliable resources, such as reference books or online medical literature, to stay updated on the safety of medications during breastfeeding 1, 2.