From the Guidelines
Breastfeeding mothers who receive Botox should pump and dump for at least 24 hours. The molecular weight of botulinum toxin (150,000 daltons) suggests that it is unlikely to pass into breast milk 1. However, as a precautionary measure, it is recommended to discard breast milk for a certain period after treatment.
- The exact duration of pump and dump is not well established, but 24-48 hours is a commonly cited range 1.
- The American Academy of Pediatrics has not specifically addressed the use of Botox during breastfeeding, but its molecular weight and the lack of reported cases of botulism in breastfed infants suggest that it is likely safe 1.
- No data are available to assess the presence or absence of Botox in human milk, the effects on breastfed children, or the effects on milk production or excretion 1.
- As a precaution, discarding milk for 24-48 hours after treatment may be a reasonable approach to minimize any potential risk to the infant 1.
From the Research
Pumping and Dumping after Botox
There is no direct evidence in the provided studies to support a specific duration for a breastfeeding mother to pump and dump after receiving Botox (Botulinum toxin) 2, 3, 4, 5, 6.
Botulinum Toxin Overview
- Botulinum toxin A is used for various therapeutic and cosmetic purposes 2
- It is produced by anaerobic spore-forming bacteria 2
- The clinical pharmacology and differences in formulation of commonly available products are poorly understood 2
Safety and Efficacy
- Botulinum toxin A injections are associated with a favorable complications profile 3
- The efficacy and tolerability of Botox have been demonstrated in several studies 4, 5, 6
- However, there is no mention of the safety of Botox for breastfeeding mothers or the need to pump and dump after receiving the treatment 2, 3, 4, 5, 6