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Extina and Breastfeeding

Although it is unknown whether Extina (ketoconazole foam) is safe to use while breastfeeding, it is known that the active ingredient does pass through breast milk when taken by mouth. However, the American Academy of Pediatrics considers the medication compatible with breastfeeding. Because Extina is applied on the skin, only a small amount of the drug is expected to be absorbed into the bloodstream.

Can Breastfeeding Women Use Extina?

Extina® (ketoconazole foam) is a skin medication used to treat seborrhea. At this time, it is unknown if Extina is safe for use while nursing. Therefore, if you are breastfeeding or plan to start, talk to your healthcare provider before using Extina.

More Information on Extina and Breastfeeding

Ketoconazole (the active ingredient in Extina) passes through breast milk when it is taken by mouth. However, Extina is absorbed from the skin in such low amounts that it seems unlikely for the drug to be passed through breast milk in any significant amount.
Direct skin-to-skin contact (for areas where the foam has been applied) should be avoided, to avoid exposing the baby to the medication by skin transfer. Also, avoid applying Extina near or on the nipple; if this is not possible, make sure to completely remove the medication before the baby nurses.
The American Academy of Pediatrics (AAP) considers ketoconazole compatible with breastfeeding.

Talking With Your Healthcare Provider

You should discuss breastfeeding and Extina use with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
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