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high doses of lidocaine
Has anyone faced breastfeeding after large doses of lidocaine? I'm having a
procedure done twice, one week apart, involving about 250mL of lidocaine injected subcutaneously each time. (This is MUCH MUCH more than a dental procedure which might involve injecting 3-7mL, perhaps). I am aware that lidocaine is considered compatible with breastfeeding, but I also know there are some who do not accept this without some doubt and are concerned about the effect of what is really a nervous system toxin (hence its use as an anesthetic) on developing nervous systems. I do vaguely remember reading a study which called into question its safety in terms of long term developmental issues in fetuses. My children are 1.5 and 2.75 years old so I can delay nursing if necessary, and can borrow a pump if I decide to delay until the next day. The 2 year old won't have a problem waiting until the next morning. The 1.5 year old will not like it one bit, but can handle it. I won't be able to sleep without pumping as I will get painfully engorged by about midnight if I don't nurse after the procedure. Half life is 1.5-2 hours. Breast milk concentrations seem to be about .4 serum concentration. If anyone has done more or better research than this and/or made her own judgment call, PLEASE respond. -- Dagny |
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high doses of lidocaine
If anyone has done more or better research than this and/or made her own
judgment call, PLEASE respond. interesting, I was going to have a procedure which involved a local anaethsetic, not sure if it was lidocaine, it wasn't going to by subcutaneously, though, but into a joint (or a space between them, I get confused), I wasn't expecting any problems with nursing, the thing that might have caused the problem would have been had they had to give me anything like vallium whilst they were doing the procedure. In general my feeling is that doing something once is a whole lot different to doing it regularly, so even if the kids got a bigger exposure this one time, that's got to be better than having a much smaller exposure day in day out, so in this case, I don't know what I'd do, I'm guessing that more is going to get into the blood stream subcutaneously than in to a joint, but it can't be massively much either as otherwise you'd be having problems. Have you checked Hale's website? is there a professional who could ask a question on there for you? Anne |
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