Immune-modulating substances such as tacrolimus and pimecrolimos are used externally for atopical dermatitis. There are no studies regarding the lactation period. However, pimecrolimos treatment is well-tolerated in young infants from 2 months (Kapp 2002). From tacrolimos, only 0.1% of the weight-adjusted dosage was calculated for a fully breastfed child (Jain 1997). There were no symptoms observed in the breastfed infants of seven treated mothers (Armanti 2003). Therefore, immune-modulating medicines may be used during lactation. However, direct contact of the child with the drug should be avoided - i.e. treated breasts should be washed before suckling the infant.
Essential oils may be used externally during lactation, when direct contact of the child with the oil is avoided - again, treated breasts should be washed before suckling the infant.
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