Dibucaine and Breastfeeding

Summary of use during lactation

Topical dibucaine has not been studied during breastfeeding, but is unlikely to affect her breastfed infant if it is applied away from the breast. However, dibucaine ointment should not be applied to the nipple area, because ingestion by infants has caused seizures, arrhythmias, cardiovascular collapse and death after direct ingestion by toddlers.[1,2]

Drug levels in milk and infant serum

Maternal Levels. Relevant published information was not found as of the revision date. Infant Levels. Relevant published information was not found as of the revision date.

Effects in breastfed infants

Relevant published information was not found as of the revision date.

Effects on lactation and breastmilk

Relevant published information was not found as of the revision date.

Alternative drugs to consider

Lidocaine

References

1. DayanPS LitovitzTL CrouchBI Fatal accidental dibucaine poisoning in children. Ann Emerg Med 1996 28 442 5 8839533 PubMed
2. NelsenJ HollandM DoughertyM Severe central nervous system and cardiovascular toxicity in a pediatric patient after ingestion of an over-the-counter local anesthetic. Pediatr Emerg Care 2009 25 670 3 19834416 PubMed