Hydroflumethiazide and Breastfeeding

Summary of use during lactation

No information is available on the amount of hydroflumethiazide in breastmilk. Intense diuresis with large doses may decrease breastmilk production. Other diuretics in low doses are preferred over hydroflumethiazide.

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 on hydroflumethiazide was not found as of the revision date. Intense diuresis with thiazides and thiazide-like diuretics, fluid restriction and breast binding have been used to suppress postpartum lactation.[1-3] The added contribution of the diuretic to these measures, which are effective in suppressing lactation, has not been studied. There are no data on the effects of diuretics on established, ongoing lactation.

Alternative drugs to consider

Chlorothiazide, Hydrochlorothiazide

References

1. Stout G. Suppression of lactation. Br Med J 1962;1:1150.18117911 PubMed
2. Healy M. Suppressing lactation with oral diuretics. Lancet 1961;277(7190):1353-4. doi: 10.1016/S0140-6736(61)90289-6
3. Reiher KH. Suppression of lactation by stimulation of diuresis. Zentralbl Gynakol 1963;85:188-90.13973786 PubMed