Question
Hi Doctor,
I developed severe preeclampsia and high blood pressure after giving birth. My baby is now 12 months old and still breastfeeding. Could you please advise me on how to use antihypertensive medications while breastfeeding? Thank you.
Nguyễn Thị Lan (1987)
Answer
Answered by Master of Medicine, Doctor Kim Phượng Đào, Department of Outpatient Examination, Vinmec Times City International General Hospital.
Dear Lan,
Regarding your question, "How to use antihypertensive medications while breastfeeding?", the response is as follows:
Antihypertensive drugs that can be used during breastfeeding include:
- Beta-blockers: Propranolol, metoprolol, and labetalol are considered safe. Atenolol should be avoided.
- Calcium Channel Blockers (CCBs): Nifedipine is considered safe. There is no reported data on the safety of diltiazem and verapamil for breastfeeding women. Other calcium channel blockers might be safe to use.
- Angiotensin-Converting Enzyme (ACE) Inhibitors: Medications like captopril and enalapril are considered quite safe for breastfeeding mothers. Other ACE inhibitors should be avoided.
- Angiotensin II Receptor Blockers (ARBs) and Thiazide Diuretics: There is no reported data on the safety for breastfeeding women. However, physicians might consider their use when necessary or explore alternative medications.
Each medication has specific indications and contraindications, so it is essential to consult a cardiologist to obtain specific and safe prescriptions, avoiding any side effects for both mother and child.
If you have further questions about using antihypertensive medications while breastfeeding, you can visit a healthcare facility within the Vinmec Health System for early consultation and treatment. Thank you for trusting and sending your question to Vinmec. I wish you good health.
Best regards!
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