It is unknown if Vanos (fluocinonide cream) is safe for use while breastfeeding or if it passes through breast milk. However, because this medicine comes in the form of a skin cream, it is unlikely that large enough amounts of Vanos would be passed through the breast milk to a nursing baby.
Can Breastfeeding Women Use Vanos?
Vanos® (fluocinonide cream) is a medication used to treat various skin conditions. At this time, it is unknown if Vanos passes through breast milk in humans. Therefore, if you are breastfeeding or plan to start, you should talk with your healthcare provider before using Vanos.
More Information on Vanos and Breastfeeding
No research has been done to see if Vanos passes through breast milk. However, other similar steroids are known to pass through breast milk. Reassuringly, even when steroids are taken by mouth or by injection, only a small amount passes through breast milk. This implies that topical use of steroids (which are applied directly on the skin) would probably result in very tiny amounts (if any) passing through breast milk, although this is not known for sure.
Direct skin-to-skin contact (for areas where the cream has been applied) should be avoided, to prevent exposing the baby to the cream by skin transfer. Also, avoid applying it near or on the nipple; if this is not possible, make sure to completely remove the cream before nursing your baby.
Because this cream is usually effective for quickly relieving skin inflammation, some mothers may wonder if they could use Vanos on a diaper rash. Never use this medicine to treat a diaper rash. Vanos is too potent for small children, who have a higher risk for serious Vanos side effects.
Talking With Your Healthcare Provider
You should discuss breastfeeding and Vanos use with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
Written by/reviewed by: Kristi Monson, PharmD;Arthur Schoenstadt, MD
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