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Nitro-Bid and Breastfeeding

No studies have been done to determine if Nitro-Bid (nitroglycerin ointment) passes through breast milk. The manufacturer of the medication recommends that women take care while using Nitro-Bid while breastfeeding. Because everyone's situation is different, talk to your healthcare provider before using this drug while nursing.

Can Breastfeeding Women Use Nitro-Bid?

At this time, it is unknown if Nitro-Bid® (nitroglycerin ointment) passes through breast milk. Therefore, if you are breastfeeding a child, you should talk with your healthcare provider before using this drug.
 
The manufacturer recommends that women use Nitro-Bid with caution while breastfeeding.
 

More Information on Nitro-Bid and Breastfeeding

No research has been done to see if Nitro-Bid passes through breast milk. Most likely, this lack of research reflects the fact that Nitro-Bid is approved to treat chest pain (angina) due to coronary artery disease, a condition that is quite rare in young women.
 
Based on the known actions and side effects of Nitro-Bid, if the drug does pass through breast milk, it is reasonable to expect that it could cause low blood pressure (hypotension) and headaches in the infant.
 
Nitro-Bid is sometimes used "off-label" (in an unapproved way) to treat anal fissures (a different nitroglycerin ointment, Rectiv™, is approved for anal fissure treatment). In one study of 40 women who used nitroglycerin ointment to treat anal fissures, no problems were seen in the nursing babies.
 

Talking With Your Healthcare Provider

You should discuss breastfeeding and Nitro-Bid 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.
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Nitro-Bid Drug Information

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