hyoscine butylbromide, propantheline or peppermint oil are considered preferred choices in breastfeeding
mebeverine and alverine can also be used
is limited evidence for the use of antispasmodics during breastfeeding and therefore recommendations are generally made on the properties of the medicine
choice of medicine will depend on symptoms
is a theoretical risk that suppression of breast milk production could occur with antimuscarinic drugs (atropine, hyoscine butylbromide, propantheline)
have been conflicting reports that peppermint may increase or decrease breast milk production
is no published evidence to support this
once breastfeeding is established, any effect on breast milk production becomes less significant
advisable to monitor breastfed infants for adequate feeding and poor weight gain, especially if used long-term
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