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Dibucaine use while Breastfeeding

Drugs containing Dibucaine: Nupercainal, Rectacaine

Medically reviewed by Drugs.com. Last updated on July 3, 2020.

Dibucaine Levels and Effects while Breastfeeding

Summary of Use during Lactation

Topical dibucaine has not been studied during breastfeeding, but is unlikely to affect her breastfed infant if it is applied away from the breast. However, dibucaine ointment should not be applied to the nipple area, because ingestion by infants has caused seizures, arrhythmias, cardiovascular collapse and death after direct ingestion by toddlers.[1,2]

Drug Levels

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 was not found as of the revision date.

Alternate Drugs to Consider

Lidocaine

References

1.
Dayan PS, Litovitz TL, Crouch BI, et al. Fatal accidental dibucaine poisoning in children. Ann Emerg Med. 1996;28:442–5. [PubMed: 8839533]
2.
Nelsen J, Holland M, Dougherty M, et al. Severe central nervous system and cardiovascular toxicity in a pediatric patient after ingestion of an over-the-counter local anesthetic. Pediatr Emerg Care. 2009;25:670–3. [PubMed: 19834416]

Substance Identification

Substance Name

Dibucaine

CAS Registry Number

85-79-0

Drug Class

Breast Feeding

Lactation

Anesthetics, Local

Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.

Further information

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