Nonoxynol-9 use while Breastfeeding
Medically reviewed by Drugs.com. Last updated on May 15, 2022.
Drugs containing Nonoxynol-9: Encare, VCF Vaginal Contraceptive, Koromex, Delfen Foam, Emko, Ramses Crystal Clear, Shur-Seal Gel, Conceptrol, Ramses Personal, Semicid Contraceptive Suppositories, Show all 16 »Koromex Contraceptive, Advantage 24 Contraceptive, Koromex Crystal Clear Gel, Gynol II Jelly with Applicator, K-Y Plus Nonoxynol 9, Advantage-S
Nonoxynol-9 Levels and Effects while Breastfeeding
Summary of Use during Lactation
Nonoxynol-9 is a relatively nontoxic nonionic surfactant and only trivial amounts of the drug have been found in the milk of animals after vaginal administration. Limited information indicates that breastfed infants of mothers using vaginal nonoxynol-9 experienced no adverse effects. Vaginal use of nonoxynol-9 is acceptable in nursing mothers.
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
In a study comparing various methods of contraception, the breastfed infants of women who used a nonoxynol-9-containing foam had no observable adverse effects.
Effects on Lactation and Breastmilk
Compared with a combination contraceptive containing ethinyl estradiol 30 mcg and levonorgestrel 150 mcg, women who used either nonoxynol-9 foam or copper-T IUD had less inhibition of lactation than the combined oral contraceptive.
Alternate Drugs to Consider
Johnson W Jr. Final report on the safety assessment of octoxynol-1, octoxynol-3, octoxynol-5, octoxynol-6, octoxynol-7, octoxynol-8, octoxynol-9, octoxynol-10, octoxynol-11, octoxynol-12, octoxynol-13, octoxynol-16, octoxynol-20, octoxynol-25, octoxynol-30, octoxynol-33, octoxynol-40, octoxynol-70, octoxynol-9 carboxylic acid, octoxynol-20 carboxylic acid, potassium octoxynol-12 phosphate, sodium octoxynol-2 ethane sulfonate, sodium octoxynol-2 sulfate, sodium octoxynol-6 sulfate, and sodium octoxynol-9 sulfate. Int J Toxicol. 2004;23 (Suppl 1):59-111. [PubMed: 15162838]
Peralta O, Diaz S, Juez G et al. Fertility regulation in nursing women: V. Long-term influence of a low-dose combined oral contraceptive initiated at day 90 postpartum on lactation and infant growth. Contraception. 1983;27:27-38. [PubMed: 6404597]
CAS Registry Number
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