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Ciprodex and Breastfeeding

It is not known if Ciprodex (ciprofloxacin/dexamethasone) passes through breast milk or how it might affect a breastfed infant. However, some research has shown that the active ingredients in Ciprodex may pass through breast milk when taken orally. Although this ear medicine is unlikely to reach the breast milk in large amounts, make sure to talk to your healthcare provider before using Ciprodex while breastfeeding.

Is Ciprodex Safe While Breastfeeding?

Ciprodex® (ciprofloxacin/dexamethasone) is a prescription medication used to treat a middle ear infection, known medically as otitis media, in children with ear tubes; it can also treat outer ear infections, medically known as otitis externa, in children and adults. It comes in the form of an ear drop and combines ciprofloxacin, an antibiotic, and dexamethasone, a corticosteroid medication.
While very little, if any, Ciprodex is absorbed into the body from the ear, it is unknown if the medication passes through breast milk. Therefore, if you are breastfeeding a child, you should talk with your healthcare provider about using Ciprodex.

More Information on Breastfeeding and Ciprodex

No research has been done to see if Ciprodex passes through breast milk. One of the active ingredients, dexamethasone, is thought to pass through breast milk when taken by mouth. However, no studies have been done to see if it actually does. When used topically (applied to the skin) in small amounts, dexamethasone is believed to be safe for use during breastfeeding, as long as the breastfed infant does not come in direct contact with the medication.
The other active ingredient in Ciprodex, ciprofloxacin, is known to pass through breast milk in small amounts when taken by mouth. Because it can cause serious joint and muscle problems in infants and children, concerns exist about these effects in a nursing child.
However, Ciprodex is an ear drop and very little of the medication (if any) is expected to reach the bloodstream after normal use. Therefore, it is unlikely that the drug would reach the breast milk and pass to a breastfed infant. Ciprodex has never been studied in breastfeeding women, so potential problems cannot be completely ruled out.
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