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Sedating children

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Mothers using sedating drugs should monitor their breastfed infants for signs of CNS depression (eg, drowsiness; difficulty breathing, feeding, or latching; or cyanosis), paradoxical effects (eg, unusual excitement, irritability), or inadequate weight gain.Thirty percent of Motherisk's consultations deal with the safety of drugs during breastfeeding.Please see package insert for additional information and possible updates.The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgment. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.There were no signs of central nervous system (CNS) depression (eg, sleepiness, not waking up for breastfeeding, poor latching, limpness, or lack of response to stimuli) reported in 98.4% of infants exposed to BZDs, which was similar to the control group exposed to acetaminophen.Mothers who reported infant sedation used a significantly higher number of CNS depressants than mothers who reported no adverse outcomes in their infants did (mean [SD] = 3.5 [0.71] vs 1.7 [0.9]; The authors concluded that the use of BZDs was compatible with breastfeeding and the risk of adverse effects in both mother and infant could be reduced by limiting the number of CNS depressants used by the mother.

As a pediatrician and a parent, I would like to offer another way of thinking about this paradox. They wiggle, they talk out of turn, and their mind doesn’t seem to turn off. They talk while brushing their teeth and wiggling their foot at the same time. Non-medication stimulants also work, although for limited amounts of time.

There is some overlap between the terms "sedative" and "hypnotic".

Advances in pharmacology have permitted more specific targeting of receptors, and greater selectivity of agents, which necessitates greater precision when describing these agents and their effects: Doctors often administer sedatives to patients in order to dull the patient's anxiety related to painful or anxiety-provoking procedures.

However, some drugs, such as codeine, can cause sedation even at relative infant doses lower than 10%. avec la codéine ou l'oxycodone), les sédatifs causeront probablement une dépression du SNC chez l'enfant allaité et, dans d'autres cas (p. avec les benzodiazépines), ce ne sera probablement pas le cas.

QUESTION Les sédatifs qu'une mère prend pendant qu'elle allaite pourraient-ils causer une dépression du système nerveux central (SNC) chez son enfant allaité? Les mères qui prennent des sédatifs devraient surveiller chez leur enfant allaité des signes de dépression du SNC (p. somnolence, difficulté à respirer, à s'alimenter ou à prendre le sein, ou encore cyanose), des réactions paradoxales (p. excitation inhabituelle, irritabilité) ou un gain de poids insuffisant.