Antibiotics for mastitis while breast-feeding

Examples

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Brand Name	Generic Name
Keflex	cephalexin

Brand Name	Generic Name
Keftab	cephalexin hydrochloride

Brand Name	Generic Name
Pathocil	dicloxacillin sodium

How It Works

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Antibiotics eliminate infection by killing bacteria.

Why It Is Used

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Antibiotics are used to treat a bacterial breast infection (mastitis) and are prescribed after a breast abscess is drained.

How Well It Works

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Treatment of breast infections with antibiotics usually is successful if the full prescription is taken. Treatment does not harm the breast-feeding baby.

Side Effects

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The side effects of penicillin-based antibiotics, such as dicloxacillin, are rare. If they occur, they usually are mild and include:

• Nausea or vomiting.
• Intestinal gas.
• Loose stools or diarrhea.
• Allergic reactions, such as skin rashes and itching.

The side effects of cephalosporin antibiotics, such as cephalexin, are rare. If they occur, they usually are mild and include:

• Diarrhea.
• Abdominal pain.
• Allergic reactions, such as skin rashes and itching.
• Vaginal yeast infection.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

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The entire supply of antibiotics prescribed should be taken, even after symptoms of the infection have cleared up.

Resistant bacteria have become more common causes of infections. If your mastitis is caused by a resistant strain of bacteria, the first treatment with an antibiotic may not cure it. Some women with mastitis may need a second treatment with a different antibiotic.

Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.

References

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Other Works Consulted

• Newton ER (2002). Mastitis and breast abscess section of Physiology of lactation and breast-feeding. In SG Gabbe et al., eds., Obstetrics: Normal and Problem Pregnancies, 4th ed., chap. 5, pp. 127–128. New York: Churchill Livingstone.

Credits

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Author	Bets Davis, MFA
Editor	Susan Van Houten, RN, BSN, MBA
Associate Editor	Pat Truman, MATC
Primary Medical Reviewer	Adam Husney, MD - Family Medicine
Primary Medical Reviewer	Joy Melnikow, MD, MPH - Family Medicine
Specialist Medical Reviewer	Liisa Honey, MD, FRCSC - Obstetrics and Gynecology
Last Updated	January 17, 2008