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Acne & Breastfeeding

Breastfeeding patients may use any of the over-the-counter treatments and many prescription-only treatments for acne.

Allowed Treatments

What to Avoid

Most Oral Antibiotics (rx only)
Spironolactone (rx only)
Isotretinoin (rx only)
acne-friendly birth control pills (rx only); the estrogen can decrease quantity & quality of the milk
Mini-pill (progestin-only pill), which can worsen acne

Severe Acne during Breastfeeding

For patients who are breastfeeding with acne refractory to topical treatment, sulfamethoxazole/trimethoprim can be used safely in the breastfeeding mother if the infant is healthy and is over 2 months old. Also, azithromycin can be used, as in pregnancy. Isotretinoin, doxycycline, minocycline, and tetracycline are not safe choices.