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The full risks of breastfeeding while using Tobradex (tobramycin and dexamethasone) are currently unknown, as no studies have been done on this topic. The manufacturer of the drug advises women to use this medication with caution while nursing a child. Before taking Tobradex, nursing women should consult their healthcare providers.

Is Tobradex Safe While Breastfeeding?

The manufacturer of Tobradex® (tobramycin and dexamethasone) recommends that women use this medication with caution while breastfeeding. If you are nursing a child, you should talk with your healthcare provider before using Tobradex.

More Information on Breastfeeding and Tobradex

Tobradex contains two active ingredients, dexamethasone (a steroid) and tobramycin (an antibiotic). No studies have been done to see if dexamethasone passes through breast milk, although other steroids are known to do so. Tobramycin passes through breast milk, although the very small dose of the medication used in Tobradex is unlikely to cause problems.
It is important to remember that Tobradex is an eye drop (or ointment, depending on the form), and it is likely that very little of the medication reaches the bloodstream. Based on this information, it is unlikely that a significant amount of the drug would reach the breast milk.
However, the possibility of problems cannot be entirely eliminated, as this medication has never been studied in breastfeeding women. If your healthcare provider recommends using Tobradex while breastfeeding, make sure to watch for any side effects or changes in your child.

Talking With Your Healthcare Provider

You should discuss breastfeeding and Tobradex with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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