{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:36:51Z","timestamp":1791275811081,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T00:00:00Z","timestamp":1362528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2013,4]]},"abstract":"\n Background<\/jats:title>\n Breast\u2010feeding has important health and emotional benefits for both mother and infant, and should be encouraged. While there are some data to suggest migraine may improve during breast\u2010feeding, more than half of women experience migraine recurrence with 1 month of delivery. Thus, a thorough knowledge base of the safety and recommended use of common acute and preventive migraine drugs during breast\u2010feeding is vital to clinicians treating migraine sufferers. Choice of treatment should take into account the balance of benefit and risk of medication. For some of the medications commonly used during breast\u2010feeding, there is not good evidence about benefits.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A list of commonly used migraine medications was agreed upon by the 6 authors, who treat migraine and other headaches on a regular basis and are members of the\n W<\/jats:styled-content>\n omen's\n S<\/jats:styled-content>\n pecial\n I<\/jats:styled-content>\n nterest\n S<\/jats:styled-content>\n ection of the\n A<\/jats:styled-content>\n merican\n H<\/jats:styled-content>\n eadache\n S<\/jats:styled-content>\n ociety. Each medication was researched by the first author utilizing widely accepted data sources, such as the\n A<\/jats:styled-content>\n merican\n A<\/jats:styled-content>\n cademy of\n P<\/jats:styled-content>\n ediatrics publication \u201c\n T<\/jats:styled-content>\n he\n T<\/jats:styled-content>\n ransfer of\n D<\/jats:styled-content>\n rugs and\n O<\/jats:styled-content>\n ther\n C<\/jats:styled-content>\n hemicals Into\n H<\/jats:styled-content>\n uman\n M<\/jats:styled-content>\n ilk;\n T<\/jats:styled-content>\n homas\n H<\/jats:styled-content>\n ale's manual\n \n M<\/jats:styled-content>\n edications and\n M<\/jats:styled-content>\n others\n M<\/jats:styled-content>\n ilk\n <\/jats:italic>\n ;\n B<\/jats:styled-content>\n riggs,\n F<\/jats:styled-content>\n reeman, and\n Y<\/jats:styled-content>\n affe's reference book\n \n D<\/jats:styled-content>\n rugs in\n P<\/jats:styled-content>\n regnancy and\n L<\/jats:styled-content>\n actation\n <\/jats:italic>\n ; and the\n N<\/jats:styled-content>\n ational\n L<\/jats:styled-content>\n ibrary of\n M<\/jats:styled-content>\n edicine's\n D<\/jats:styled-content>\n rugs and\n L<\/jats:styled-content>\n actation\n D<\/jats:styled-content>\n atabase (\n LactMed<\/jats:styled-content>\n ) \u2013 a peer\u2010reviewed and fully referenced database available online.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Many commonly used migraine medications may be compatible with breast\u2010feeding based on expert recommendations. Ibuprofen, diclofenac, and eletriptan are among acute medications with low levels in breast milk, but studies of triptans are limited. Toxicity is a concern with aspirin due to an association with Reye's syndrome; sedation or apnea is a concern with opioids. Finally, preventive medications not recommended include zonisamide, atenolol, and tizanidine.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Several excellent resources are available for clinicians making treatment decisions in breast\u2010feeding women. Clinicians treating migraine should discuss both acute and preventive treatment options shortly before and within a few months after delivery, keeping in mind the clinical features of the individual patient, and in consultation with their obstetrician and pediatrician. An awareness of the pharmacological data that are currently available and how to access that data may be helpful in making treatment decisions in this population.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.12064","type":"journal-article","created":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T21:16:16Z","timestamp":1362604576000},"page":"614-627","source":"Crossref","is-referenced-by-count":56,"title":["Use of Common Migraine Treatments in Breast\u2010Feeding Women: A Summary of Recommendations"],"prefix":"10.1111","volume":"53","author":[{"given":"Susan","family":"Hutchinson","sequence":"first","affiliation":[{"name":"Orange County Migraine and Headache Center Irvine CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Marmura","sequence":"additional","affiliation":[{"name":"Jefferson Headache Center Thomas Jefferson University Hospital Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Calhoun","sequence":"additional","affiliation":[{"name":"Carolina Headache Institute Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Lucas","sequence":"additional","affiliation":[{"name":"The Headache Center University of Washington Medical Center Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Silberstein","sequence":"additional","affiliation":[{"name":"Jefferson Headache Center Thomas Jefferson University Hospital Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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