Table 2.

Non-steroidal anti-inflammatory drugs, corticosteroids and bisphosphonates during lactation

Drug	Secretion into breast milk	Effect on nursing infant	Breastfeeding allowed
Non-steroidal anti-inflammatory drugs	In low concentrations	No adverse effects	Diclofenac, flufenamic acid, ibuprofen, indomethacin, ketorolac, mefenamic acid, naproxen and piroxicam are compatible with breastfeeding [41-43]
Prednisone	0.025% of maternal dose	No adverse effects	Compatible with breastfeeding [84,85]
Dexamethasone	Not studied	Not known	Avoid
Betamethasone	Not studied	Not known	Avoid
Bisphosphonates	Pamidronate not detected, no reports on other bisphosphonates	No adverse effect in one case [91]	Insufficient data. Risk-benefit must be weighed before breastfeeding