Prescription and over-the-counter drug use should be made on a case-by-case basis, and this information may not be applicable to every situation. Topical antifungal medication such as Clotrimazole, Amphotericin B and Ketoconazole may be combined with corticosteroids in cases where inflammation causes pain in lips. In most cases, antibiotics are safe for breastfeeding parents and their babies. Miconazole oral gel is an antifungal agent with poor oral absorption (~25 - 30%). Click to see full answer. Well, Lotrimin is safe to treat fungal infections in dogs but, to keep it safe, you always have to take care of dosage and quantity. From Tacrolimus to Tyropanoate, learn about the safety of the most common medications during pregnancy and breastfeeding with the following general overview of drugs that begin with the letter T. Medication Pregnancy Risk Category Breastfeeding Risk Category Tacrolimus (Prograf, Protopic) C L3 Tamoxifen (Nolvadex, Apo-Tamox, Nolvadex, Tamofen, … Breastfeeding: Healthcare providers do not recommend the use of Betadine if you are breastfeeding. After the first couple weeks, the amount of leukocytes drops significantly from 13-70% to 0-2% of total cells. Lamisil Cream (terbinafine) and Lotrimin (clotrimazole) are antifungal agents applied to the skin used to treat fungal nails, jock itch, and athlete's foot. Which Antibiotics are safe: Antibiotics mostly consider very safe medicines. If you become pregnant while taking Klonopin, you should speak to your doctor or an expert at Minded. A 6-day course of clotrimazole for the treatment of vaginal thrush may be Oral antifungal Griseofulvin is tumorigenic and should be avoided. For ear fungal infections, opt for the Clotrimazole 1% solution drops instead of the Lotrimin tube. Topical antifungal creams and pessaries containing clotrimazole and nystatin are considered safe during pregnancy. Although the Food and Drug … Therefore, befor … There have been no reports of teratogenesis attributed to this agent. Available data regarding fluconazole use during breastfeeding are reassuring. Antibiotics The vast majority of antibiotics are safe for women to use while breastfeeding, but a few notable exceptions exist, including erythromycin. This could be caused by a poor breastfeeding latch, or your baby might just be an over-enthusiastic feeder. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Contents show As for antifungals, topicals are safe, and nystatin and clotrimazole are the best first-line options (both L1). Raynaud’s phenomenon affects up to 10% of otherwise healthy women aged 21-50 years of age. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). 5.1 Get a Good Amount of Rest. It is one of the most common reasons why women see their obstetrician–gynecologists (ob-gyns).There are many possible causes of vaginitis, and the type of treatment depends on the cause. Abscess If a well-defined area of the breast remains hard, red, and tender despite appropriate management, then an abscess ... of antifungal medications, either with or without culture, is the current expert consensus recommendation. Fluconazole is also used in the treatment of fungal diseases in infants and has a good safety profile. Maternal allergy can impact breastfeeding and the infant’s health. Side effects of antifungal medicines. If your nipples are pink, itchy or crusty, however, you could have thrush, a common yeast infection that can be treated with antifungal cream. Fluconazole is acceptable in nursing mothers because amounts excreted into breastmilk are less than the neonatal fluconazole dosage. Miconazole (Monistat-Derm) During Pregnancy and Breastfeeding. That’s why breastfeeding women should discuss taking this medicine with their doctors. Adults with diabetes or with suppressed immunity undergo an appropriate therapy to address them. For example, EOs rich in phenols and aldehydes may cause allergy in some individuals. There is evidence to suggest that fluconazole exhibits dose-dependent teratogenic effects; however, it appears to be safe at lower doses (150 mg/day). Breastfeeding: Effect on the Mother Description/Etiology Breastfeeding is an evidence-based, healthy, safe, and nutritious method for feeding infants that supports optimal growth and development. Studies have also provided additional safety data on lipid derivatives of amphotericin B. Gentian violet 0.5–1%: routinely used … Not known. Information on this subject has been updated. Anti fungal cream: There shouldn't be any problem, but always defer to your pediatrician, who is the captain of the ship regarding all medicines during breast feeding. Antifungal medicines (for yeast or fungal infections) Yeast infections are common in nursing moms. Possible side effects and drug interactions of miconazole gel Therefore, there is no need to interrupt breastfeeding when a mother is treated with fluconazole. A common antifungal medication is Lamisil. Is it safe to use antifungal cream while breastfeeding? safe to use while breastfeeding. Table 6 23, 24 describes the safety of various OTC antifungal agents in pregnancy. This single ingredient product has many uses, including food preparation, but is great for the skin. (III) Summary of Use during Lactation. 1,2 Fluconazole has high oral bioavailability (> 90%), low protein binding, and good tissue penetration. safe to use while breastfeeding. Have the patient apply topical Nystatin ointment or Imidazole creams. Flucanazole (diflucan) Fluconazole (Diflucan™) is a synthetic antifungal agent that can be used for the treatment of Candida albicans and other fungal infections. Aromatherapy is normally used through inhalation or as a topical application. This drug is also poorly absorbed orally, so it is considered safe for breastfeeding infants. Clotrimazole (Lotrimin) C. Imidazole antifungal. Vaginitis is an inflammation of the vagina.Vaginitis may cause itching, burning, a bad odor, or a large amount of discharge. Fluconazole can pass into breast milk. Your healthcare provider can determine whether it’s OK for you or your child to take an antifungal medicine. A fungistatic inhibits their growth. Pregnancy & Breastfeeding – Safe Use of Anti ... ANTIFUNGAL AGENTS Name of Agent / Class Pregnancy Breastfeeding Amphotericin B • Not expected to increase risk of major congenital malformations. However, because only small amounts of miconazole or clotrimazole could pass into breastmilk when used topically or intravaginally, breastfeeding is not thought to be a concern. A 6-day course of clotrimazole for the treatment of vaginal thrush may be The topical cream is generally considered safe for use during pregnancy. As a breastfeeding mom, it’s only natural that you may feel concerned about taking any medication, in the event that it could pass through your milk to your little one. Common side effects If necessary your doctor may prescribe antifungal tablets as well, take these as directed. Your doctor. Studies have not been done in humans for use of all azole antifungals during the first trimester of pregnancy. There is presently a dearth of information on diagnosis, natural history, and treatment of this condition in the literature. If antifungals or antibiotics are being prescribed for a breast fungal infection or for mastitis, Dr. Murase underscored the importance of not stopping breastfeeding. However, major continuing gaps remain to be filled. These medicines are safe and effective when used for at least 7 days during the second and third trimesters of pregnancy. Antifungal medicines may cause side effects. Treating Yeast While Breastfeeding Yeast (also called thrush or Candida) is a fungus that grows in warm, dark, moist environments, like the linings of the mouth and vagina, the diaper area, skin folds, bra padding, and on nipples that are frequently wet. Diaper rash, thrush, a skin infection or a yeast infection in women — all are due to an overgrowth of the yeast fungus. Is it ok to take an antifungal while pregnant or breastfeeding? These drugs are not safe for breastfeeding moms to take. 6.2 Go for Short-Acting Cold Medicines. Topical terbinafine: as less than 5% of the applied dose is absorbed through the skin, topical use is regarded as safe when breastfeeding. It treats different types of fungal infections including: athlete's foot; jock itch, an infection in the groin area; sweat rash (intertrigo), a rash that usually appears in folds of skin Breast and nipple thrush is treated with antifungal medicine and antifungal nipple gel/creams. Fluconazole (Diflucan) is a synthetic antifungal agent which can be used for the treatment of a variety of Candida albicans infections. It has an L2 lactation rating and is most likely safe to use during breastfeeding. When applied topically onto the nipples, miconazole has minimal systemic absorption (0.1%). Cefalexin, also spelled cephalexin, is an antibiotic that can treat a number of bacterial infections. There are currently no studies looking at miconazole or clotrimazole use during breastfeeding . He wants to know if there is any chance these "chemicals" and/or the antifungals could get passed through the breast milk. For the breastfeeding mother in particular, it can be used after other first interventions to treat recurrent Candida infections of the nipples, and, if such a thing exists, as I believe it does, Candida infections of the breasts. 5.3 Use Humidifiers and Vapourizers. Fluconazole is a triazole antifungal agent that inhibits the fungal cytochrome P450–dependent enzyme lanosterol 14 α-demethylase, disrupts the fungal cell membrane, and impairs cell replication. Fungicides are biocidal chemical compounds or biological organisms used to kill parasitic fungi or their spores. Dr. Jack Newman, a Canadian Pediatrician and breastfeeding expert, states it can be very effective when used in conjunction with All Purpose Nipple Cream. An antifungal: Used for: Fungal infections in the ear in otitis externa: Also called: Canesten® Solution: ... you should only use medicines on the recommendation of a doctor while you are expecting or breastfeeding a baby. [1] Although no adequate clinical studies on fluconazole in Candida mastitis have been published, a survey of members of the Academy of Breastfeeding Medicine found that fluconazole is often … Talk to your doctor or pharmacist for further advice before using any of these products. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). Your doctor may prescribe you antifungal cream or pessaries, such as clotrimazole during pregnancy. infections during pregnancy. 5.4k views Answered >2 years ago. 2 women excreted totals of 0.7 and 0.2 mg in their milk after a single oral dose of 500 mg of terbinafine. whether your antifungal medicine is suitable to take during pregnancy or while breastfeeding – many are not suitable; You can also check the patient information leaflet that comes with your antifungal medicine for more information. Because blood levels are very low after topical application to the toenails, it is unlikely that a measurable amount of the drug will enter the breastmilk. Many common ailments are caused by the Candida albicans fungus. Infection with Candida albicans in the breastfeeding dyad has been associated with extreme pain in the breastfeeding mother and may lead to premature weaning. Which antifungal is safe in breastfeeding? Miconazole: is the preferred topical azole, compatible with breastfeeding. However, check with your doctor before using this medicine during the first trimester of pregnancy. 5.4 Neti Pot. The current research evidence for nystatin is poor according to Hoppe (1996, 1997). One of the largest studies24 to date investigated the teratogenicity of clotrimazole. Thank. Salicylic acid or benzydamine containing products may also be used. We explore the research behind tea tree oil … Manuka Honey. Never apply for the medicine on the eyes or near genitals. How and when to take antifungal medicine. Many mothers are required to use drugs during breastfeeding. Antidiarrheal Safe For Breastfeeding / Are e-cigarettes safe for breastfeeding moms? The ABM is a worldwide organization of medical doctors dedicated to the promotion, protection, and support of breastfeeding. His wife has recently started a yeast/sugar-free diet and is feeling a bit below par, possibly due to the dying candida cells. Coconut oil is safe for baby to ingest, so there’s no need to wash it off before feeds. In case it is necessary, it is important to weigh the benefits and risks. Ketoconazole and selenium sulfide are also used for treating seborrhea (a red, itchy rash) and tinea versicolor, a fungal infection of the skin. If you’re breastfeeding, both of you will need antifungal treatments. It has antibacterial, antifungal, and antiviral properties and reduces the risk of thrush and other dangerous infections. 5.5 Zinc. “People associate erythromycin as safe in lactation because it’s safe in pregnancy, but that’s not the case,” Dr. Murase pointed out. References. Ketoconazole is an antifungal medicine. It can also be applied around the anus. Topical antifungal All may be safely used though there is minimal secretion in breast milk, and there is a case of lactation suppression due to use of selenium sulfide as selenium is a natural constituent of breast milk and excess can inhibit milk secretion. Kefir. Miconazole use while Breastfeeding Drugs containing Miconazole: Monistat, Monistat 7, Mitrazol, Monistat 3, Monistat 1 Combination Pack, Micatin, Zeasorb-AF, Oravig, Baza Antifungal, Secura Antifungal, Show all 59 » Medically reviewed by Drugs.com. You will be prescribed an antifungal cream or gel, usually miconazole oral gel or cream or nystatin cream. Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. Keep the nipples dry: let them air-dry after feeds, and replace wet breast pads immediately. See Thrush and Other Candida Infections. 5 Home Remedies for Cold while Breastfeeding. Terbinafine tablets are generally not recommended if you're breastfeeding. Can I take Tavaborole while breastfeeding? Dermatology 31 years experience. There is no published evidence on the safe use of these topical preparations in breastfeeding. Nipple vasospasm can also be associated with deep breast and muscle pain—a condition referred to as … Moreover, is it safe to use clotrimazole while breastfeeding? 6.1 Apply Caution with Combined Ingredients. Topical preparations for fungal infections are considered to pose a negligible risk to a breastfeeding infant as long as precautions are taken to minimise contact of the breastfeeding infant with treated areas. Salicylic acid or benzydamine containing products may also be used. As for antifungals, topicals are safe, and nystatin and clotrimazoleare the best first-line options (both L1). The “azole” class of antifungals are used to treat mold and yeast infections, including oral or vulvovaginal yeast infections.[9] However, these are all pregnancy category C, and human studies and reports have demonstrated risk to the fetus. It can also prevent them coming back. Your pediatrician may recommend or prescribe a topical antifungal cream for the rash. In addition to the risk of congenital conditions noted above, your newborn may experience withdrawal symptoms. Many fungal infections get better within 7 days of treatment with terbinafine – nail … Thrush is the name for a yeast infection caused by an overgrowth of a fungus, usually Candida albicans.C. The most common fungal infections in infants and children are mucocutaneous candidiasis, pityriasis versicolor, tinea corporis, tinea pedis, and tinea capitis [].The objective of the present update is to inform clinicians on options for treatment of these symptomatic but non-life-threatening fungal infections in immune-competent hosts, given the wide variety of topical, … 16 17 18 On the safety of virgin coconut oil, Thomas Hale breastfeeding and medications author writes on a forum: Excerpt from Coconut Oil on Breast, Infant Risk Forum, Thomas Hale, 2012 [accessed 6 Nov 2020] Conventional treatment for thrush in breastfeeding moms and babies includes a topical antifungal cream for your nipples and an oral rinse for your child, rich cream that provides a soothing, feet, Jack Newman’s nipple 1,2 Its terminal elimination half-life is approximately 30 hours and … We have experienced in the last 10 years a large expansion of the antifungal armamentarium, with the rise of new drugs exhibiting an excellent tolerance profile and efficacy and a new activity spectrum. Their moms also need treatment, typically with an antifungal skin cream. Terbinafine and breastfeeding. This medication is safe to take during pregnancy. Ask your healthcare provider if there is … Antimicrobial Safety in Pregnancy and Breastfeeding is as a sister document to the Antimicrobial Prescribing Guidelines in Obstetrics. VCO as Antifungal for Dandruff. This document provides the current safety data on antimicrobial use in pregnancy and lactation and is to be used as a guide to prescribers when choosing appropriate antimicrobial treatment for the pregnant woman Many over-the-counter treatments for vaginal yeast are safe to use while nursing, since little of the medicine is absorbed into the body. Read the most recent information. However, it is best to avoid using it while breastfeeding as it is distributed in breast milk. Check with your GP or pharmacist. Talk to your doctor or pharmacist for further advice before using any of these products. whether your antifungal medicine is suitable to take during pregnancy or while breastfeeding – many are not suitable; You can also check the patient information leaflet that comes with your antifungal medicine for more information. Data sources include IBM Watson Micromedex (updated 6 Dec 2021), Cerner Multum™ (updated 1 … Omeprazole is a common drug that some people take to treat heartburn, or acid reflux. There is simply not enough information to conclude whether Klonopin is safe to use during pregnancy and breastfeeding. 3 mins read Apply an antifungal cream , Check them out here. 48 Likes, 2 Comments - College of Medicine & Science (@mayocliniccollege) on Instagram: “ Our Ph.D. There are prescription antifungal medications, shown to be effective in treating thrush in the breast which are considered safe to take while breastfeeding.1,4 Ask your midwife, doctor or pharmacist for the brand names of these medicines. Treatment for thrush usually involves antifungal medication for both moms and babies. Medication safety depends on the antifungal drug. This document provides the current safety data on antimicrobial use in pregnancy and lactation and is to be used as a guide to prescribers when choosing appropriate antimicrobial treatment for the pregnant woman vagina, nappy rash, feet. It kills gram-positive and some gram-negative bacteria by disrupting the growth of the bacterial cell wall. Topical antifungal creams and pessaries containing clotrimazole and nystatin are considered safe during pregnancy. Candida thrives in a moist environment. Safety guidelines for use of antifungal agents in pregnant and breastfeeding women. Program within @mayoclinicgradschool … Cefalexin is a beta-lactam antibiotic within the class of first-generation cephalosporins. But prevention is key. Lotrimin (clotrimazole) is an antifungal medication that works by disrupting the cell membrane and is part of the azole class of medications. Stay on the safe side and talk to your doctor if you have any concerns. Antimicrobial Safety in Pregnancy and Breastfeeding is as a sister document to the Antimicrobial Prescribing Guidelines in Obstetrics. Miconazole and zinc oxide topical (for the skin) is a combination antifungal medicine that fights infections caused by fungus. It was first described by Maurice Raynor 1862 who referred to “local asphyxia of the extremities” and “episodic digital ischaemia provoked by cold and emotion. The pharmacokinetics of fexofenadine in breast milk were studied in 4 lactating women taking 60 mg of terfenadine every 12 hours.20The maximum infant dose of fexofenadine based on the highest concentration of fexofenadine in breast milk would be 9 μg/kg daily (ie, 0.45% of the daily dose given to the mother in mg/kg). These medicines are safe and effective when used for at least 7 days during the second and third trimesters of pregnancy. A vasospasm is a sudden constriction (or narrowing) of the blood vessels. There are other antifungal medicines that are safer. Indications: Antifungal used to treat athlete’s foot, ringworm and yeast infections of the skin. Medication safety depends on the antifungal drug. Breastfeeding infants who develop thrush (an oral yeast infection) can get antifungal mouth drops. Their moms also need treatment, typically with an antifungal skin cream. Your healthcare provider can determine whether it’s OK for you or your child to take an antifungal medicine. Lidocaine mainly works below the skin surface by numbing the skin. Must ask your doctor before using. Observe and assist with correct positioning and attachment (refer to LC if concerns raised). Among its many healing benefits, tea tree oil has antifungal properties and may be a safe and effective treatment for nail fungus. Breastfeeding and expressing from the affected breast is still safe. Some antifungal medications can be harmful to the liver, so your doctor may regularly check for liver damage while you are taking such medication. ( 18 ) Finally, if you experience any negative side effects or food allergy symptoms after consuming star anise, discontinue use immediately and consult with a trusted health care practitioner. Oregano Oil. It is a safe plant based remedy which is derived from castor oil. The first line treatment of nipple thrush is direct application of gel to nipples and to baby's mouth. Breastfeeding infants who develop thrush (an oral yeast infection) can get antifungal mouth drops. Imidazole antifungal. Tea tree oil has been the subject of extensive research studies which confirm its healing properties. Therefore, there is no need to interrupt breastfeeding when a mother is treated with fluconazole. Some antifungal medications can be harmful to the liver, so your doctor may regularly check for liver damage while you are taking such medication. Overview of the most powerful natural antifungals and how to use internally and externally to resolve common, non-serious fungal and yeast infections. 6 A Guide to Safe Cold Medicines while Breastfeeding. [ 1] taking are safe to use during breastfeeding. Topical antifungal cream and pessaries containing clotrimazole, miconazole and nystatin are safe to use while breastfeeding. Keep your nipples dry by frequently changing breast pads as thrush … It is assigned pregnancy category B as animal studies with the use of this agent have not demonstrated any adverse effects to the fetus. • Should be used only when … Vagisil is a medicated cream, and its active ingredient is 2 percent lidocaine. Virgin coconut oil is credited with antibacterial, antifungal, anti-inflammatory and analgesic properties. The information leaflet with your medicine will also have advice on using your medicine. It’s easily found in grocery stores and is safe for babies to consume in small amounts. One of the largest studies24 to date investigated the teratogenicity of clotrimazole. Antifungal medicines may cause side effects. The ointment form is used to treat diaper rash with yeast infection (candidiasis) in children and babies who are at least 4 … Studies have also provided additional safety data on lipid derivatives of amphotericin B. Fluconazole is also used in the treatment of fungal diseases in infants and has a good safety profile. But prevention is key. Though not a serious condition, it’s important to treat a Candida infection as soon as you notice symptoms. Gentian Violet is an antifungal that is a very old treatment for thrush. In either case, it’s usually only a temporary problem. Additional measures to … 2nd trimester pregnant.. been treating my PD with a mix of oral erythromycin, metronidazole cream, and elidel. Pau d'Arco. Prescriber Update 21: 10-23 May 2001 Sharon Gardiner, Drug Information Pharmacist, Christchurch Hospital and Evan Begg, Clinical Pharmacologist, Christchurch School of Medicine. This medication is safe to take during pregnancy. For oral thrush, your doctor may prescribe antifungal medication (drops or a gel) containing nystatin, which must be spread on the tongue and inside the mouth a … About 10% of breastfeeding mothers experience nipple/breast pain (not associated with breast redness or fever) that is often described as one or more of the following: ‘burning’, ‘stabbing’, ‘knife-like’, ‘shooting’, ’sharp’. However, most medications are safe to take during nursing, and often the benefits may outweigh the risks. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Antifungal Cream using Manuka. Table 6 23, 24 describes the safety of various OTC antifungal agents in pregnancy. Will Vics Vapor Rub Work On Finger Nail Fungus Quick Home Remedies For Foot Fungus Toenail Fungus Treatment Safe For Breastfeeding. Dr. Barry Resnik answered. This article has something to do with candida antifungal treatment. Summary Recommendations: Miconazole is used to treat fungal infections of the skin. Take your antifungal medicine as advised by your pharmacist or GP. infections during pregnancy. Antifungal Medicines (For Yeast or Fungal Infections) Yeast infections are common in nursing moms. Summary Drug levels Infants Lactation/breastmilk Alternate drugs Antifungals. Answer Available data regarding fluconazole use during breastfeeding are reassuring. The alternative licensed anti-fungal agents available to teat oral candida (thrush) in an infant below 4 months of age are nystatin oral suspension and oral fluconazole suspension for the baby. albicans is normally kept in check by friendly bacteria in our bodies. Not only will the coconut oil soothe your tender skin, it also has antifungal properties to help fight the infection. ... check with a pharmacist that they are safe to use with your other medicines. It can also be used to treat ringworm. Last updated on Jun 13, 2021. It's used to treat skin infections caused by a fungus (yeast). Studies have not been done in humans for use of all azole antifungals during the first trimester of pregnancy. Nystatin suspension or miconazole oral gel for infant’s mouth. A nipple vasospasm may be triggered by a breastfeeding baby in a shallow latch and it can also be connected with Raynaud’s phenomenon (a condition affecting blood supply). That means there is a risk that it may harm nursing babies. Imidazoles are considered safe as topical therapy for fungal skin infections during pregnancy. Nystatin is minimally absorbed and is effective for vaginal therap … Antifungal therapy during pregnancy Clin Infect Dis. 1998 Nov;27(5):1151-60.doi: 10.1086/514977. Authors Topical tavaborole has not been studied during breastfeeding. Antifungal therapy during pregnancy and lactation is challenging because of a lack of data on efficacy and safety, coupled with reports of teratogenicity. Modern research proves that tea tree oil has antiseptic, anti-inflammatory, and antifungal properties. Explore our collection of more than 500 expert-approved videos packed with information about pregnancy, labor, birth, baby development, newborn care, preemies, toddlers, and more. Thus, a herb may be safe to use while breastfeeding, but its essential oil not necessarily safe. However, it is best to avoid using it while breastfeeding as it is distributed in breast milk. If you absolutely need to use Betadine, it is better to discontinue breastfeeding. Other names for clotrimazole include MPM, Lotrimin, Desenex, FungiCURE and Cruex. The systemic antifungal drug with which there has been the most experience in pregnancy is amphotericin B. It is 9 times more common in women than men. »»Apply antifungal cream or gel as directed to both nipples, after each feed during the day, for at least seven days. Topical terbinafine: as less than 5% of the applied dose is absorbed through the skin, topical use is regarded as safe when breastfeeding. Which antifungal is safe in breastfeeding? [6] Topical terbinafine is often used to treat athlete’s foot, jock itch, ringworm, and a variety of other fungal infections. It is usually used five times per day for two weeks to treat oral thrush, and twice a day to treat yeast infections on the skin. Antifungal Therapy in Pregnancy and Breastfeeding Antifungal Therapy in Pregnancy and Breastfeeding Njoku, Jessica; Gumeel, Dalal; Hermsen, Elizabeth 2010-03-31 00:00:00 Antifungal therapy during pregnancy and lactation is challenging because of a lack of data on efficacy and safety, coupled with reports of teratogenicity. However, major continuing gaps remain to be filled. Your doctor may prescribe a triazole antifungal agent called Fluconazole. What antifungal cream is safe for kids?