At high doses of hydrocortisone for long periods of time, baby would need monitored by the pediatrician for growth.
Otherwise hydrocortisone is safe for breastfeeding. It transfers poorly to breast milk.
This information was very reassuring. It was HUGE. My overall stress level has come down big time as I'm back to breastfeeding Meili and don't have to stay up to pump now. Getting plenty of sleep, which has my body finally responding well to the meds.
I'm on a moderately high dose of this corticosteroid at the moment. Anything above 80 mg a day is high and I was on that for four days. Currently at 60 mg in three doses, and tapering slowly.
I also tweaked the time of dosing based on an article I read a week and a half ago. So I take half the dose first thing in the morning (should be between 6-8 am), then a quarter in the afternoon (1-2 pm) and the last quarter as late as possible at night (10 pm right before I sleep).
Here's the link to the article on which I based the dosing.
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