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TABLE 3
Radioactive Compounds That Require Temporary Cessation of Breastfeeding*

Compound Recommended Time for Cessation of Breastfeeding Reference No.

Copper 64 (64Cu) Radioactivity in milk present at 50 h 37
Gallium 67 (67Ga) Radioactivity in milk present for 2 wk 38
Indium 111 (111In) Very small amount present at 20 h 39
Iodine 123 (123I) Radioactivity in milk present up to 36 h 40, 41
Iodine 125 (125I) Radioactivity in milk present for 12 d 42
Iodine 131 (131I) Radioactivity in milk present 2-14 d, depending on study 43-46
Iodine131 If used for treatment of thyroid cancer, high radioactivity
may prolong exposure to infant
47, 48
Radioactive sodium Radioactivity in milk present 96 h 49
Technetium 99m (99mTc), 99mTc
macroaggregates, 99mTc O4
Radioactivity in milk present 15 h to 3 d 41, 50-55

* Consult nuclear medicine physician before performing diagnostic study so that radionuclide that has the shortest excretion time in breast milk can be used. Before study, the mother should pump her breast and store enough milk in the freezer for feeding the infant; after study, the mother should pump her breast to maintain milk production but discard all milk pumped for the required time that radioactivity is present in milk. Milk samples can be screened by radiology departments for radioactivity before resumption of nursing.




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