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Hernádez MT, Paricio JM, Pemán J, Sánchez M, Beseler B, Benlloch MJ.
Rev Esp Quimioter. 2009 Dec;22(4):180-189.

Abstract

Not infrequently an infection or an antibiotic treatment needed by a lactating mother leads to medical advice against breastfeeding. However, advising against breastfeeding increases morbi-mortality risk in the infant. Besides there are few anti-infectious agents not compatible with breastfeeding, and in these cases, there is usually an alternative to treat the mother’s illness.

Goldstein LH, Berlin M, Tsur L, Bortnik O, Binyamini L, Berkovitch M.
Breastfeed Med. 2009 Apr 15.

Background: Infantile exposure to macrolides has been associated with hypertrophic pyloric stenosis causing projectile vomiting, dehydration, electrolyte abnormalities, and in rare cases death possibly via macrolide interaction with gastric motilin receptors. Large population-based cohorts have suggested that exposure to macrolides via breastmilk may be associated with pyloric stenosis.