Clotrimazole Topical During Pregnancy and Breastfeeding

Medications

Obie Editorial Team

Clotrimazole Topical SafetyGeneric Name: Clotrimazole Topical
Indications: Treatment of fungal infections of the skin.    
FDA Drug Category: B

Summary Recommendations: Clotrimazole is a readily available over the counter treatment for fungal infections of the feet, genital area and vagina. It can also be used to treat ringworm. The topical cream is generally considered safe for use during pregnancy.

Other names for clotrimazole include MPM, Lotrimin, Desenex, FungiCURE and Cruex. Check the product label to see if the active ingredient is clotrimazole before using.

General Precautions: The only general precautions associated with clotrimazole treatment are linked to the treatment and not pregnancy. You should use clotrimazole for the total prescribed treatment time. Stopping treatment as soon as symptoms subside could result in re-infection. Symptoms may resolve within a few days, but treatment could last longer.

The area treated with clotrimazole should not be bandaged. Cover the skin only with clothing made of a breathable fabric like cotton. When applying the medication keep out of eyes, mouth and nose.

Effect While Trying to Conceive: There is no connection between clotrimazole and fertility problems. An animal study completed on clotrimazole at varied doses similar to doses prescribed to human patients showed no negative impact on fertility, conception or pregnancy duration.

Effects on Pregnancy: Clotrimazole is considered safe for use during pregnancy. There have been no reported birth defects and clinical study has revealed no such possible defects.

Safe During Breastfeeding: Clotrimazole has been prescribed as an oral treatment for thrush with no negative side effects. The amount of the drug that passes into breastmilk is unknown, but it is not comparable to the amount delivered during oral treatment. Use of clotrimazole while breastfeeding appears to be safe, even if the drug is applied to the nipples and areola. As a precautionary measure, some doctors suggest cleansing the nipples and areola before breastfeeding if the medication has been applied.