The Food and Drug Administration has not placed this drug in a pregnancy category. Safe During Breastfeeding: While there are no clinical observations or reports to pull from, the small amount of miconazole that passes into breast milk is not thought to cause side effects in the infant.
Official Answer. Yes, you can use Monistat during pregnancy. Monistat is the brand name of the antifungal drug miconazole, which is commonly used to treat vaginal yeast infections. Miconazole is in a class of medicines known as “azoles.” Miconazole is one of several azoles used to treat vaginal yeast infections.
Miconazole Cream 2%
This is the first choice of antifungal cream. A small amount of the cream is applied sparingly to the nipples/areola twice daily following breastfeeds. Try to allow at least 12 hours between treatments. It is important to continue treatment for 10 days after symptoms have cleared.
You can carry on breastfeeding while you and your baby are treated for thrush. Oral thrush in babies is usually treated with an anti-fungal gel or liquid. This is safe for your baby to have. It’s important to wash your hands carefully after treating your baby.
Yeast Infections and breastfeeding
Your doctor can advise on the best ways to avoid infection, including sterilizing breast pumps and washing/drying nipples between feedings. An antifungal cream may be prescribed along with an oral antifungal medication to prevent or treat thrush in your baby.
The CDC and health professionals recommend a 7-day vaginal cream for a yeast infection during pregnancy. The FDA issued a warning about the oral medication fluconazole (Diflucan®) in 20162. Using topical antifungal treatments like MONISTAT® during pregnancy is recommended.
The fastest — and most reliable — way to get rid of a yeast infection is to visit a doctor if you suspect you have one. They will likely prescribe fluconazole, an oral treatment that may take 1 week to get rid of the infection.
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.