Psoriasis Breastfeeding — SCE Dermatology MCQ

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EasyInflammatory DermatosesPsoriasis BreastfeedingSCE Dermatology

A 45-year-old woman with psoriasis is breastfeeding. She has a moderate flare. What topical treatment can be safely used on her body (avoiding the breast) while breastfeeding?

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Correct answer: C — Emollients and moderate potency topical corticosteroids can be used safely on the body (avoiding direct breast application); clean breast before feeding if any inadvertent contact

Topical corticosteroids (mild to moderate potency) are considered safe during breastfeeding when used on the body, avoiding direct application to the breast/nipple. If breast application is necessary (for eczema/psoriasis), the area should be cleaned before feeding. Systemic absorption from topical corticosteroids is minimal and unlikely to affect breastmilk composition. Emollients are safe without restriction. Topical retinoids (Tazarotene) should be avoided. Calcipotriol has limited breastfeeding data. Coal tar preparations are generally avoided in breastfeeding due to potential carcinogenic components. NB-UVB phototherapy is safe during breastfeeding. Among systemic therapies, Prednisolone at low doses is acceptable.

Reference: BAD 2018 Prescribing in Pregnancy/Breastfeeding; BNF