International Board of Certified Lactation Consultant (IBCLC) Practice Exam

What is typically the preferred drug action for lactating individuals?

1. Immediate release

2. Extended release

3. Topical application

4. Intravenous administration

The correct answer is: Topical application

The preferred drug action for lactating individuals often centers around minimizing systemic exposure while maximizing local effects, which is why topical application is typically favored. When medications are applied topically, they are usually absorbed directly at the site of application without significant systemic circulation. This is particularly important for lactating individuals because it reduces the potential for the drug to enter breast milk, thereby safeguarding the health of the breastfeeding infant. In contrast, other forms of drug administration, such as immediate or extended release tablets and intravenous administration, can lead to higher concentrations of the medication in the bloodstream. These routes have a higher likelihood of subsequent transfer into breast milk, resulting in potential exposure for the nursing infant. Therefore, when considering the safety and health of a lactating individual and their baby, topical administration is preferred as it allows for effective treatment with minimized risks.