The Editorial Executive Committee welcomes letters, which should be less than 250 words. Before a decision to publish is made, letters which refer to a published article may be sent to the author for a response. Any letter may be sent to an expert for comment. When letters are published, they are usually accompanied in the same issue by their responses or comments. The Committee screens out discourteous, inaccurate or libellous statements. The letters are sub-edited before publication. Authors are required to declare any conflicts of interest. The Committee's decision on publication is final.
Letter to the Editor
In the article on drugs in breastfeeding,1 I was dismayed at the inclusion of ‘radiopharmaceuticals’ in the table of drugs contraindicated in breastfeeding. There was little elaboration within the article as to the reason for this. The other drugs listed have sufficient evidence of the potential for serious adverse effects to the infant. This evidence simply does not exist for diagnostic radiopharmaceuticals.
Breastfeeding mothers regularly refuse timely diagnostic studies (to their detriment) on the basis of this misinformation touted by clinicians with little knowledge of radiology and risks. I kindly request that instead of ‘referring to the obstetric information service’ that you instead speak with the local nuclear medicine specialist.
Radiologist and Nuclear medicine specialist
- Hotham N, Hotham E. Drugs in breastfeeding. Aust Prescr 2015;38:156-9.
- Sisson JC, Freitas J, McDougall IR, Dauer LT, Hurley JR, Brierley JD. Radiation safety in the treatment of patients with thyroid diseases by radioiodine 131I : practice recommendations of the American Thyroid Association. Thyroid 2011;21:335-46.
- Siegel JA. Guide for diagnostic nuclear medicine. Reston (VA): Society of Nuclear Medicine; 2001. . .
- Hale TW, Rowe HE. Medications and mothers’ milk. 16th ed. Amarillo (TX): Hale Publishing; 2014. .
- Royal Australian New Zealand College of Radiologists. RANZCR Guidelines for iodinated contrast administration. Sydney: RANZCR; 2009. .
- Chen MM, Coakley FV, Kaimal A, Laros RK. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstet Gynecol 2008;112:333-40.
- Webb JA, Thomsen HS, Morcos SK. The use of iodinated and gadolinium contrast media during pregnancy and lactation. Eur Radiol 2005;15:1234-40.