Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia

Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia and pregnancy or breastfeeding: Is it safe?

The Basics

What is Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia?

Most commonly used for pain caused by osteoarthritis, sore throat, surgery, and other conditions, and also used for bleeding, bruising, swelling after surgery, and other conditions.

Brand names for Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia

Na

How Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia is classified

Complementary Therapies, Phytotherapy, Plants, Medicinal

Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia During Pregnancy

Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia pregnancy category

Category N/ANote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia while pregnant

N/A

Taking Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia While Breastfeeding

What are recommendations for lactation if you're taking Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia?

The flowers of various Arnica species contain flavonoid glycosides, terpinoids, amines, coumarins and volatile oils. The flowers are most commonly used to make homeopathic products that are used topically as an analgesic agent. Arnica in homeopathic preparations has been used to treat mastitis and breast pain.[1] It is also sometimes used to treat postpartum perineal pain.[2][3] No information is available on the excretion of Arnica components in breastmilk. Maternal use of Arnica tea probably caused hemolytic anemia in one breastfed infant.[4] Arnica is generally recognized as safe (GRAS) as a food by the U.S. Food and Drug Administration, but is not allowed in food in Canada. Oral ingestion of botannical Arnica products should be avoided because of its many toxic components, but homeopathic products and topical application are usually safe during breastfeeding. Arnica should not be used on broken skin and may cause allergic skin reactions as well as cross reactions in those allergic to members of the Asteraceae or Compositae families of plants (e.g., chamomile, chrysanthemum, dandelion, marigold, sunflower). Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products.

Maternal / infant drug levels

The flowers of various Arnica species contain flavonoid glycosides, terpinoids, amines, coumarins and volatile oils. The flowers are most commonly used to make homeopathic products that are used topically as an analgesic agent. Arnica in homeopathic preparations has been used to treat mastitis and breast pain.[1] It is also sometimes used to treat postpartum perineal pain.[2][3] No information is available on the excretion of Arnica components in breastmilk. Maternal use of Arnica tea probably caused hemolytic anemia in one breastfed infant.[4] Arnica is generally recognized as safe (GRAS) as a food by the U.S. Food and Drug Administration, but is not allowed in food in Canada. Oral ingestion of botannical Arnica products should be avoided because of its many toxic components, but homeopathic products and topical application are usually safe during breastfeeding. Arnica should not be used on broken skin and may cause allergic skin reactions as well as cross reactions in those allergic to members of the Asteraceae or Compositae families of plants (e.g., chamomile, chrysanthemum, dandelion, marigold, sunflower). Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products.

Possible effects of Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to Arnica / Arnica chamissonis Arnica cordifolia Arnica fulgens Arnica latifolia Arnica montana Arnica sororia

None listed

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Castro M. Homeopathy. A theoretical framework and clinical application. J Nurse Midwifery. 1999;44:280-90. PMID: 10380446
2. Dennehy C, Tsourounis C, Bui L, King TL. The use of herbs by California midwives. J Obstet Gynecol Neonatal Nurs. 2010;39:684-93. PMID: 21044150
3. Allaire AD, Moos MK, Wells SR. Complementary and alternative medicine in pregnancy: a survey of North Carolina certified nurse-midwives. Obstet Gynecol. 2000;95:19-23. PMID: 10636495
4. Miller AD, Ly BT, Clark RF. Neonatal hemolysis associated with nursing mother ingestion of arnica tea. Clin Toxicol (Phila). 2009;47:726. Abstract. DOI: doi:10.1080/15563650903076924

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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