The Basics
What is Tolnaftate?
used to treat fungal conditions such as jock itch, athlete’s foot and ringworm
Brand names for Tolnaftate
Absorbine Jr Antifungal, Aftate, Blis-To-Sol, Dermasept Antifungal, Fungi-Guard, Podactin, Q-Naftate, Tinactin, Tinaderm, Ting
How Tolnaftate is classified
Anti-Infective Agents, Antifungal Agents
Tolnaftate During Pregnancy
Tolnaftate 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 Tolnaftate while pregnant
N/A
Taking Tolnaftate While Breastfeeding
What are recommendations for lactation if you're taking Tolnaftate?
Topical tolnaftate has not been studied during breastfeeding and no data are available on the extent of its absorption after topical application. Because it is probably poorly absorbed after topical application, it is considered a low risk to the nursing infant. Avoid application to the nipple area and ensure that the infant’s skin does not come into direct contact with the areas of skin that have been treated. Only water-miscible cream, gel or liquid products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[1]
Maternal / infant drug levels
Topical tolnaftate has not been studied during breastfeeding and no data are available on the extent of its absorption after topical application. Because it is probably poorly absorbed after topical application, it is considered a low risk to the nursing infant. Avoid application to the nipple area and ensure that the infant’s skin does not come into direct contact with the areas of skin that have been treated. Only water-miscible cream, gel or liquid products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[1]
Possible effects of Tolnaftate on milk supply
Relevant published information was not found as of the revision date.
Possible alternatives to Tolnaftate
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. Noti A, Grob K, Biedermann M et al. Exposure of babies to C(15)-C(45) mineral paraffins from human milk and breast salves. Regul Toxicol Pharmacol. 2003;38:317-25. PMID: 14623482
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.