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RRR04: IV. Pharmacology and Toxicology

IBLCE Domain IV. Pharmacology & Toxicology: Medication safety in breastfeeding: drug transfer, evidence-based updates, and clinical decision-making for IBCLCs

IBLCE Domain IV. Pharmacology & Toxicology emphasises current evidence on maternal medication use during breastfeeding, pharmacokinetics of drug transfer into human milk, toxicological considerations, and evidence-based risk-benefit assessment.

Course Learning Outcomes

  1. Analyse current evidence and guidelines on the use of alcohol and cannabis in breastfeeding, including pharmacokinetics in human milk, potential short‑ and long‑term infant effects, and risk‑reduction counselling strategies.
  2. Evaluate the safety profiles, milk transfer, and potential infant and maternal impacts of commonly used ADHD medications during lactation to support shared decision‑making and monitoring plans.
  3. Examine emerging data on prescription and over‑the‑counter weight‑loss medications in the context of breastfeeding, including mechanisms of action, theoretical and known risks to the breastfed infant, and evidence‑informed recommendations when evidence is limited.

IBLCE® Detailed Content Outline

Every module maps directly to the IBLCE® Detailed Content Outline, building your knowledge progressively from foundational science through to clinical application.

This course covers the following IBLCE® DCO items. The applicable Lactation (L), Ethics (E) and Related (R) hours are shown against each heading.

1. Alcohol
2. Nicotine and tobacco
3. Cannabis
4. Medications (e.g., prescriptions, over-the-counter, diagnostic and therapeutic procedures, aids to labor and delivery)
5. Drugs of abuse
6. Contraception
7. Galactagogues
8. Gel dressings/nipple creams
9. Herbs and supplements
10. Chemotherapy/radiation therapy/radioactive scans

Course Content

Welcome
Detailed Content Outline
IV Pharmacology and Toxicology handbook
Additional Resources
Module Learning Outcomes
Introduction
Professional Parameters
Pharmacotherapeutics Overview
#1 Quiz Professional Parameters & Pharmacotherapeutics
Self Directed Learning Activity - Other Drugs
#2 Holistic Quiz