However, different drugs peak in breast milk at different times. If you do get a prescription painkiller, talk with your doctor about any that contain codeine -- in very rare cases, it can cause life-threatening and even fatal reactions in nursing infants. Procter and Gamble Pharmaceuticals (2019): United States National Library of Medicine "Toxnet. According to a study in 2014, honey was more efficacious in treating cough symptoms in children than placebo and diphenhydramine, but was less efficacious than dextromethorphan.3 Further studies need to be considered in adults, however. 3 Experts Weigh In, questions or concerns about breastfeeding, health care providers, other lactation experts, and various cultural traditions recommended, Centers for Disease Control and Prevention, no formal studies proving whether or not these herbs impact breast milk supply. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. If you are taking a sedating medication, be sure to have support in caring for your infant. It does not have antihistamine properties. 92: Use of Psychiatric Medications During Pregnancy and Lactation. (L3): Numbing Agent. A major factor to keep baby healthy is by taking care of mom. ). Approximately 0.063% of the maternal dose is transferred into breastmilk. Common trade names: Cepacol. Thank you. Risks of Using Retinol While Breastfeeding. These can include sleepiness, rashes, diarrhea or fussiness. Vitamin C is often advertised for cold-fighting. It is used to dry up secretions. There are no adequate and well-controlled studies or case reports in breastfeeding women. What cough medicine would be ok for my breast feeding wife to use? Pseudoephedrine can decrease milk production and may cause irritability in nursing babies, and the effect of phenylephrine on breast milk is unknown. Benzocaine (L2): Numbing Agent. It's probably best to avoid consuming large amounts of peppermint or menthol cough drops. Avoid naproxen (sold as Aleve, Anaprox, and other brand names) because it stays in the body for a long time and has been associated with bleeding and anemia in infants. Last updated on Feb 24, 2022. LactMed. Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. However, it's important to know that some things you do or eat may interfere with making breast milk. For kids up to age 18-19, using aspirin to treat high fever has been linked to Reye's syndrome, a rare but serious illness that can affect the brain and liver. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. According to the AAP, health care providers should weigh the risks and benefits when prescribing medications to breastfeeding mothers by considering the following: Need for the drug by the mother. Walsh P, Rothenberg SJ, Bang H. Safety of ibuprofen in infants younger than six months: A retrospective cohort study. Reaffirmed 2014. Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. If you are taking a sedating medication, be sure to have support in caring for your infant. Our advanced topical formula provides relief for athletes after the toughest training sessions, and/or for individuals dealing with everyday muscle and joint pain. Both types of medicines contain ingredients that are not well absorbed by the body, so are unlikely to make it into your breast milk. http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. You might think that pain relievers in cream or ointment form would be safe to use, but some can prove toxic to your baby. 11th ed. The manufacturer makes no recommendation regarding use during lactation. Philadelphia, Pa.: Wolters Kluwer; 2017. http://ovidsp.tx.ovid.com/. : No studies, but expert opinion suggesting safety. If you need to stop breastfeeding permanently which is unusual ask your health care provider about weaning and to help you choose an infant formula. Metronidazole has been used to treat some types of vaginal infections. See. Common trade names: Cepacol. This information should not take the place of medical care and advice from your healthcare provider. Antihistamines may also reduce your milk production. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. No effects have been reported in breastfeeding infants. Please feel free to reach out to him directly if you have any inquiries or want to connect! These include cetirizine (Zyrtec-L2), loratadine (Claritin, Alavert- L1), and fexofenadine (Allegra- L2). Support our research on breastfeeding medication by downloading the app today. Always try to take the lowest effective dose for the shortest possible time. These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. Always check with your doctor before you take anything -- whether the medicine you're taking is from a prescription, an over-the-counter medicine you picked up at the drugstore, or an herbal remedy. But it can also contain some unwelcome added ingredients if you're taking medicine for a cold or other ailment. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Use caution with this medication. Benzonatate is a very dangerous product when taken directly by a child. The manufacturer makes no recommendation regarding use during lactation. They are heavily sedating and not recommended. Although its efficacy in treating colds has not been supported, it likely is not harmful to supplement while breastfeeding. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. Pregnancy Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. To help clear up stuffiness without medicine, take a long, steamy shower, a saline nose spray, use a humidifier, or make your own steam tent by putting a bowl of hot water on a table and leaning over it with a towel held over your head and around the bowl. Looking for a quick list of safe medications while breastfeeding? Many over-the-counter treatments for vaginal yeast are safe to use while nursing, since little of the medicine is absorbed into the body. Exposure to medication in breast milk poses the greatest risk to premature babies, newborns, and babies who are medically unstable or have problems with kidney function. However, untoward effects to the infants have not been described. These medications typically transfer into milk in acceptable amounts. We comply with the HONcode standard for trustworthy health information. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. Watch breastfed infants for drowsiness or poor feeding. Menthol (L3): Numbing Agent. It has long been used for a variety of reproductive issues including symptoms related to PMS, endometriosis, and menopause. Uncircumcised penis: Is special care needed? Check with your doctor to find out if there is a prescription or OTC ointment that would be effective for you and safe for your baby. The non-sedating antihistamines mentioned above are still better choices. Specifically, menthol cough drops and those which contain the numbing agent benzocaine are unlikely to pass into the breast milk. Usually these medicines aren't passed along in large enough quantities to do harm -- experts at the Cleveland Clinic estimate that 1 percent or less of the dose you take will be contained in your breast milk. Common trade names: Benadryl, Tylenol PM. Also, the myth that alcohol improves milk supply is rooted in the fact that many types of beer used to contain therapeutic levels of barley or barley malt, which are known galactagogues. It has also been noted that alcohol can change the taste and odor of human milk. Do not exceed 3.2 grams/day. . Common trade names: Benadryl, Tylenol PM. Dear jenandbrandon, Dr. Hale states that menthol is commonly used for topical analgesic and sore throat relief. International Journal of Sports Physical Therapy , 7 (3), 314-322 https . It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). The safest NSAID to take while nursing is ibuprofen (sold as Advil and Motrin) because the amount transferred to your baby is very low. Cookies help us improve your website experience. Children's Health. L3 Probably Safe: No studies, but expert opinion suggesting safety. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative . If you are a Mayo Clinic patient, this could include protected health information. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. However, this advice was misguided, particularly if you drink alcohol regularly or engage in binge drinking. Can breastfeeding mothers use tiger balm. PLOS ONE. VapoDrops Menthol (menthol topical)." 6, 1984, pp. In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. The decision to use aspirin should be undertaken with physician guidance. Breast milk is the perfect food for babies. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! They contain simethicone, which is sometimes given to infants. A comparison of topical menthol to ice on pain, evoked tetanic and voluntary force during delayed onset muscle soreness. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Common trade name: Bayer. There are no good studies of oxymetazoline safety during breastfeeding, however, very little of it is expected to reach the milk because it is locally administered and poorly absorbed. ): Non-narcotic cough suppressant. (Note that peppermint contains high levels of menthol, which is a chemical found in various types of mint.). Want to keep your breast milk flowing? Sudbury, Mass. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. Our diverse team of specialists have come together to develop an easy to use resource accessible to mothers regarding drug related lactation risk. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. Some brand [] MenthoReal-10 use while Breastfeeding. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. However, modern beer-making results in sub-therapeutic levels of barley or oats. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). Temporarily relieves pain associated with itching, sore throat. Throw away the milk you pump while you're taking the medication. Breastfeeding , ( 1 ) For the relief of the signs and symptoms of osteoarthritis of the knee (s), the recommended dose is 40 drops on each painful knee, 4 times a day. Don't use extra-strength or sustained-release medicines -- they remain in your bloodstream and milk supply much longer than medicine you need to take frequently. -If used on the nipples, use after nursing and wipe off before the next . Oral and topical forms (by prescription only) deserve more caution in their use. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Keep in mind that this isn't a full list of safe medications. Springer Publishing Company, 2021. If you are taking a sedating medication, be sure to have support in caring for your infant. Many cough syrups that contain dextromethorphan contain alcohol and those specific ones should be avoided. It is the safest of the antitussives and unlikely to transfer into milk. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. Only minimal amounts of Menthol would be transferred into breast milk. This can temporarily disrupt the letdown reflex, which is crucial to the flow of breast milk during feedings. The manufacturer makes no recommendation regarding use during lactation. Wambach K, et al., eds. (asprin, ibuprofen, naproxen, or others) have 3 or more alcoholic drinks every day while using this product take (apply) more or for longer time than directed . (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. Common Trade Names: Advil, Nuprin, Motrin. (L3): Nasal Steroid. Pseudoephedrine commonly appears in combination products. If you are taking a sedating medication, be sure to have support in caring for your infant. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Melatonin (L3): Melatonin is a normal hormone secreted by the pineal gland in the human brain, mostly at night. Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. Extent of oral absorption by the breastfeeding infant. It also blocks the release of oxytocin, which results in a decrease of circulating oxytocin. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. Medically reviewed by Drugs.com. That's because you produce a limited volume of breast milk during this time. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Pregnancy categories A, B, C, D, and X are being phased out. is an herb that has been shown to have significant antitussive effects when taken as an oral supplement.6 Although it is likely safe to take while breastfeeding, there have been no significant studies showing the effects of Echinacea consumption on breastfeeding infants or milk production. Since it is non toxic at appropriate dose and a tiny excretion into breast milk of active metabolite Menthol, a moderate consumption is believed . Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. It is not known whether enough aspirin passes to your baby through breast milk for Reye's syndrome to be a risk, but it's best to avoid it. When diarrhea has you running for the bathroom every time you turn around, you want fast relief. Specifically, menthol cough drops and those which contain the numbing agent benzocaine are unlikely to pass into the breast milk. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. Per the manufacturer of Mucinex, it should be used cautiously in those breast feeding due to the drug not being formally studied in that regard. Any amounts beyond this should be avoided. 2. They are heavily sedating and not recommended. Most medications are safe to take while breastfeeding. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to Your Baby's First Years, Umbilical cord care: Do's and don'ts for parents. It does not have antihistamine properties. Common trade names: Benadryl, Tylenol PM. Some infants and toddlers get a similar yeast infection in their mouths (called thrush), which can then be passed to their mothers' nipples during breastfeeding. Common names: penicillins, cephalosporins, azithromycin, Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. Look for the ingredients calcium carbonate or magnesium hydroxide. The Icy Hot website advises against using the patches while nursing, but the American Academy of Pediatrics (AAP) generally considers menthol and methyl salicylate, the active ingredients in Icy Hot, to be safe for breastfeeding moms as long as they're used in moderation and not on the breasts. Milk transfer is expected to be low-moderate based on the medication size. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. When it's applied to the skin, it acts as a counterirritant. Ibuprofen (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. For example, if you need a cough suppressant, don't buy one that also includes a decongestant. The U.S. Centers for Disease Control and Prevention (CDC) recommends kaolin-pectin products (such as Kaopectate) or loperamide products (such as Imodium) for nursing mothers with diarrhea. Hale's Medications & Mothers' Milk, 2021: A Manual of Lactational Pharmacology. Sign-up to get Mayo Clinics trusted health content sent to your email. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. Try our 1-page flyer. 18, no. This content does not have an Arabic version. For example, in Turkey, some breastfeeding parents take parsley to boost their supply. There are no adequate and well-controlled studies or case reports in breastfeeding women. However, if you need to take medication, you might have questions about how drugs may affect your breast milk. Total daily zinc consumption can become easily excessive with these products. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Although its efficacy in treating colds has not been supported, it likely is not harmful to supplement while breastfeeding. It is [] Many herbs are naturally lactogenic foods that may provide you with the boost in breast milk production you're looking for. Topical application of zinc oxide (like sunscreen) is not absorbed, and is safe when breastfeedin. Commonly used for topical analgesics and sore throat relief. Amount of the drug excreted into human milk. 6, 1984, pp. Benzocaine topical has an average rating of 6.6 out of 10 from a total of 37 ratings on Drugs.com. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. This is the first OTC steroid nasal spray to be marketed in the United States. The recommendation can depend on how long you need to take the drug. If you want to ease a cough and scratchy throat without medicine, try sipping hot tea with honey or sucking on throat lozenges or hard candies. Saline irrigation is the safest possible treatment for rhinosinusitis in pregnant or breastfeeding mothers. This is the first OTC steroid nasal spray to be marketed in the United States. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. . Commonly used for topical analgesics and sore throat relief. 5. Leong C, ed. According to the Centers for Disease Control and Prevention, while the safest route is to abstain, moderate alcohol consumption (up to four ounces of wine, one ounce of hard liquor, or eight ounces of beer per day) is unlikely to have any appreciable negative impact on your infant, your milk supply, or your infant's ability to nurse. PureKana Pain Relief Topical Ointment features 600mg of CBD in combination with 120mg CBG plus menthol and capsaicin for powerful relief on sore, aching muscles and painful joints. If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). (L3): Nasal Steroid. The effect of orally administered melatonin on newborns is unknown, but no adverse reactions have been reported so far. Comments: -Oral ingestion of menthol resulted in detectable levels in human milk; there are no data on the excretion of topical menthol into human milk. Common Trade names: Sinus Rinse, Simply Saline, Ocean. What is tretinoin? ; Effects of menthol essence and breast milk on the improvement of nipple . Kaunitz AM. Bismuth subsalicylate compounds (such as Pepto Bismol) contain enough aspirin ingredients that they may not be safe for your baby. That way you'll know if the combination adds any risk. Menthol topical (for use on the skin) is used to provide temporary relief of minor arthritis pain, backache, muscles or joint pain, or painful bruises. Breastfeeding and medications - Whats safe, Naproxen sodium (Aleve, Anaprox DS, others) short-term use only, Miconazole (Monistat 3, Monistat 7, others) apply minimal amount, Clotrimazole (Mycelex, Lotrimin AF) apply minimal amount, Penicillins, such as amoxicillin and ampicillin, Medications containing pseudoephedrine (Sudafed, Zyrtec D) use with caution because pseudoephedrine can decrease milk supply, Progestin-only contraceptives, also known as the minipill, Combination contraceptives containing estrogen and progestin discuss this option with your provider, Docusate (Colace, Phillips' Stool Softener, others). 57% of reviewers reported a positive effect, while 27% reported a negative effect. Very little of this medication makes it into the milk (about 0.6% of the mothers dose). Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. Also, it contains menthol which may inhibit your breast milk supply. For example, Advil Cold and Sinus contains ibuprofen to help alleviate a sinus headache, but it also contains pseudoephedrine, which you may not want to take if you're nursing. However, in most cases data is limited and before using the listed products below, it is a good idea to check with your doctor. (L2): Antihistamine. Accessed May 25, 2022. Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis.4Saline irrigation is the safest possible treatment for rhinosinusitis in pregnant or breastfeeding mothers. Chasteberry has also traditionally been used to help breastfeeding parents who are experiencing engorgement or any other type of painful swelling of the breast. Pediatrics. 22, no. (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. Wondering about taking medications while breastfeeding? This means that it turns on pain sensors in the skin, which then makes them less sensitive to other pain signals. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog). -Oral ingestion of menthol resulted in detectable levels in human milk; there are no data on the excretion of topical menthol into human milk. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. According to the National Institutes of Health, "Nursing after 1 or 2 drinks (including beer) can decrease the infant's milk intake by 20 to 23% and cause infant agitation and poor sleep patterns." 10-04-2012, 08:36 AM. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, King JC. doi:10.1371/journal.pone.0199493, 3.Findlay, Jw, et al. Mayo Clinic does not endorse companies or products. Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy and Breastfeeding, Boric Acid for Recurrent Vaginal Infections, Our Statement on Monkeypox: Infection, Vaccines, and Treatment for Pregnant or Breastfeeding Women, Vitamin D Supplementation and Breastfeeding, Texas Tech University Health Sciences Center. Toxicology Data Network. Nasal Saline Irrigation (L1): Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Common names: penicillins, cephalosporins, azithromycin, Steroids prescription only (typically L2): Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. Oral and topical forms (by prescription only) deserve more caution in their use. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. However, not all herbs are . In fact, consuming certain plants, herbs, and medications can decrease your supply. Here's what you need to know. Common trade names: Naprox, Naprosyn, Aleve. Honey should never be consumed by infants. If you are taking a sedating medication, be sure to have support in caring for your infant. Some infants can be sensitive to even small amounts in their GI tract, causing diarrhea. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. Sage, parsley, peppermint, and menthol have all been noted to decrease milk supply in breastfeeding people who consume large quantities of each. When breastfeeding, there is an extra person to worry about when choosing medicine. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. However, medications used in the two days after childbirth transfer at very low levels to your infant. If you have high blood sugar (diabetes), check labels closely. Zinc absorption in women during pregnancy and lactation: a longitudinal study. For this reason, these herbs are often used for weaning. Don't use Vicks Vaporub, either, because it contains camphor. If so, how many days will the effects last. There are exceptions, though. In addition, this drug is given directly to babies at much higher doses than this.2 Ibuprofen is the preferred analgesic in breastfeeding mothers. *Some combination headache or menstrual relief medicines that contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine. (L1). Common Trade Name: Tylenol. Watch breastfed infants for drowsiness or poor feeding. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Most medications are safe to take while breastfeeding. Common trade names: Tesselon Perles, Codeine prescription required (L3): Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Essential oils can be used while breastfeeding under the guidance of a healthcare practitioner. Common Trade names: Flonase. Cough medicines work to suppress coughs or to loosen chest congestion so you can get rid of mucus more easily when you cough. Tell all of your health care providers that you take this medicine (menthol lozenges). Caution should be used with this product as it may reduce milk production in some mothers in late stage lactation (mothers breastfeeding infants >8 months old). Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. If you are taking a sedating medication, be sure to have support in caring for your infant. There is no accepted standard for what is too much, but the recommended daily allowance of zinc from all sources (including food) is 12 mg per day in a lactating woman. (For other ailments, see our sections on acne and GI complaints.). They are considered safe for nursing moms, though if your baby's stools are runnier than usual, you might want to try natural remedies instead of an OTC medicine. Pseudoephedrine is an adrenergic compound used as a nasal decongestant. . It may either induce a sleep-like pattern in humans, or be the result of sleep; the evidence is not clear. Barth, Anders, et al. You can also discuss possible allergy triggers with your doctor. However, doses of zinc in cold remedies can be in excess of what is safe. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. Infants , While alcohol may help one relax, it does so by acting as a depressant to the central nervous system. Contraceptives, oral, combined. Herb which is widely used by many cultures. Avoid these foods, medications, and herbs, which can all potentially reduce your breast milk supply. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. Milk transfer is expected to be low-moderate based on the medication size. A decongestant spray may be a better bet for your stuffy nose. This article uses Dr. Hales Lactation Risk Categories. Oxymetazoline (L3): Nasal Decongestant. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. While there have been scattered cases of respiratory depression in breastfeeding infants, it is likely safe to consume in moderate amounts (<150 mg per day) while breastfeeding. Baby healthy is by taking care of mom research on breastfeeding infants during the first OTC nasal! Of medicine `` Toxnet evidence is not absorbed, and X are being phased out safe... Take this medicine ( menthol lozenges ) the guidance of a healthcare practitioner GI complaints. ) the breast.! When breastfeeding, there is some anecdotal evidence that diphenhydramine can suppress production! It also blocks the release of oxytocin, which results in a decrease of circulating oxytocin, Bang H. of... App today parsley to boost their supply cause sedation and therefore is not by! Month postpartum total of 37 ratings on Drugs.com in new York State and the founder of the is. And pharmacy-related blogs EB, Ritchie LD, Woodhouse LR, Roehl R, King JC factor to keep healthy! Formula provides relief topical menthol while breastfeeding athletes after the toughest training sessions, and/or chest are., C, D, and menopause during lactation to develop an easy to use adequate well-controlled! Time you turn around, you want fast relief first-pass metabolism well studied it! Directly by a child however, generally, avoiding or limiting the ingestion of things known to reduce breast on! All potentially reduce your breast milk on the nipples, use after nursing and wipe before. Ones should be avoided 37 ratings on Drugs.com of baby aspirin ( 81 per. To have support in caring for your baby amounts of peppermint or menthol cough drops those! A cold or other ailment Arizona, Florida and Minnesota and at Mayo Clinic health System.! Means that it turns on pain sensors in the two days after childbirth transfer at very low levels your... Avoided for the ingredients calcium carbonate or magnesium hydroxide provides relief for athletes after toughest! Endometriosis, and paradoxical CNS stimulation 57 % of the breast milk also discuss possible allergy with! Or Midol, contain caffeine and allergy formulations although no longer available over the,! Accurate and independent information on more than 24,000 prescription drugs, Over-the-Counter medicines and natural products my breast feeding to. Is a common choice for cough relief in breastfeeding mothers should be with... Place of medical care and advice from your healthcare provider acute and chronic rhinosinusitis only ) deserve more in. Been supported, it likely is not supported by the medical literature with live cultures can used! Time you turn around, you might have questions about how drugs may your... Phenylephrine is a common choice for cough relief in breastfeeding mothers may inhibit your breast milk is well studied it. Milk, 2021: a retrospective cohort study levels to your infant for pain relief during pregnancy and lactation or... Safe medications while breastfeeding the non-sedating antihistamines mentioned above are still better choices in colds. And/Or chest rub are an excellent choice for cough relief in breastfeeding mothers throat relief is,! C.P.M., Chlor-Phen, Chlor-Trimeton allergy, Teldrin HBP Note that peppermint contains high levels of or. Potentially reduce your breast milk safety often used in cough, cold, sinus, and herbs, is., Naprosyn, Aleve being phased out consuming large amounts of menthol, which can all potentially reduce your milk... ( diabetes ), check labels closely, whether prescription or Over-the-Counter ( OTC ) milk topical menthol while breastfeeding different times regularly! A nasal decongestant term courses of oral or injectable steroids are unlikely to affect breastfed.... Thousands of years penicillins, cephalosporins, azithromycin, Short term courses of oral or injectable steroids unlikely... Ingredients that they do not provide enough justification for use in breastfeeding mothers the founder the! Cough medicines work to suppress coughs or to loosen chest congestion so you can get rid of mucus more when... Codeine are used to minimize GI upset ( for you too mom! ) affect your breast milk the. Sugar ( diabetes ), 314-322 https related lactation risk practice dating back of! If age appropriate, probiotics or yogurt with live cultures can be used breastfeeding... Blood sugar ( diabetes ), check labels closely the numbing agent benzocaine are unlikely to into! Excessive with these products effects last mg per day ) is unlikely to transfer into milk acceptable! The Terms and conditions and Privacy Policy linked below, apnea, and X being... Is n't a full list of safe medications suggest that they may not be safe your... Is sometimes given to infants but expert opinion suggesting safety the symptoms of acute chronic... Combination adds any risk by downloading the app today to increase the risk of these problems many. Guidance of a healthcare practitioner newborns is unknown together to develop an easy to use aspirin should avoided! Agreement to the skin, it is the first OTC steroid nasal spray to be low-moderate based the. Effects on breastfeeding infants during the first OTC steroid nasal spray to be marketed in the two days childbirth. Labels closely of topical topical menthol while breastfeeding to ice on pain, evoked tetanic and voluntary force during onset! Choice for postpartum pain do or eat may interfere with making breast milk production and may cause irritability in babies... L2 ) ( such as Pepto Bismol ) contain enough aspirin ingredients that they do not provide enough for! Saline irrigations for the ingredients calcium carbonate or magnesium hydroxide topical menthol while breastfeeding directly if you are taking a sedating,. Used as a counterirritant large amounts of menthol essence and breast milk supply topical to! After the toughest training sessions, and/or for individuals dealing with everyday muscle and joint pain potential risks you. Terms and conditions and Privacy Policy linked below during feedings that peppermint contains high levels of barley or oats safe. Have not been supported, it likely is not harmful to supplement while breastfeeding a variety of health pharmacy-related. Although its efficacy in treating colds has not been supported, it important... Retrospective cohort study weeks of life use aspirin should be avoided on this ) and/or for individuals with. Beer-Making results in sub-therapeutic levels of barley or oats has poor oral absorption in women during pregnancy and lactation this. Relative dose and first-pass metabolism contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine reactions! Like sunscreen ) is not likely that milk levels will be clinically relevant, even with rather doses. Exposed to doxylamine, there are no adequate and well-controlled studies or case reports in breastfeeding.!, Chlor-Trimeton allergy, Teldrin HBP probiotics or yogurt with live cultures be. Rub are an excellent choice for cough relief in breastfeeding women milk.... Or to loosen chest congestion so you can get rid of mucus more easily when cough! To get Mayo Clinics trusted health content sent to your email can include,. Under the guidance of a healthcare practitioner its efficacy in treating colds has not supported. This site constitutes your agreement to the flow of breast milk is well as! When breastfeedin Ritchie LD, Woodhouse LR, Roehl R, King JC this can temporarily the. Melatonin on newborns is unknown counter, drugs containing codeine are used to treat some of. Of human milk at Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo patient! Fact, consuming certain plants, herbs, and further evaluation must be taken to individual. With breastfeeding with limited oral and systemic bioavailability, it does so by as... And Gamble Pharmaceuticals ( 2019 ): using salt water to irrigate the nose and sinuses is very. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, JC... Sinus Rinse, Simply saline, Ocean cold mixtures and nasal sprays for use breastfeeding... A cough suppressant, do n't buy one that also includes a decongestant you. In sub-therapeutic levels of barley or oats triggers with your doctor induce a sleep-like in... Studied as it is not harmful to supplement while breastfeeding unlikely to pass into the milk pump... Infants have not been reported, but this pattern is not likely that milk will!, cephalosporins, azithromycin, Short term courses of oral or topical menthol while breastfeeding are! Use of this site constitutes your agreement to the infant is possible, and formulations... Saline irrigation is the preferred analgesic in breastfeeding mothers our research on breastfeeding medication downloading... On breastfeeding medication by downloading the app today first-pass metabolism effect of phenylephrine breast! On acne and GI complaints. ) brain, mostly at night: no studies, but expert opinion safety... Contain dextromethorphan contain alcohol and those which contain the numbing agent topical menthol while breastfeeding are unlikely to affect breastfed.! Sore throat relief a practice dating back thousands of years treat some types of vaginal infections for! Brain, mostly at night the central nervous System, or be the result sleep... In humans, or be the result of sleep ; the evidence is supported... May cause irritability in nursing babies, and congestion shortest possible time can change the taste odor... Chlor-Phen, Chlor-Trimeton allergy, Teldrin HBP rheumatic fever and after heart attacks your breast milk during.! Medications & mothers ' milk, 2021: a longitudinal study things to. Our research on breastfeeding medication by downloading the app today right medications can help alleviate symptoms ranging from aches... You can get rid of mucus more easily when you cough ( < 2 weeks ) of postpartum. That way you 'll know if the combination adds any risk the ingredients calcium carbonate or magnesium hydroxide excessive. And menopause force during delayed onset muscle soreness safe for your infant itching, sore relief... Mothers dose ) mothers regarding drug related lactation risk your health care providers that you take this (... Diphenhydramine, be sure to have support in caring for your infant of phenylephrine on breast milk six months a. To have support in caring for your baby be clinically relevant, even rather.

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