Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. This content does not have an Arabic version. Hello, I used topical cream hydroquinone on a couple dark spots. 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. For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding. L1 Safest: Extensive evidence demonstrating no adverse effects on the infant, L2 Safer: Limited evidence without an increase in adverse effects on the infant. Common trade name: Unisom. It may either induce a sleep-like pattern in humans, or be the result of sleep; the evidence is not clear. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. Do not exceed 4 grams/day. Current allergy and asthma reports. However, naproxen takes longer to be eliminated from the body than the other NSAIDs and has a greater potential to damage an infants cardiovascular system, kidneys, and gastrointestinal tract in the event of an overdose. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). Sedation is an unwanted side effect when using it as an allergy medication, but can be an advantage to help with sleep. Animal studies are not available. However, in most cases data is limited and before using the listed products below, it is a good idea to check with your doctor. As a result, every medication must be considered separately. 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. When you're taking medication, watch your baby for any changes in eating or sleeping habits, fussiness, or a rash. 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. doi:10.1371/journal.pone.0199493. Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. Methyl Salicylate 10.0% NSAID: nonsteroidal anti-inflammatory drug Topical Analgesic . Vitamin C is often advertised for cold-fighting. Chasteberry, the dried fruit of the chaste tree, is native to the Mediterranean. While the occasional alcoholic beverage is unlikely to reduce your milk supply, chronic alcohol consumption can. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Postpartum contraception: Initiation and methods. https://www.uptodate.com/contents/search. It relieves pain when applied to the skin. No effects have been reported in breastfeeding infants. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Most cough drops are considered safe while breastfeeding. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Topical tretinoin is a medication that is applied to the skin to treat acne, prevent wrinkles, and help with other skin problems. This sheet is about using topical tretinoin in pregnancy and while breastfeeding. Breastfeeding parents have reported that their breasts feel much fuller after drinking alcohol. Cabbage leaves placed on the breasts may also be helpful. Keep in mind that coughing is your body's way of getting rid of mucus, and sometimes suppressing it is not the way to go. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Common Trade names: Sinus Rinse, Simply Saline, Ocean. Echinacea herbal supplement (L3). 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. If you're breastfeeding and plan to take medication, check with your health care provider. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. With your health care provider's input, consider this list of medications found to be safe during breastfeeding. 15. Then, you can read about specific drugs below! ). Leong C, ed. Common trade name: Afrin. Adapted from previous InfantRisk articles authored by James Abbey, MD, Erika Anderson, MS4, Thomas W. Hale, Ph.D., and Teresa Baker, MD. Menthol while Breastfeeding. Use caution with this medication. 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. When you take any medicine, watch for physical or behavioral changes in your baby. 2008;111:1001. . Honey (L3). Barth, Anders, et al. Because aspirin is often found in other medications, check the label of any over-the counter medicine you take. Most medications do so at low levels and pose no real risk to most infants. For this reason, these herbs are often used for weaning. Medically reviewed by Drugs.com. Walsh P, Rothenberg SJ, Bang H. Safety of ibuprofen in infants younger than six months: A retrospective cohort study. If so, how many days will the effects last. Common Trade names: Flonase. : Extensive evidence demonstrating no adverse effects on the infant, : Limited evidence without an increase in adverse effects on the infant. Sedation is an unwanted side effect when using it as an allergy medication, but can be an advantage to help with sleep. 22, no. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. Pseudoephedrine can decrease milk production and may cause irritability in nursing babies, and the effect of phenylephrine on breast milk is unknown. Topical menthol and breastfeeding warnings. When it's applied to the skin, it acts as a counterirritant. Melatonin is a normal hormone secreted by the pineal gland in the human brain, mostly at night. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. For example, taking medication immediately after breastfeeding might help lower your baby's exposure. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. 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. It does not have antihistamine properties. The non-sedating antihistamines mentioned above are still better choices. is an herb that has been shown to have significant antitussive effects when taken as an oral supplement. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. These can include sleepiness, rashes, diarrhea or fussiness. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. All rights reserved. Pseudoephedrine commonly appears in combination products. (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. doi:10.1371/journal.pone.0199493, 3.Findlay, Jw, et al. Safe. Both of these ingredients work by narrowing the blood vessels in the nasal passages. In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. If you notice anything unusual or worrisome, call your doctor. There are no formal studies proving whether or not these herbs impact breast milk supply or the exact quantity needed for each herb to have a negative impact on breastfeeding. 6, 1984, pp. Safety of infant exposure to antidepressants and benzodiazepines through breastfeeding. There are no adequate and well-controlled studies or case reports in breastfeeding women. AU Exempt: Medications exempted from pregnancy classification are not absolutely safe for use in pregnancy in all circumstances. This article uses Dr. Hales Lactation Risk Categories. Do not exceed 1 gram/day. Common trade name: Kenalog shot, Nasacort.1. Cough & Cold Medications while Breastfeeding. (L3): Antihistamine. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Common Trade Name: Tylenol. Toxicology Data Network. 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. Milk transfer is expected to be low-moderate based on the medication size. But there are so many optionswhat is in them, and what is compatible with breastfeeding? Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. The non-sedating antihistamines mentioned above are still better choices. It may either induce a sleep-like pattern in humans, or be the result of sleep; the evidence is not clear. Avoid these foods, medications, and herbs, which can all potentially reduce your breast milk supply. We want our breastfeeding mothers equipped with the proper knowledge to combat any ailments they could face--while keeping baby safe. It is excreted into breast milk in low levels. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below). If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). Breast milk is the perfect food for babies. 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. 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. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. 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. (L2): Antihistamine. Total daily zinc consumption can become easily excessive with these products. However, this is difficult to confirm and many studies do not provide sufficient information to make a definitive conclusion. Common trade names: Tesselon Perles. Triamcinolone may be used for longer periods of time without causing rebound congestion. Diphenhydramine (L2): Antihistamine. Since it is non toxic at appropriate dose and a tiny excretion into breast milk of active metabolite Menthol, a moderate consumption is believed compatible while breastfeeding. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Thank you. Cough Medications Considered Safe While Breastfeeding. 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." 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. ovides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. There are no adequate and well controlled studies in breastfeeding women. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. There is limited data available regarding the use of the medication in breast feeding women unfortunately. No effects have been reported in breastfeeding infants. Salicylic acid or benzydamine containing products may also be used. It is the safest of the antitussives and unlikely to transfer into milk. Metronidazole has been used to treat some types of vaginal infections. 4. Menthol has been anecdotally reported to reduce milk supply in some women. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. (L3): Nasal Steroid. Hale's Medications & Mothers' Milk, 2021: A Manual of Lactational Pharmacology. Pseudoephedrine and Triprolidine in Plasma and Breast Milk of Nursing Mothers. British Journal of Clinical Pharmacology, vol. Bengay Ultra Strength Pain Relieving Patch, Blue-Emu Maximum Strength Arthritis, Muscle & Joint Pain Relief. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. These medications typically transfer into milk in acceptable amounts. However, note that some cultural traditions also use them to increase breast milk production. A major factor to keep baby healthy is by taking care of mom. This content does not have an English version. Codeine can cause respiratory depression when taken in high doses. Our diverse team of specialists have come together to develop an easy to use resource accessible to mothers regarding drug related lactation risk. 5th ed. Kimmel MC, et al. Antihistamines may also reduce your milk production. This information is not intended as a substitute for professional judgment. Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. If you are taking a sedating medication, be sure to have support in caring for your infant. VapoDrops Menthol (menthol topical)." Surprisingly, aspirin is an ingredient in such innocuous products as Alka-Seltzer. Dear jenandbrandon, Dr. Hale states that menthol is commonly used for topical analgesic and sore throat relief. Common trade names: Galzin, Airborne, Orazinc, Zicam, Vitamin C nutritional supplement (L1). Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis. Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. There is a problem with information submitted for this request. 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. Aspirin (L2): Although aspirin is secreted into breast milk in small quantities, it has the potential to cause bleeding problems in infants and increases the risk of Reye syndrome (liver damage associated with using aspirin to treat certain viral illnesses in children). The manufacturer makes no recommendation regarding use during lactation. Pregnancy Eating: What's Safe, What's Not, Pseudoephedrine, methergine, and bromocriptine, Breastfeeding Guide for the Whole First Year, 5 Best Lactation Cookie Recipes for Boosting Milk Production, I Tried Lactation Cookies to Boost My Breast Milk Production, Breastfeeding Diet: The Best Nutrition For Nursing Parents, Why There's No Need to Dilute Pumped Milk After Drinking, Foods to Avoid While Breastfeeding And Ones That Are Safe, 17 Ways to Soothe Your Baby's Upset Stomach, Can You Take Tylenol While Breastfeeding? With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. Medicines for constipation fall into two categories -- stool softeners and laxatives. This is given directly to infants in doses much greater than they would receive incidentally through the breastmilk. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The heavier duty medicines that actually block acid production, called H2 blockers, contain ingredients that can be concentrated in your breast milk, so don't take them without checking with your doctor. It is [] However, untoward effects to the infants have not been described. -If used on the nipples, use after nursing and wipe off before the next nursing. 2013;132:e796. Codeine can cause respiratory depression when taken in high doses. Pseudoephedrine and Triprolidine in Plasma and Breast Milk of Nursing Mothers.. Approximately 0.063% of the maternal dose is transferred into breastmilk. Temporarily relieves pain associated with itching, sore throat. 13, 2015, pp. Common trade names: Robitussin, Mucinex. 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. Common trade name: Afrin. 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. Call 877-285-6920; TTY: 877-893-8199. Benzonatate is a very dangerous product when taken directly by a child. Read the label carefully to find out what symptoms the medicine treats, and ask the pharmacist if you have any questions. It is used to dry up secretions. However, not all herbs are created equal when it comes to promoting breast milk production. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. *Some combination headache or menstrual relief medicines that contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine. Therapeutic Goods Administration. Common trade names: Naprox, Naprosyn, Aleve. Infants , . https://www.uptodate.com/contents/search. 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). Nasal Steroid. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. The decision to use aspirin should be undertaken with physician guidance. When prolactin levels are reduced in a breastfeeding parent, milk supply typically reduces with it. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative . On top of the ingredients, the smell is quite . Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. The MommyMeds app provides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. ): Non-narcotic cough suppressant. Most medications are safe to take while breastfeeding. Oral and topical forms (by prescription only) deserve more caution in their use. Sudbury, Mass. If pregnant or breastfeeding Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Almost any drug that's present in the blood will transfer into breast milk to some extent. In: Breastfeeding and Human Lactation. Want to keep your breast milk flowing? http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. Melatonin (L3): Melatonin is a normal hormone secreted by the pineal gland in the human brain, mostly at night. Keep in mind that this isn't a full list of safe medications. Vitamin C is often advertised for cold-fighting. TGA. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you're not sure if a medication is safe while breastfeeding, pump, label and store expressed breast milk until you check with your health care provider.

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