Short courses of sedating antihistamines e. Oral decongestants such as pseudoephedrine and phenylephrine should be avoided as they can reduce milk supply see cough and cold remedies information sheet. Eye drops also act only locally and can be used during lactation. Can breast feeding mothers take antihistamines for Hayfever and other allergies? Nasal sprays Nasal sprays act locally and are unlikely to pass into breastmilk in significant quantities Hale Eye Drops Eye drops also act only locally and can be used during lactation.
Excretion of loratadine in human breast milk. J Clin Pharmacol. Terfenadine pharmacokinetics in breast milk in lactating women. Clin Pharmacol Threr. BSACI guidelines for the management of chronic urticarial and angio-oedema. Clin Exp Allergy. This website uses cookies to improve your experience but you can opt-out if you wish. Medications and breastfeeding Many breastfeeding mums need to be treated with medicines, either for a few days to treat an acute illness or on an ongoing basis to treat a chronic illness.
To some degree, medications transfer into breastmilk although the amount is generally quite low. Most medicines are considered safe to take while breastfeeding. Tips to reduce the transfer of medications into breastmilk Avoid using medicines unless they are necessary.
Your doctor will prescribe the lowest dose for your condition Think of ways to choose a dose that reduces how much is passed into breastmilk e. To reduce the amount of medicine in the breastmilk, time your feed e.
When taking medication Remember to watch for signs of possible side effects in your baby such as increased sleepiness, poor feeding, rash and severe diarrhoea. Commonly used medications Pain medications analgesics. Paracetamol Paracetamol can be used safely during breastfeeding to treat mild pain or reduce fever.
Aspirin Low doses of aspirin, less than mg daily, are considered safe to take. Larger doses should be avoided as they may be harmful to your breastfed infant.
Medications containing codeine Medications containing codeine are no longer recommended for pain relief in breastfeeding mothers. Codeine metabolises to morphine in the body and a small number of people produce higher than expected morphine levels in their blood resulting in an increased risk of transfer to the infant via the breastmilk.
Alternative pain control medicines as mentioned above are recommended. Cold and influenza flu. Body aches and pain See above analgesics Nasal symptoms Steams inhalations and saline sodium chloride nasal spray may be used to relieve a blocked nose while breastfeeding. Decongestant nasal sprays oxymetazoline, xylometazoline may be used for 3 to 5 days.
Avoid oral preparations containing pseudoephedrine as it may reduce milk production or cause irritability in a breastfed baby. Cough A cough is usually self-limiting. If treatment is required, use guaifenesin, bromhexine or senega and ammonia mixture for a chesty cough. Allergy and hay fever medicines : Antihistamines that do not make you sleepy are considered safe.
Nasal sprays and eye drops are safe. Antihistamines that make you sleepy are not recommended because they may make your baby drowsy. Antibiotics : Most antibiotics to fight infections are safe, but take your doctor's advice. Tetracyclines may be used short term. Metronidazole can make the milk taste bitter.
Antidepressants : Some antidepressants are safe. Discuss with your doctor. Asthma medicines : Most preventers and relievers are safe. It is very important that you do not stop your asthma medicines while you are breastfeeding. Cold and flu medicine : It is best to use steam inhalations, saline nasal sprays and decongestant nasal sprays. Avoid medicines containing pseudoephedrine. Cough medicines : Coughs usually go away without treatment.
If you do want to take cough mixture, ask your pharmacist which one is suitable. Oral contraceptives the pill : The progesterone-only 'minipill' is best.
Combined oral contraceptive pills may affect your milk supply. Painkillers : Ibuprofen and paracetamol are safe. Avoid aspirin. Worm treatments : Most worm treatments are safe.
Sore throat medicines : Lozenges and gargles are safe. Avoid medicines containing iodine. Complementary medicines include vitamins, herbal preparations, aromatherapy and homeopathic products. Like other medicines, complementary medicines can have side effects. With most herbal and traditional medicines, there is not enough documented information to determine their safety in breastfeeding, so ask your health professional for advice.
Most vaccinations are safe and effective while you are breastfeeding. However, yellow fever vaccination should be avoided unless it is absolutely necessary. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies.
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