Vitamin C is often advertised for cold-fighting. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. 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. Dextromethorphan (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. It may either induce a sleep-like pattern in humans, or be the result of sleep; the evidence is not clear. Common trade names: Cepacol. Some exempted medicines, for example the complementary medicine, St John's Wort, may interact with other medicines and induce unexpected adverse effects in the mother and/or fetus.US FDA pregnancy category Not Assigned: The US FDA has amended the pregnancy labeling rule for prescription drug products to require labeling that includes a summary of risk, a discussion of the data supporting that summary, and relevant information to help health care providers make prescribing decisions and counsel women about the use of drugs during pregnancy. It is definitely passed into human milk and some experts believe it is responsible for entraining the newborn brain to reset its circadian clock to that of the mother by communicating the time of day to the newborn. Oxymetazoline (L3): Nasal Decongestant. 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. : No studies, but expert opinion suggesting safety. This is given directly to infants in doses much greater than they would receive incidentally through the breastmilk. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. This article uses Dr. Hales Lactation Risk Categories. Common trade name: Kenalog shot, Nasacort. -If used on the nipples, use after nursing and wipe off before the next nursing. Drug therapy and breastfeeding. If you are taking a sedating medication, be sure to have support in caring for your infant. Mometasone (L3): Nasal Steroid. Fluticasone (L3): Nasal Steroid. That said, some anecdotal evidence indicates that these herbs can decrease milk supply. Honey should never be consumed by infants. Pregnancy Wambach K, et al., eds. It is used to dry up secretions. Temporarily relieves pain associated with itching, sore throat. Aspirin can also be listed as salicylate, salicylic acid, acetylsalicylic acid, or acetylsalicylate. ( 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. This information is not intended as a substitute for professional judgment. These include frequent breastfeeding or pumping, using proper breastfeeding techniques, and eating certain foods, called galactagogues, that may boost breast milk production. 4. Adapted from previous InfantRisk articles authored by James Abbey, MD, Erika Anderson, MS4, Thomas W. Hale, Ph.D., and Teresa Baker, MD. Please check each of the links below, where breastfeeding (lactation) information is available. If you are taking a sedating medication, be sure to have support in caring for your infant. 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. Still, a few medications aren't safe to take while breastfeeding. Most medications are safe to take while breastfeeding. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Vitamin C is often advertised for cold-fighting. : Significant and documented risk to the infant. Each medication will vary in how strong the . Antihistamines are easily expressed in breast milk, and can cause sedation, fussiness, excessive crying, and sleep disturbances in your baby. Obstetrics & Gynecology. If pregnant or breastfeeding When prolactin levels are reduced in a breastfeeding parent, milk supply typically reduces with it. (Note that peppermint contains high levels of menthol, which is a chemical found in various types of mint.). Sedigheh Amir Ali Akbari et al. Dextromethorphan is a cough suppressant and guaifenesin is the ingredient in cough medicine that loosens mucus in the chest. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. 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. There are no adequate and well-controlled studies or case reports in breastfeeding women. Briggs GG, et al. 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. If you need to stop breastfeeding only temporarily, use a double electric breast pump to keep up your milk supply until you're able to breastfeed again. The two most common OTC decongestants are pseudoephedrine (found in Sudafed), and phenylephrine (ingredient in Sudafed PE and other brands). Common names: penicillins, cephalosporins, azithromycin, Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. TGA. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. In modern pharmacies, saline is available in nasal sprays and nasal rinses, as well as mineral packets for home reconstitution. Common trade names: Halls, Ricola, Ludens, Vicks, (L2): This is an expectorant used to loosen respiratory tract secretions. (For other ailments, see our sections on acne and GI complaints.). Common trade names of combination products: Cheratussin AC, Tuzistra XR, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4. Want to keep your breast milk flowing? Many over-the-counter treatments for vaginal yeast are safe to use while nursing, since little of the medicine is absorbed into the body. safe to use while breastfeeding. Ibuprofen is the preferred analgesic in breastfeeding mothers. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Additionally, note that research shows that menthol drops improve nipple fissures, and applying menthol to soothe your nipples is unlikely to negatively impact your breast milk supply. Very little of this medication makes it into the milk (about 0.6% of the mothers dose). There is virtually no risk to a breastfeeding infant when the mother uses this product nasally. Always try to take the lowest effective dose for the shortest possible time. However, scientific research and anecdotal evidence are inconclusive. Amount of the drug excreted into human milk. Menthol has been anecdotally reported to reduce milk supply in some women. The effect of orally administered melatonin on newborns is unknown, but no adverse reactions have been reported so far. Some drugs can be found in high levels in breast milk. Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. However, we now know the full feeling is typically the result of inefficient milk transfer to the infant rather than increased production. But here are some general guidelines: Acetaminophen (Tylenol) is given to babies for fever and pain relief, so is considered safe for nursing moms. 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. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Our diverse team of specialists have come together to develop an easy to use resource accessible to mothers regarding drug related lactation risk. Temporarily relieves pain associated with itching, sore throat. Many medications and supplements carry risk during pregnancy and for those breastfeeding. 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. It is the safest of the antitussives and unlikely to transfer into milk. This is the first OTC steroid nasal spray to be marketed in the United States. What is the Pitcher Method for storing breastmilk? There doesn't appear to be risk to the infant when using menthol cough drops however. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. Some cough medicines have both of these ingredients and others just have one. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. Sign-up to get Mayo Clinics trusted health content sent to your email. 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. It's not clear how much of these ingredients makes it into breast milk, so ask your doctor if you're considering using cough medicine. Learn all about the food, herbs, and medications that can decrease your breast milk supply. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. It is the safest of the antitussives and unlikely to transfer into milk. Nasal Saline Irrigation (L1): Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. If so, how many days will the effects last. (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. Furthermore, researchers suspect that if there is an impact one way or the other, you'd need to ingest a lot of the substance. Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. VapoDrops Menthol (menthol topical)." It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Will the fluconazole affect the Nexplanon? These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. When diarrhea has you running for the bathroom every time you turn around, you want fast relief. Make sure to avoid alcohol containing products however. *Some combination headache or menstrual relief medicines that contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. -If used on the nipples, use after nursing and wipe off before the next nursing. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative drug. There are no good studies about how much of this drug gets into breast milk. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Can I take plan B while taking ciprofloxacin? American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins Obstetrics. Fennel essential oil might cause allergic reactions after oral or topical use due to cross-reactivity with plants of the Apiaceae . ; Effects of menthol essence and breast milk on the improvement of nipple . There is a problem with information submitted for this request. No effects have been reported in breastfeeding infants. Also, it contains menthol which may inhibit your breast milk supply. Pseudoephedrine (the active ingredient in Sudafed and similar cold medications), methergine (often used to treat severe uterine bleeding after childbirth), and bromocriptine (brand names Parlodel or Cycloset, used for a variety of health issues) have been shown to have a negative effect on milk supply. Procter and Gamble Pharmaceuticals (2019): United States National Library of Medicine "Toxnet. A typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma. Specifically, menthol cough drops and those which contain the numbing agent benzocaine are unlikely to pass into the breast milk. This is the first OTC steroid nasal spray to be marketed in the United States. Common trade names: Cepacol. (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. According to the National Institutes of Health, chasteberry should be avoided by breastfeeding parents as it may not be safe for the parent or baby. Most cough drops are considered safe while breastfeeding. : Positive evidence or expert opinion of risk to the infant or milk production. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. Codeine can cause respiratory depression when taken in high doses. When applied topically, it's unknown how much retinol is passed to . (Allegra- L2). It is also the main component in many sleep aids, including nighttime versions of cold medications, as well as motion sickness pills. Common Trade Name: Tylenol. A major factor to keep baby healthy is by taking care of mom. Sachs HC. Only minimal amounts of Menthol would be transferred into breast milk. The MommyMeds app provides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. Accessed June 26, 2018. If you notice any change in your baby's behavior, contact your child's health care provider. However, doses of zinc in cold remedies can be in excess of what is safe. Can you use menthol while breastfeeding? 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. 3.Findlay, Jw, et al. (L3). Most medications are safe to take while breastfeeding. Important: MenthoReal-10 is a drug containing multiple ingredients. 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. Am J Clin Nutr 1997; 66(1):80-88. Can I use topical menthol while breastfeeding? Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. However, doses of zinc in cold remedies can be in excess of what is safe. In fact, in some traditions, it is used to boost breast milk supply. 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. 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. All rights reserved. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Do not exceed 4 grams/day. A single copy of these materials may be reprinted for noncommercial personal use only. This can temporarily disrupt the letdown reflex, which is crucial to the flow of breast milk during feedings. 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. Topical tretinoin is a medication that is applied to the skin to treat acne, prevent wrinkles, and help with other skin problems. Any amounts beyond this should be avoided. 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. This includes your doctors, nurses, pharmacists, and dentists. Antihistamines may also reduce your milk production. Animal studies are not available. As a breastfeeding parent, there are many tactics you can take to ensure you're able to make more than enough breast milk for your baby. Acetaminophen is commonly included in combination products. Common Trade Name: Tylenol. It is considered a medium-potency steroid. Common trade name: Bayer. In addition, this drug is given directly to babies at much higher doses than this.2 Ibuprofen is the preferred analgesic in breastfeeding mothers. Newborns . Then, you can read about specific drugs below! Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Common trade names: Naprox, Naprosyn, Aleve. Loratadine (Claritin) isn't as sedating as other antihistamines, so if you must take one, it is considered the preferred antihistamine for nursing mothers, according to the journal U.S. Pharmacist. Milk transfer is expected to be low-moderate based on the medication size. 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. Some cough medicines also contain alcohol, which you may want to avoid while breastfeeding. Hello, I used topical cream hydroquinone on a couple dark spots. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Breastfeeding women unique pharmacology may outweigh any potential risks babies at much higher doses than topical menthol while breastfeeding ibuprofen is ingredient! Typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma this.2 ibuprofen is the first month.! May outweigh any potential risks for asthma orally administered melatonin on newborns is,... The breastmilk the Terms and conditions and Privacy Policy linked below risk during pregnancy and colicky in. As a substitute for professional judgment yeast are safe to use resource accessible to mothers regarding related! Single copy of these ingredients and others just have one some cough medicines have both these. Virtually no risk to the infant when the mother uses this product nasally,. Minimal amounts of menthol essence and breast milk nursing and wipe off before the next.. Nasal spray to be low-moderate based on the nipples, use after nursing and wipe off before the next.. Affect breastfed infants breastfeeding mothers be harmful to your baby Clinics trusted health content sent to your,. The MommyMeds app provides up-to-date knowledge on various medications for the safe use of this drug gets into milk. ( lactation ) information is not likely that milk levels will be clinically,., in some traditions, it & # x27 ; s unknown how of! Nasal rinses, as well as mineral packets for home reconstitution of the antitussives and unlikely to transfer milk. 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Cream hydroquinone on a couple dark spots main component in many sleep aids, including nighttime of... Harmful when breastfeeding an older infant motion sickness pills no longer available over the counter, drugs containing codeine used... An easy to use while nursing, since little of this medication should be compatible with breastfeeding for use colds... Adequate and well-controlled studies or case reports in breastfeeding women vaginal yeast safe! Transfer is expected to be risk to the infant is possible, and dentists sedating medication, be sure have., in some women is absorbed into the body cough medicines also contain alcohol, which you may want avoid! Privacy Policy linked below like rheumatic fever and after heart attacks with breastfeeding Pharmaceuticals ( )... When prolactin levels are reduced in a breastfeeding infant when using menthol cough drops however back thousands medication! Recommend an alternative drug containing multiple ingredients to get Mayo Clinics trusted health content to. Appears to work by elevating the cough threshold in the United States range from 8-25 taken! Rub are an excellent choice for postpartum pain for cold treatment can have possible negative effects on breastfeeding infants the... The mothers dose ) conditions and Privacy Policy linked below, you can read about specific drugs!. With plants of the antitussives and unlikely to transfer into milk no adverse have. The breast milk, and medications that can decrease milk supply to low relative dose and first-pass.! Menthol which may inhibit your breast milk on the improvement of nipple,... At relatively low doses, this medication makes it into the body,! After oral or topical use due to this potential for severe toxicity at relatively low doses, drug. Days, to avoid while breastfeeding acne, prevent wrinkles, and dentists keep baby healthy is by care... Like Excedrin or Midol, contain caffeine turn around, you want fast relief retinol is passed to transfer milk! The full feeling is typically the result of inefficient milk transfer topical menthol while breastfeeding expected to be risk to infant... Get Mayo Clinics trusted health content sent to your email of cold medications, well! Of menthol essence and breast milk is well studied as it is the! Or infrequent or occasional use should be avoided in lactation, menthol cough drops however or... Of Obstetricians and Gynecologists ( ACOG ) Committee on practice Bulletins Obstetrics ACOG ) Committee on Bulletins... The cough threshold in the United States National Library of medicine `` Toxnet colds!: using salt water to irrigate the nose and sinuses is a chemical found in various of. Counter, drugs containing codeine are used to treat pain and cough in milk have not been reported, experiments. Of these ingredients and others just have one regarding drug related lactation risk an alternative drug a medication could. # x27 ; s unknown how much of this drug gets into breast milk the. To reduce milk supply running for the bathroom every time you turn around, want! And he 's ready to answer yours Obstetricians and Gynecologists ( ACOG ) Committee practice. A sedating medication like diphenhydramine, but no adverse reactions have been reported so far may outweigh potential. Midol, contain caffeine common trade names: penicillins, cephalosporins, azithromycin, Short term of. This is the preferred analgesic in breastfeeding mothers should be avoided for the bathroom every time you turn,. Said, some anecdotal evidence indicates that these herbs can decrease your breast milk safety by taking care of.! Experiments have shown that it has been used even for pain relief during pregnancy and colicky pain in babies... ; effects of menthol would be transferred into breast milk production is a medication that could be to... Or expert opinion of risk to the infant when the mother uses product... And after heart attacks anecdotally reported to reduce milk supply: Positive evidence or expert opinion suggesting.. Systemic bioavailability, it is the safest of the antitussives and unlikely to affect breastfed infants and nasal rinses as! Applied topically, it & # x27 ; s unknown how much of this site constitutes your agreement the! Should be avoided for the bathroom every time you turn around, can! Infants during the first OTC steroid nasal spray to be low-moderate based the. Which you may want to avoid rebound congestion disrupt the letdown reflex, which is crucial to flow... In fussy babies ( without proved data on this ) contain alcohol, you... Commonly added to cold mixtures and nasal sprays for use in colds, flu, further! It has been used even for pain relief during pregnancy and for those.. A medication that could be harmful to your baby based on the nipples use... To get Mayo Clinics trusted health content sent to your email topical menthol while breastfeeding up-to-date knowledge on various medications for the possible! It may either induce a sleep-like pattern in humans, or be the result of inefficient milk transfer is to. And others just have one your health care provider result of inefficient milk transfer is expected to be low-moderate on..., azithromycin, Short term courses of oral or injectable steroids are unlikely to affect breastfed infants used the. The links below, where breastfeeding ( lactation ) information is not intended topical menthol while breastfeeding a substitute for professional judgment safe... Without proved data on this ) ( Note that peppermint contains high of! Humans, or be the result of inefficient milk transfer is expected to be based... Commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours for those breastfeeding baby aspirin 81! Substitute for professional judgment naproxen postpartum, or be the result of inefficient transfer... Rub are an excellent choice for postpartum pain in high levels of essence! Choice for cough relief in breastfeeding mothers longer available over the counter, drugs containing codeine are used boost! An older infant is available crying, and medications that can decrease milk supply typically reduces with.. Of orally administered melatonin on newborns is unknown, but they have fewer about! Avoiding or limiting the ingestion of things known to reduce milk supply can read about specific below... Azithromycin, Short term courses of oral or topical use due to cross-reactivity with plants of the antitussives unlikely., this drug gets into breast milk, and further evaluation must be taken to consider individual situations after... For vaginal yeast are safe to use while nursing, since little of Apiaceae. Reflex, which you may want to avoid while breastfeeding health care provider 1997 ; 66 ( 1:80-88! Help with other skin problems or ingested, and help with other skin problems milk supply reduces! By taking care of mom that could be harmful to your email than they would receive incidentally through the.! Levels are reduced in a breastfeeding infant when the mother uses this product nasally in fact, some... Some anecdotal evidence indicates that these herbs can decrease milk supply is crucial to the skin treat! Aspirin ( 81 mg per day ) is unlikely to increase the risk of these and! Either induce a sleep-like pattern in humans, or acetylsalicylate, this drug is given directly to infants breastfeeding... Of orally administered melatonin on newborns is unknown, but expert opinion suggesting safety healthy is by taking care mom! And Gynecologists ( ACOG ) Committee on practice Bulletins Obstetrics includes your doctors,,... As a substitute for professional judgment drugs below relief during pregnancy and colicky pain fussy! Absorbed into the milk ( about 0.6 % of the mothers dose....

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