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what medications to avoid while breastfeeding

by Viola Hyatt Published 2 years ago Updated 2 years ago
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Drugs That Are Unsafe While You Are Nursing

  • Amantadine (Symmetrel): It is used to treat the Parkinson’s disease or the flu. ...
  • Amiodarone (Cordarone): It is used to treat heart related problems. ...
  • Antineoplastic Agents: Antineoplastics or anticancer drugs that are used to treat cancer are not safe to use when breastfeeding especially alkylating agents such as cyclophosphamide. ...

More items...

Drugs contraindicated during breastfeeding include anticancer drugs, lithium, oral retinoids, iodine, amiodarone and gold salts. An understanding of the principles underlying the transfer into breast milk is important, as is an awareness of the potential adverse effects on the infant.Oct 1, 2015

Full Answer

What drugs are safe to take while breastfeeding?

Safe options to take while breastfeeding include: Claritin ( loratadine): Claritin is safe to use based on supporting data but may have a negative effect on your milk... Zyrtec ( cetirizine): Zyrtec is safe in occasional, small doses, but in large doses, it can reduce milk supply. 8 Allegra Allergy ...

What is the safest antidepressant for breastfeeding?

What helps with anxiety while breastfeeding?

  • SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity. …
  • Tri-cyclic antidepressants e.g. amitriptyline, imipramine.
  • Beta blockers e.g. propranolol act to reduce heart rate and slow the body and act very quickly.

What pain pills can you take while breastfeeding?

Your doctor will be able to direct you accordingly:

  • Paracetamol – is considered safe if prescribed by your doctor. ...
  • Creams and sprays that are used for muscular pain relief.
  • Ibuprofen – only in low doses.
  • Diclofenac – only in low doses.
  • Imidazole nasal spray decongestants like Sinex and Otrivin.
  • Medication containing loratadine such as Claratyne.
  • Nasal sprays like budesonide found in Rhinocort.

More items...

Is it safe to take medicine while breastfeeding?

Two simple general rules that can help you determine if it is safe to take a medicine during breastfeeding are: If a drug is commonly prescribed for infants, it is likely safe to take while nursing, since the baby would generally receive a lower dose from breast milk than from taking the drug directly.

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What medications Cannot be taken while breastfeeding?

Common medicines that are not recommended when you're breastfeeding include:codeine phosphate.decongestants that come as tablets, liquids or powders that you swallow.some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.aspirin for pain relief.More items...

What medicine affects breast milk?

Medications that affect breast milk productionZyrtec-D (cetirizine/pseudoephedrine)Claritin-D (loratadine/pseudoephedrine)Allegra-D (fexofenadine/pseudoephedrine)Aleve-D Sinus and Cold (naproxen/pseudoephedrine)

How long will drugs stay in breastmilk?

Breastfeeding is not recommended with long-term or high-dose use of long-acting BZDs or when using multiple sedative drugs. For occasional use, milk should be pumped and discarded for 6 to 8 hours after use.

What medications increase milk supply?

There are several prescription drugs that have been used to increase milk supply: Metoclopramide (Reglan), Domperidone (Motilium), and sulpiride (Eglonyl, Dolmatil, Sulpitil, Sulparex, Equemote). The presence of an appropriate level of the hormone prolactin permits lactation to proceed normally.

Does ibuprofen affect milk supply?

Luckily, ibuprofen has been proven safe for both mother and baby during breastfeeding.

Does Tylenol decrease milk supply?

Most over-the-counter (also called OTC) medicine, like pain relievers and cold medicine, are OK to take when you're breastfeeding. For example, OTC pain relievers like ibuprofen (Advil®) or acetaminophen (Tylenol®) are safe to use when breastfeeding.

How do antibiotics affect breast milk?

Antibiotics pass through breastmilk and may similarly disrupt an infant's gastrointestinal flora. This may lead to diarrhea or it can also cause rashes or thrush.

Do antibiotics affect milk supply?

In most cases, antibiotics are safe for breastfeeding parents and their babies. “Antibiotics are one of the most common medications mothers are prescribed, and all pass in some degree into milk,” explains the Academy of American Pediatrics (AAP).

Do All Medications Pass Into Breast Milk?

Almost any drug that's present in your blood will transfer into your breast milk to some extent. However, most medications do so at low levels and...

Does My Baby's Health and Age Influence How He Or She Might Be Affected by Exposure to Medication in My Breast Milk?

Yes. Exposure to medication in breast milk poses the greatest risk to premature babies, newborns, and babies who are medically unstable or have poo...

Should I Stop Breast-Feeding While Taking medication?

Most medications are safe to take while breast-feeding. Also, the benefit of continuing to take a medication for a chronic condition while breast-f...

What Medications Are Safe to Take While breast-feeding?

With your health care provider's input, consider this list of medications found to be safe during breast-feeding. Keep in mind that this isn't a co...

Do I Need My Health Care Provider's OK Ahead of time?

If you plan to take medication while breast-feeding, it's always best to check with your health care provider first. Avoid taking medications that...

What If My Baby Has A reaction?

When you're taking medication, be sure to watch your baby for any unusual signs or symptoms — such as a change in eating or sleeping habits, fussin...

Can you pass medication through breast milk?

You can actually pass some of that medication through your breast milk to your baby. Additionally, some medications can actually cause your milk supply to drop (like antihistamines). This article outlines 10 common medications that you should avoid while breastfeeding!

Is breastfeeding good for your baby?

Not only is breastfeeding great for your baby, but it is healthy for you as a mother as well. However, when it comes to taking things like medications, mothers should be careful as some medications can actually cross over through breast milk which can be harmful to your baby.

Can breastfeeding cause Reye's syndrome?

Taking aspirin while breastfeeding has been linked to Reye’s syndrome in babies. Reye’s syndrome is rare, but it is very dangerous and may be fatal. It causes swelling in the brain and liver damage. Look for symptoms in your baby that include vomiting, drowsiness, irritability and even seizures.

Can you take birth control while breastfeeding?

You will want to avoid hormone birth control pills while breastfeeding. There is a low hormone option that you can ask your doctor for that is often referred to as the ‘mini pill.’

What are the effects of lipid lowering drugs?

Effects Of Lipid Lowering Drugs During Breastfeeding: Lipid lowering drugs like Lescol, Zocor, Mevacor, Lipitor, Lopid are excellent for lowering the bad cholesterol and triglycerides levels in the blood. It can disturb the baby’s lipid metabolism so avoid these drugs while you are nursing. 11. Metamizole:

Can gold salts be used for breast feeding?

Gold Salts During Breastfeeding: Gold salts (Myochrysine) used to treat rheumatoid arthritis. It can get into to the baby’s body through the breast milk. Gold salts can cause serious adverse reactions in the baby. It is advisable to stop nursing or to use alternative medicines.

Is amantadine safe for breastfeeding?

Amantadine is not safe to take during breastfeeding. It poses potential risk to the fetus. Amantadine may also reduce the milk supply. 2. Amiodarone (Cordarone): Aminidarine can effectively treat heart related problems.

Can you take medicine while breastfeeding?

Sometimes it is necessary for the mother to take medicines during breastfeeding because of a medical condition. There is a wide range of medicines that are safe or likely to be safe during breastfeeding. But still some medicines are unsafe to take during breastfeeding.

Is it safe to take antineoplastics while breastfeeding?

Antineoplastics or anticancer drugs are highly effective in treating cancer. However, it is not safe to use when breastfeeding. There is a risk of Neutropenia in infants when these are used while nursing. Women taking these drugs should stop breastfeeding.

Can you give a baby radioactive iodine?

As a result, it can expose the baby to radiation. Breast feeding should be discontinued permanently for the current child. Also, you should avoid close contact with the infant after the radioactive iodine treatment

Is Clozapine safe for nursing mothers?

Clozapine works by balancing the neurotransmitters in the brain. It should not be used in nursing mothers. Clozapine pose a risk of excessive drowsiness or severe hematologic effects. The babies whose mothers took clozapine during breastfeeding experienced speech delay, agranulocytosis

When to take medication after feeding?

When possible, take medications that are given only once a day right after a feeding when your baby will have the longest period without nursing; for many women this is the last feeding of the night before the infant's bedtime.

What is the best medicine for low milk levels?

warfarin. Coumadin. Rx; used to treat or prevent blood clots. Very low milk levels occur with warfarin doses up to at least 12 mg daily. No side effects in breastfed infants have been reported from maternal warfarin use during breastfeeding, even with a dose of 25 mg daily for 7 days.

Why is breastmilk acceptable in nursing mothers?

Acceptable in nursing mothers because amounts in breastmilk are less than infant dose. 1

How long can you breastfeed with sumatriptan?

Experts and labeling suggest to withhold breastfeeding for 8 hours (12 hours from manufacturer). Sumatriptan would not be expected to cause any adverse effects in most breastfed infants. Tetracyclines like have high calcium binding and low absorption in the infant, due to calcium binding in milk.

How long can you breastfeed exclusively?

There are benefits for mom, too: it increases bonding and relaxation, can be a cost-saver, and provides health benefits like a lowered risk of breast and ovarian cancers. Exclusive breastfeeding is recommended for at least 6 months by most experts, and extended to 12 months while introducing other foods.

What is the name of the protein that is inactivated and destroyed in the digestive tract of the infant if taken?

Insulin, including newer biosynthetic insulins (aspart, detemir, glargine, glulisine, lispro) is a protein that is inactivated and destroyed in the digestive tract of the infant if taken by mouth. Laxatives, bulk-forming and stool softening. Metamucil (psyllium), Colace (docusate) OTC; used to treat constipation.

Why are special precautions needed in preterm infants?

Special precautions may be needed in preterm (premature) infants, due to their size and organ systems that are even less developed than a regular term infant.

Is it safe for mothers to use prescription medications while breastfeeding?

Usually. A 2013 clinical report by the American Academy of Pediatrics (AAP), “ The Transfer of Drugs and Therapeutics into Human Breast Milk: An Update on Selected Topics, external icon ” indicates that most medications and immunizations are safe to use during lactation.

Where can I search for specific medications and their safety in mothers while breastfeeding?

The US National Library of Medicine (NLM) at the National Institutes of Health (NIH) maintains LactMed® external icon , a database containing information on drugs and other chemicals to which breastfeeding mothers may be exposed.

What medications should be avoided for migraines?

Some beta blockers (used to treat irregular heartbeat and high blood pressure) Certain epilepsy and seizure drugs. Ergots (drugs used to treat migraines) And some medications should be avoided because they can reduce your milk supply, including (but not limited to): Pseudoephedrine, an antihistamine (Sudafed)

What medications can cause drowsiness in infants?

Laxatives (Metamucil, Colace) Antihistamines (such as Claritin; Benadryl is also safe but may cause infant drowsiness) Decongestants (Afrin, Allegra, and so on), but not those containing pseudoephedrine, which can decrease milk supply. Most antibiotics.

What is the name of the database for breastfeeding?

You can also check out the National Library of Medicine's Drug and Lactation database ( LactMed ), the Infant Risk Center or MotherRisk for more information on which medications are safe and which aren't when you're breastfeeding your little one.

Can you breastfeed if you are sick?

Breastfeeding When You're Sick. Postpartum Urinary Tract Infections (UTI) Conquering Postpartum Constipation. In the meantime, just about every OTC and pre scription medication simply carries a warning (on the label, package or both) to consult a doctor before taking it if you're nursing.

Can you stop a baby from taking medication while breastfeeding?

In some cases, a less-safe medication can safely be discontinued while a mom is breastfeeding, and in others, it's possible to find a safer substitute. When medication that isn't compatible with breastfeeding is needed short-term, ...

Do you have to disclose the amount of a drug in breast milk?

Under the new rules, drug-makers must disclose the amount of the drug that ends up in breast milk and any potential side effects on breastfed babies, along with details on any human and animal studies that have been done and any adverse reactions in breastfeeding women. This information will help you and your health care provider better understand the risks versus the benefits of taking a medication while you're breastfeeding.

Is it safe to take antihistamines after delivery?

The research jury is still out on other medications (certain classes of antihistamines, for instance, or some antidepressants). And other medications are safe, but only if they're used sparingly and temporarily (such as narcotics for pain after a cesarean delivery, for instance; take only one tablet every six to eight hours maximum and watch for drowsiness in the baby). Be sure to check with your baby's pediatrician for the most up-to-date info on what is and isn't safe.

What is lactmed database?

LactMed is a website database maintained by the US National Library of Medicine (NLM) at the National Institutes of Health (NIH). Both the online database and mobile app include information on the levels of substances in breast milk and infant blood and the possible adverse effects in the nursing infant.

Can you prescribe a package insert to pregnant women?

The package insert almost always cautions against prescribing the medication to pregnant or lactating people. However, there are many reliable resources for finding more accurate answers.

Do I need to “pump and dump” while taking medications?

Families are frequently told to “pump and “dump” when taking a medication. These recommendations are often not backed up by evidence, so it is important to check reliable sources for up-to-date research-based information.

Can you take OTC for breastfeeding?

Avoid taking OTC medications for which little breastfeeding information is available. A pharmacist should be able to assist with additional information.

Can you take OTC with multiple ingredients?

Avoid taking combination OTCs, which are those with multiple ingredients. It is better for the mother to take an OTC that has the one or two specific ingredients that will treat her specific condition; there is no need for mothers or nurslings to be exposed to unnecessary ingredients.

Can I take medicines while nursing?

Yes, the vast majority of prescription and over the counter medications are compatible with breastfeeding or have a breastfeeding-compatible alternative.

What drug is used by a mother?

Mother is using an illicit street drug, such as PCP (phencyclidine) or cocaine1 (Exception: Narcotic-dependent mothers who are enrolled in a supervised methadone program and have a negative screening for HIV infection and other illicit drugs can breastfeed) Mother has suspected or confirmed Ebola virus disease.

Why should mothers be provided with lactation support?

These mothers should be provided with lactation support to learn how to maintain milk production while not breastfeeding and/or while expressing their milk. Airborne and contact precautions may require temporary separation of the mother and infant, during which time expressed breast milk should be given to the infant by another care provider.

Can a mother breastfeed?

Mothers should temporarily NOT breastfeed, but CAN feed expressed breast milk if . Airborne and contact precautions may require temporary separation of the mother and infant, during which time expressed breast milk should be given to the infant by another care provider.

Can a mother be separated from her infant?

Airbor ne and contact precautions may require temporary separation of the mother and infant, during which time expressed breast milk should be given to the infant by another care provider. Mothers should be able to resume breastfeeding after consulting with a physician to determine when there is no longer a risk of spreading infection. These mothers should be provided with lactation support to learn how to maintain milk production while not breastfeeding and/or while expressing their milk.

Can you take medication while breastfeeding?

Few medications are contraindicated while breastfeeding. Although many medications do pass into breast milk, most have no known adverse effect on milk supply or on infant well-being. However, healthcare providers should always weigh the risks and benefits when prescribing medications to breastfeeding mothers.

Is human milk safe for infants?

While human milk provides the most complete form of nutrition for infants, including premature and sick newborns, there are rare exceptions when human milk or breastfeeding is not recommended.

Can you breastfeed if you are not breastfeeding?

Mothers may be able to resume breastfeeding after consulting with a physician to determine when their breast milk is safe for their infant. These mothers should be provided with lactation support to learn how to maintain milk production and feed their infants with pasteurized donor human milk or formula while temporarily not breastfeeding.

Can I Breastfeed While Sick?

Yes, you can breastfeed even if you're sick. Breastfeeding while sick is still healthy for you and your baby. Continuing to breastfeed is also a good reminder to keep yourself fully hydrated. You need ample hydration to make breast milk, and it also helps relieve symptoms.

Cold and Allergy Medicine Safe for Breastfeeding

The following medicines are considered safe for nursing parents, but it's always a good idea to check with a healthcare provider or pediatrician before taking any new medications. Some medications can reduce your milk supply. 3

Medications to Avoid

The following are not recommended for nursing parents. Always check with a healthcare provider before taking any new medications, because some medications can reduce your breast milk supply or affect your baby's sleep. 3

Alternative Cold Medicines and Remedies

In addition to common over-the-counter (OTC) medications, some alternative remedies can help treat symptoms of common illnesses (like colds), such as:

Summary

There are a number of OTC and prescription medications available to treat colds and the flu. Some, in small doses and for a short period of time, may be safe, while others can have side effects for both the breastfeeding parent and the baby. The best way to know if a medication is safe for use is to check with a healthcare provider.

A Word From Verywell

Breastfeeding your baby can be a very rewarding and bonding experience, but having a cold or the flu can impact your routine. The best way to get better is to stay calm, rest, and hydrate often.

What medications require temporary weaning?

Some of the medicines that require temporary weaning are those that contain radioactive compounds and drugs used to treat cancer. Most of the drugs that raise any concern at all are prescription drugs, not over the-counter medicines.

How much of a medicine does a mother take into milk?

Nearly all medicines taken by a mother pass into human milk, BUT only in very small amounts--usually less than one percent of the dosage taken by the mother.

Are there any additional safety measures to consider while breastfeeding?

Even though most medicines are safe to take during breastfeeding, some additional safeguards to lower any potential risk even further include:

Can I safely drink alcohol while breastfeeding?

Occasional or light drinking—such as a glass of wine or a beer—has not been found to be harmful to a breastfeeding baby. Erring on the conservative side, wait at least two hours for every drink you consume before nursing your baby. Or alternatively, use expressed milk to feed your baby after consuming alcohol.

Can you drink wine while breastfeeding?

Occasional or light drinking—such as a glass of wine or a beer—has not been found to be harmful to a breastfeeding baby. Erring on the conservative side, wait at least two hours for every drink you consume before nursing your baby. Or alternatively, use expressed milk to feed your baby after consuming alcohol.

Can you take a medicine while breastfeeding?

Two simple general rules that can help you determine if it is safe to take a medicine during breastfeeding are: If a drug is commonly prescribed for infants, it is likely safe to take while nursing, since the baby would generally receive a lower dose from breast milk than from taking the drug directly. Drugs considered safe to take ...

Can a nursing mother take over the counter medication?

Because only a very small amount even passes into milk, there are very few drugs that SHOULDN’T be taken by a nursing mother. IN MOST CASES, nursing mothers do not need to interrupt breastfeeding to take prescription or over-the-counter medicines.

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1.Breastfeeding and medications: What's safe? - Mayo Clinic

Url:https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/breastfeeding-and-medications/art-20043975

35 hours ago  · Antihistamines Loratadine (Claritin, Alavert, others) Fexofenadine (Allegra Allergy)

2.10 Medications to Avoid While Breastfeeding - The …

Url:https://thepumpingmommy.com/10-medications-to-avoid-while-breastfeeding/

9 hours ago  · Is it safe for mothers to use prescription medications while breastfeeding? Need for the drug by the mother. Potential effects of the drug on milk production. Amount of the drug …

3.12 Medicines You Should Never Take During Breastfeeding

Url:https://www.beingtheparent.com/medicines-you-should-never-take-during-breastfeeding/

29 hours ago Avoid taking OTC medications for which little breastfeeding information is available. A pharmacist should be able to assist with additional information. Avoid taking OTC medications …

4.Safe Medication Use During Breastfeeding - Drugs.com

Url:https://www.drugs.com/drug-safety-breastfeeding.html

31 hours ago  · Few medications are contraindicated while breastfeeding. Although many medications do pass into breast milk, most have no known adverse effect on milk supply or on …

5.Prescription Medication Use | Breastfeeding | CDC

Url:https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/prescription-medication-use.html

33 hours ago  · Ingredients to avoid while breastfeeding include: Alcohol : Some remedies have alcohol to help you sleep, so skip those. DayQuil : DayQuil contains dextromethorphan, a cough …

6.Medications and Breastfeeding: Which Medications Can …

Url:https://www.whattoexpect.com/first-year/medications-breastfeeding/

31 hours ago Avoid extra-strength formulas. Also avoid "sustained-release" preparations and medicines taken only once or twice a day. These are considered "long acting" drugs and remain in the mother’s …

7.Medications and Breastfeeding - La Leche League USA

Url:https://lllusa.org/medications-and-breastfeeding/

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8.Contraindications to Breastfeeding or Feeding Expressed …

Url:https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/contraindications-to-breastfeeding.html

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9.Cold Medicine While Breastfeeding: Safe Brands, …

Url:https://www.verywellhealth.com/cold-medicine-while-breastfeeding-safe-brands-and-remedies-5208186

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10.Breastfeeding & Over-the-Counter Medications

Url:https://my.clevelandclinic.org/health/articles/12353-breastfeeding--over-the-counter-medications

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