3. Most studies reveal that, pseudoephedrine does not cause any side effects in the baby, but there are a few cases of hyper and irritable behavior reported. Decongestants come in pills, liquids, nose drops, and nasal sprays. Dr Adam Frosh, an ear nose and throat consultant at the Lister Hospital, Stevenage, chooses five of the best decongestants. These medications can affect the cell multiplication in the fetus and also cause high levels of toxicity. However, when these medicines are used at higher doses and/or for a long time, the chance that problems might occur may increase. If you're taking a medication that could be harmful to your baby, your health care . This sheet talks about exposure to pseudoephedrine in a pregnancy and while breastfeeding. Be careful about taking Tylenol while you're also taking cold and flu products like Nyquil, DayQuil, Excedrin or Robitussin, though. Hospitals Doctors . Officially, it is considered probably safe for breastfeeding. Antineoplastics or anticancer drugs are highly effective in treating cancer. the pharmacist told me that nasal sprays were fine because they very rarely entered the blood stream. Sudafed is an oral decongestant used to relieve nasal or sinus congestion caused by the common cold, sinusitis, and respiratory allergies. Non-sedating antihistamines are the preferred choice for a breastfeeding mother: Cetirizine (Zirtek®, BecoAllergy®, Piriteze®, Benadryl®) reaches low levels in breastmilk and is recommended by the British Society for Allergy and Clinical Immunology (Powell 2007) Fexofenadine (Telfast®) is a newer antihistamine with similar low levels of . To Conclude. Relevant published information was not found . Pseudoephedrine is a decongestant that is used to treat nasal congestion ("stuffy nose") caused by colds or allergies. Breastfeed or pump for a shorter time interval at each session. Both . You can take ibuprofen or use it on your skin while breastfeeding. Zinc works by stopping the rhinovirus from multiplying. This can allow the membranes to become engorged and cause congestion in the nose, sinuses, or chest. 4. The occasional use of antihistamine, decongestant, and analgesic combinations is not likely to cause problems in the fetus or in the newborn baby. Diphenhydramine is the active ingredient in Benadryl and is definitely safe during pregnancy, but it may not be safe . A fully breast-fed infant would receive a dose of 4.3% (range 2.2 to 6.7%) of the maternal weight-adjusted dose. In many cases, zinc can reduce the duration of a cold by up to a day, especially when taken within the first 24 hours of symptoms starting (10). Cold and flu medicine: It is best to use steam inhalations, saline nasal sprays and decongestant nasal sprays. Ibuprofen eases uterine contractions and discomfort related to a C-section. Because the medicine is not absorbed well from the nasal passages, it doesn't . Decongestants. One small study. Avoid Pseudo ephedrine while breastfeeding, especially in the first 4-6 weeks postpartum. Headache or sore throat. In many cases, zinc can reduce the duration of a cold by up to a day, especially when taken within the first 24 hours of symptoms starting (10). Avoid medicines containing pseudoephedrine. Only tiny amounts get into breast milk, and it is unlikely to cause side effects in your baby. The Drugs Listed Below are Usually Compatible with Breastfeeding Cold and Allergy Check for the word "decongestant" or the ingredient pseudoephedrine. For nasal congestion, you can use Afrin nasal spray . Pseudoephedrine and Phenylephrine are two common decongestant used. Combination drugs can be taken with extra care. Lactation consultant and author Nancy Mohrbacher suggests allowing at least three days between dropping one breastfeed and then dropping another 1. Decongestants are often in over-the-counter medications used to treat nasal congestion ("stuffy nose") caused by colds or allergies. A portion of the medication is passed on the baby via mother's milk. Most nursing mothers are seen to suffer from . Pain relievers and fever reducers that are safe to take while breastfeeding include: Tylenol ( acetaminophen) 5. Pseudoephedrine and phenylephedrine are oral decongestants for treating nasal congestion caused by colds, allergies, and sinus infections. You might find them alone, but you'll also notice them combined with other cold medications. This information should not take the place of medical care and advice from your healthcare provider. Regardless, you should not take any vitamin or supplement in a higher dosage than the recommended daily allowance, especially while you are breastfeeding. • Work with your doctor to find a medication that treats your condition and is safe while breastfeeding. The Best Natural Decongestant Medicines While Breastfeeding Natural Remedies. Gradually lengthen the time between breastfeeds or pumping sessions. "Studies have . Headache or sore throat. Claritin-D may be seen as a better option for treating allergy manifestation with cold symptoms, but while breastfeeding, it is best avoided. What is phenylephrine? I was told however, that any medication that says "sinus" on the box, like tylenol cold and sinus, was NOT ok for breastfeeding. Claritin-D contains both loratadine, an antihistamine, and pseudoephedrine sulfate, a nasal decongestant. Dextromethorphan has been studied in breastfeeding women and is considered safe. 3. Use of a nasal spray of saline is beneficial. US Pharm. (Often found in Coricidin and more.) Combination products with first-generation antihistamines may have even worse effects. ORAL DECONGESTANTS should be avoided by breastfeeding . It is likely safe to say that using Mucinex products while breastfeeding is safe, depending on the medication you choose. As a result, it's considered safe during breastfeeding—and it's often a go-to for controlling pain while recovering from childbirth injuries or C-sections. While regular Claritin is completely fine, taking Claritin-D while breastfeeding may reduce milk supply. If you are taking Amiodarone, stop nursing immediately. Pseudoephedrine is sold under many […] You might find them alone, but you'll also notice them combined with other cold medications. Many people take decongestant tablets, powders and lemon drinks when they have a cold or sinus pain. Decongestants are a type of medicine that can provide short-term relief for a blocked or stuffy nose (nasal congestion). Breastfeeding while sick is a common dilemma for mothers who want to breastfeed. Rest Decongestants and Breastfeeding Many people take decongestant tablets, Zyrtec, These drugs do not have any adverse effect during breastfeeding and they are safe and have no effect on lactation, Advil) and aspirin while breastfeeding, Claritin, You can take Actidil Seldane or Claritin, but on its own it isn't going to dry up your supply . Pseudoephedrine and phenylephrine are available over the counter as Sudafed and are safe for many women to use during pregnancy. Best Hospitals ; Find a Doctor . What is pseudoephedrine? You should really ask a pharmacist about using a decongestant vs. a nasal steroid while breast feeding. Two simple general rules that can help you determine if it is safe to take a medicine during breastfeeding are: [3] Infant Levels. Advil, Motrin ( ibuprofen) 6. Do not use Sudafed for longer than three days as it can also lead to rebound . Nevertheless, we are aware that not all pregnancy is the same, therefore, using the medication widely without consulting your doctor is a big NO! There are both oral and nasal formulations. Decongestants and Breastfeeding Many people take decongestant tablets, Zyrtec, These drugs do not have any adverse effect during breastfeeding and they are safe and have no effect on lactation, Advil) and aspirin while breastfeeding, Claritin, You can take Actidil Seldane or Claritin, but on its own it isn't going to dry up your supply . What nasal decongestant is safe during pregnancy? 1. It is very important that you do not stop your asthma medicines while you are breastfeeding. Unfortunately, while Sudafed (pseudoephedrine) is unlikely to harm your baby, it can significantly lower your milk supply, which is why most experts recommend that you don't take Sudafed while breastfeeding. Some medications can reduce your milk supply. Cough medicines: Coughs usually go away without treatment. 1. Several allergy and sinus medications are potentially hazardous and should be avoided while breastfeeding. While regular Claritin is completely fine, taking Claritin-D while breastfeeding may reduce milk supply. If you need to take aspirin for a heart condition, your doctor may consider a low-dose treatment or alternate drug. These medications also contain acetaminophen, so . When it comes to the use of decongestants by a nursing mom, the drug safety is doubtful. The older families of antihistamines-diphenhydramine . Other commercial remedies may help to relieve symptoms but the evidence of effectiveness behind many products is poor. Since the effect is topical without systemic absorption and side effects, it is considered to be the best antihistamine while breastfeeding. A drop in supply now . Be warned, taking some general over the counter decongestants can cause lactation problems, so consult your doctor to know which ones are safe while breastfeeding. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. These medications help with pain that may come with a cold, like headaches, muscle aches, or a sore throat. You do not have to worry about Allegra and breastfeeding safety if you need to take allergy medication while nursing your little one. What antihistamines are safe for breastfeeding? However, the dosage should below. Aspirin is best avoided while breastfeeding because, in rare cases, it may cause Reye's Syndrome in infants with certain viral infections—that's the same reason aspirin isn't generally recommended for children and teenagers. Dr. Romm does have a word of warning when it comes to your milk supply: Any allergy or cold medication that contains pseudoephedrine (Sudafed) is a big no-no for a breastfeeding mom. On the other hand, Claritin-D with added decongestants may have a negative effect on your milk supply. These side effects will be more visible in younger infants . Monitor the infant for bruising and bleeding. Most decongestants do not contain enough medication to cause problems with baby, especially if used for short periods. Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. Afrin (Oxymetazoline) Afrin (Oxymetazoline) nasal spray is a safe nasal decongestant while breastfeeding. These medications can ease out the stuffy nose and help clear your mucus congestion. Claritin-D contains both loratadine, an antihistamine, and pseudoephedrine sulfate, a nasal decongestant. If you do take this while you are breastfeeding, your baby might be more fussy and drowsy. 4. Zinc. If you are suffering from a runny nose or feel congested, go for a nasal spray containing a decongestant or antihistamine like azelastine instead. 1 One of the many objectives of Healthy People 2010 is to have 75% of mothers initiating breast-feeding, 50% of . Decongestants. It is one of the painkillers usually recommended if you are breastfeeding. Common decongestants include: Afrin, Dristan, Vicks Sinex (oxymetazoline); Sudafed PE . "Ibuprofen and acetaminophen are great options for pain relief and fever control in breastfeeding mothers," says Smith. However, Afrin may cause rebound congestion if taken for more than three days in a row. This sheet talks about exposure to phenylephrine in a pregnancy and while breastfeeding. Afrin is poorly absorbed from the . Chlorpheniramine has been approved, but large doses could also lower milk supply. (Often found in Alka Seltzer Plus, Tylenol Cough & Cold, Vicks DayQuil and NyQuil and more.) Also, the benefit of continuing to take a medication for a chronic condition while breast-feeding often outweighs any potential risks. However, they are not safe when you are breastfeeding. Over-the-counter decongestants have the potential to dry up your milk supply, so avoid these as well. A 2002 study in Australia of the common decongestant pseudoephedrine (commonly found in the brand drug, Sudafed, as well as many other single and combination cold medications), showed a 24% decrease in milk supply in the 24 hours after one single 60 mg dose of the drug. Many are available without a prescription. Many drugs, like decongestants, antibacterial or antiviral pills, save lives but might interfere with the benefits of breastfeeding. For colds and influenza two paracetamol four times a day or 400milligrammes ibuprofen three times a day with plenty of fluids and rest may be the most effective cure. NEILMED SINUS RINSE £12.81, 50 sachets, from Amazon and Lloyds Pharmacy IN MOST CASES, nursing mothers do not need to interrupt breastfeeding to take prescription or over-the-counter medicines. It . Ibuprofen, aka Advil or Motrin, has been approved . Zinc gluconate is a commonly recommended cold remedy, considered safe to use while breastfeeding. Nasal decongestants are used to treat nasal congestion and discomfort from allergies and colds. Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. 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 does not suppress coughing. Most products contain pseudoephedrine (Claritin-D, Zyrtec-D, etc. . Due to its poor absorption from nasal passages, Afrin does not affect supply as a decongestant taken orally. Afrin is a nasal spray form of a decongestant. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. 2007;32(7)(OTC suppl):8-12.. Penicillin, Metronidazole, Ciproflaxin, Aspirin (low dose), and Propoxyphene can be given. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. For example, the drug clemastine (Meclastin) can cause sedation and irritability in the breastfeeding infant, and as much as 5.2 percent of the dose is passed through breast milk, in comparison to 0.7 percent of each dose of fexofenadine . Nasal sprays or gels. Eye drops designed for cold/allergy symptom relief are considered compatible with breastfeeding. showed that over a 24-hour period, Sudafed decreased the women's milk production by 24 percent. Answer (1 of 4): The reason that decongestants are not recommended while breastfeeding is that as well as drying up your nasal passages, it can reduce the amount of milk supply. Decongestant medications reduce stuffiness and sinus pressure by constricting the blood vessels in your nose, which reduces swelling. Pseudophedrine is also known to reduce milk supply. " Studies looking at both medications in nursing . Although they are unlikely to affect a breastfeeding baby they have a potential significant impact on milk supply and should be avoided during breastfeeding. Most medications are safe to take while breast-feeding. 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. Some expert opinion indicates that low-dose (75 to 325 mg daily) aspirin may be used as a blood thinning agent for use in breastfeeding women who require it. . nasal spray is a nasal decongestant that can be used safely while breastfeeding. 25/02/12. Pregnancy. It's locally acting, quick relief and a negligible amount is absorbed into the circulation. For breastfeeding moms looking to combat headaches, fever or body aches, acetaminophen (Tylenol) and Ibuprofen (Motrin) are safe to use. While this medication is generally considered "safe" in breastfeeding . For the individual ingredients of these combinations, the . Avoid high-dose, long-term use of aspirin, if possible. After a 60 mg oral dose of immediate-release pseudoephedrine, peak milk levels averaging 698 mcg/L occurred 1.7 hours after the dose and half-life in milk was 5.5 hours. Nasal sprays are generally considered compatible with breastfeeding. In fact, some sources say phenylephrine . Trusted Source. Common trade names: Halls, Ricola, Luden's, Vick's. Guaifenesin (L2): This is an expectorant used to loosen respiratory tract secretions. If you take Sudafed while breastfeeding, you should monitor how . This information should not take the place of medical care and advice from your healthcare provider. While breastfeeding, decongestant nasal sprays like oxymetazoline and . Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. "In general, healthcare providers do not recommend Sudafed use when breast/body feeding," says Sarah Shealy, IBCLC, a professor . They work by reducing the swelling of the blood vessels in your nose, which . According to MilkWorks, nasal sprays like Afrin absorb poorly through the nasal passages. So, when choosing Mucinex, make sure to get on a call with your . Decongestants. . Still, a few medications aren't safe to take while breast-feeding. They can help ease the symptoms of conditions such as colds and flu, hay fever and other allergic reactions, catarrh and sinusitis. It is very important that you do not stop your asthma medicines while you are breastfeeding. This treatment can also impact how much milk your baby gets as it affects the milk flow by reducing it. Nasal sprays do not absorb into your bloodstream the same way decongestants in pill form do, making Afrin a safe medication to take while breastfeeding. 3. Summary. Inhaling steam is a cheap and effective means of reducing congestion and should be used . Stuffy noses will need a decongestant. Zinc. However, to play it safe cold medicine while breastfeeding is best used when extremely necessary. Avoid medicines containing pseudoephedrine. If the baby is still under three months or so, it is crucial for the supply to be built up then. Ibuprofen (Advil, Motrin) and acetaminophen (Tylenol) are usually considered safe to take while breastfeeding. There are two types of nasal decongestants; 1) short acting, for example, levmetamfetamine or L-desoxyephedrine (Vicks Vapo Inhaler) and phenylephrine (Neo-Synephrine, Little Noses Decongestant Nose Drops, 4-Way Fast Acting); and 2) long . There's a list of antibiotics that are safe for lactating mothers. The fact is that many breastfeeding moms regularly use antihistamines, sometimes in combination with decongestants, for cold symptoms or seasonal allergies. Many will have "D" in the name like Claritin-D or Coricidin-D. Amoxycillin, Amoxil, Clavulanic acid, Cephalosporins, Macrolides are safe to take during breastfeeding. "Where breastfeeding moms get into trouble is taking a medication that contains a decongestant like Claritin-D, that helps reduce . Antineoplastic Agents. Acetaminophen or ibuprofen may be safer for pain relief. Although echinacea might lessen cold symptoms, it may not safe to take while breastfeeding. . While only 5-10 percent of nasal sprays is absorbed in the mother's bloodstream, the absorption rate is higher for an oral decongestant. For this reason, phenylephrine is the most concerning drug in Dayquil for breastfeeding mothers. These medications help with pain that may come with a cold, like headaches, muscle aches, or a sore throat. D=decongestant). Oral Antihistamine Stuffy nose and sinus pressure. • Afrin (oxymetazoline) nasal spray is a nasal decongestant that can be used safely while breastfeeding. Allergy medicines and decongestants generally reduce symptoms such as itchy eyes, sneezing, and a runny nose. Treating Seasonal Allergies while Breastfeeding The allergy season can last a long time in the Midwest, and allergies can impact a mother's ability to feel her best while taking care of her baby. A cetaminophen and ibuprofen. Neti pot should ideally be used for rinsing.. This may cause sleep problem, irritability and . Over-the-counter decongestants work by shrinking blood vessels inside the nose. "Where breastfeeding moms get into trouble is taking a medication that contains a decongestant like Claritin-D, that helps reduce . Be cautious and consider other options! Zinc gluconate is a commonly recommended cold remedy, considered safe to use while breastfeeding. The main reason for this is that the drug can go to your breastmilk and affect your baby. Ibuprofen (Advil, Motrin) and acetaminophen (Tylenol) are usually considered safe to take while breastfeeding. 3. Decongestant nasal sprays are generally for short-term use (3-7 days) only; consult your health care provider and the package instructions for specific . Phenylephrine What antihistamines are safe for breastfeeding? Blogs Questions Press Release What decongestant can i take while breastfeeding Asked anonymously on 8th April, 2022 at 4:24 pm Ent . One of the most effective ways to relieve inflammation and fluid build-up during a sinus infection is a decongestant. Cough medicines: Coughs usually go away without treatment. Cold and flu medicine: It is best to use steam inhalations, saline nasal sprays and decongestant nasal sprays. Best is to take nasal decongestant sprays for a short duration as prescribed by your physician . So it is best avoided before bed time. However, a closely related compound, pseudoephedrine, is known to lower milk supply (it reduced supply by nearly a quarter for moms in the study). Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. The American Academy of Pediatrics (AAP) policy statement on breast-feeding recommends that women breast-feed their infants exclusively for at least the first six months of life and suggests trying to breast-feed for the first 12 months of life. 3. Medicine has always been a double-edged sword for breastfeeding mothers. Zinc works by stopping the rhinovirus from multiplying. I was able to use Otrovin, and I am able to use a steroid spray for hay fever. Phenylephrine is a decongestant. Over-the-counter decongestants are, for the most part, safe during pregnancy, physicians advise. In the rare situation when you should not take a drug, you may try an alternative drug, a non-drug, or a procedure. Safe Cold Medicines While Breast-Feeding.
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