This decongestant comes in several formulations that last between 4 and 12 hours. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Common trade names: Tesselon Perles. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. Common trade names: Cepacol. But there are so many optionswhat is in them, and what is compatible with breastfeeding? What is the Pitcher Method for storing breastmilk? If pregnant or breastfeeding Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. If you are taking a sedating medication, be sure to have support in caring for your infant. The recommendation can depend on how long you need to take the drug. Thank you. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog). To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. Menthol has been anecdotally reported to reduce milk supply in some women. This is given directly to infants in doses much greater than they would receive incidentally through the breastmilk. Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. Extent of oral absorption by the breastfeeding infant. But it can also contain some unwelcome added ingredients if you're taking medicine for a cold or other ailment. 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. For example, if you need a cough suppressant, don't buy one that also includes a decongestant. Topical tretinoin is a medication that is applied to the skin to treat acne, prevent wrinkles, and help with other skin problems. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog), Zinc nutritional supplement (L2). This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. Herb which is widely used by many cultures. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. Some, like alcohol or parsley, will slowly decrease milk supply, while others, like pseudoephedrine, will dramatically stop the production of milk within hours of the first dose. safe to use while breastfeeding. It is also not absorbed into the mother's system, so wouldn't be transmitted in breast milk. It is used to dry up secretions. Also, the myth that alcohol improves milk supply is rooted in the fact that many types of beer used to contain therapeutic levels of barley or barley malt, which are known galactagogues. Do not exceed 4 grams/day. Can you use menthol while breastfeeding? Safety of infant exposure to antidepressants and benzodiazepines through breastfeeding. A decongestant spray may be a better bet for your stuffy nose. Honey should never be consumed by infants. Very little of this medication makes it into the milk (about 0.6% of the mothers dose). While the occasional alcoholic beverage is unlikely to reduce your milk supply, chronic alcohol consumption can. : Significant and documented risk to the infant. This content does not have an Arabic version. 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. Vitamin C is often advertised for cold-fighting. I am thinking I left it on to long the spots are red now. Please check each of the links below, where breastfeeding (lactation) information is available. Wambach K, et al., eds. 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. Infants , Ibuprofen (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. Ointments that contain capsaicin, menthol, benzocaine, or camphor (like Tiger Balm) can be harmful if enough transfers to your baby's skin or is inhaled. Is topical menthol safe while breastfeeding? Cabbage leaves placed on the breasts may also be helpful. (For other ailments, see our sections on acne and GI complaints.). Procter and Gamble Pharmaceuticals (2019): United States National Library of Medicine "Toxnet. Diphenhydramine (L2): Antihistamine. Triamcinolone may be used for longer periods of time without causing rebound congestion. Accessed May 25, 2022. Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. https://www.uptodate.com/contents/search. Common trade names: DM, Benylin, Delsym, Robitussin DM. (L3). Looking for a quick list of safe medications while breastfeeding? 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. Benzocaine topical has an average rating of 6.6 out of 10 from a total of 37 ratings on Drugs.com. However, modern beer-making results in sub-therapeutic levels of barley or oats. If you are taking a sedating medication, be sure to have support in caring for your infant. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. If you're breastfeeding, you're giving your baby a healthy start. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. It is secreted into the breastmilk, but apparently not in quantities that would harm an infant. Safe. For example, Advil Cold and Sinus contains ibuprofen to help alleviate a sinus headache, but it also contains pseudoephedrine, which you may not want to take if you're nursing. In fact, consuming certain plants, herbs, and medications can decrease your supply. They are heavily sedating and not recommended. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. According to LactMed, a drug and lactation database, It is unlikely that regular doses of guaifenesin would cause harm to an infant. Keep in mind that this isn't a full list of safe medications. 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. If you are taking a sedating medication, be sure to have support in caring for your infant. Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. Cookies help us improve your website experience. There are no adequate and well-controlled studies or case reports in breastfeeding women. Increased breastfeeding, supplementation with lactogenic medications, herbs, or foods, and possibly additional pumping will help you build up your milk production again. Walsh P, Rothenberg SJ, Bang H. Safety of ibuprofen in infants younger than six months: A retrospective cohort study. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. You might think that pain relievers in cream or ointment form would be safe to use, but some can prove toxic to your baby. 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. Oral and topical forms (by prescription only) deserve more caution in their use. Each medication is assigned a rating from Safest (L1) to Hazardous (L5).You can find more information on this rating system at the bottom of this page. Common Trade names: Flonase. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. 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. Common trade names: Benadryl, Tylenol PM. 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. Can I take plan B while taking ciprofloxacin? No effects have been reported in breastfeeding infants. Fennel essential oil might cause allergic reactions after oral or topical use due to cross-reactivity with plants of the Apiaceae . For instance, sage is a popular herb used around Thanksgiving, lots of parsley is found in dishes like tabbouleh, and peppermint is often found in teas, gums, and candies. It contains all the nutrients your baby needs in just the right balance, and it passes along the natural antibodies you've acquired, too, so your little one's immune system gets off to a good start. (L3): Nasal Steroid. This sheet is about using topical tretinoin in pregnancy and while breastfeeding. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. : Extensive evidence demonstrating no adverse effects on the infant, : Limited evidence without an increase in adverse effects on the infant. As a result, every medication must be considered separately. There is a problem with information submitted for this request. However, medications used in the two days after childbirth transfer at very low levels to your infant. Animal studies are not available. These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. 10-04-2012, 08:36 AM. Can You Drink Alcohol While Breastfeeding? They may be in the form of a lotion, cream, ointment or gel. Most cough drops are considered safe while breastfeeding. 92: Use of Psychiatric Medications During Pregnancy and Lactation. Ibuprofen is the preferred analgesic in breastfeeding mothers. It is the safest of the antitussives and unlikely to transfer into milk. Common Trade names: Sinus Rinse, Simply Saline, Ocean. However, doses of zinc in cold remedies can be in excess of what is safe. If you are taking a sedating medication, be sure to have support in caring for your infant. When prolactin levels are reduced in a breastfeeding parent, milk supply typically reduces with it. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. This is the first OTC steroid nasal spray to be marketed in the United States. Common trade names of combination products: Cheratussin AC, Tuzistra XR, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. Pregnancy 57% of reviewers reported a positive effect, while 27% reported a negative effect. 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. Oral and topical forms (by prescription only) deserve more caution in their use. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. If you are taking a sedating medication, be sure to have support in caring for your infant. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. It is always a good idea to look into any medication you are considering using and weighting the risks and benefits before use. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). Since retinol is such a powerful (read: harsh) ingredient, using it will always come with certain risks (such as sun sensitivity). The effect of orally administered melatonin on newborns is unknown, but no adverse reactions have been reported so far. There are no good studies about how much of this drug gets into breast milk. Menthol/zinc oxide topical is a combination medication used for the temporary relief of pain and itching associated with diaper rash, fecal, and urinary incontinence, feeding tube, wound drainage, and minor cuts, scrapes, and burns. Topical corticosteroids are medications applied directly on the skin that are used in the treatment of skin conditions like eczema, psoriasis and other rashes. Common trade name: Afrin. Some infants can be sensitive to even small amounts in their GI tract, causing diarrhea. It's also recommended to wait at least two hours after drinking before nursing. 2023 Franciscan Alliance, Inc. All Rights Reserved, Franciscan Health Facilities and Franciscan Alliance d/b/a Franciscan Physician Network comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. -If used on the nipples, use after nursing and wipe off before the next nursing. If so, how many days will the effects last. Common Trade Name: Tylenol. What cough medicine would be ok for my breast feeding wife to use? : No studies, but expert opinion suggesting safety. Benzonatate is a very dangerous product when taken directly by a child. Further studies need to be considered in adults, however. Apr 2013;13(2):229-235. Common trade name: Kenalog shot, Nasacort.1. Additionally, after a night of heavy drinking, you may notice that your milk supply rapidly declines. Accessed June 26, 2018. There are many non-sedating antihistamines on the market, which are likely a better choice. It does not suppress coughing. 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." Do not exceed 3.2 grams/day. Pseudoephedrine is an adrenergic compound used as a nasal decongestant. Learn all about the food, herbs, and medications that can decrease your breast milk supply. Sage, parsley, peppermint, and menthol. Potential effects of the drug on milk production. (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. Read the label carefully to find out what symptoms the medicine treats, and ask the pharmacist if you have any questions. 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. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Pseudoephedrine and Triprolidine in Plasma and Breast Milk of Nursing Mothers.. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Common trade names: Benadryl, Tylenol PM. There are no adequate and well controlled studies in breastfeeding women. In fact, in some traditions, it is used to boost breast milk supply. Newborns . Overall, no we don't consider it safe to use tiger balm pain relief cream when breastfeeding. Topical antifungal cream and pessaries containing clotrimazole, miconazole and nystatin are safe to use while breastfeeding. PureKana Pain Relief Topical Ointment features 600mg of CBD in combination with 120mg CBG plus menthol and capsaicin for powerful relief on sore, aching muscles and painful joints. The decision to use aspirin should be undertaken with physician guidance. A comparison of topical menthol to ice on pain, evoked tetanic and voluntary force during delayed onset muscle soreness. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below). Our e-newsletter will keep you up-to-date on the latest health information. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). Furthermore, researchers suspect that if there is an impact one way or the other, you'd need to ingest a lot of the substance. However, we now know the full feeling is typically the result of inefficient milk transfer to the infant rather than increased production. A single copy of these materials may be reprinted for noncommercial personal use only. Triamcinolone may be used for longer periods of time without causing rebound congestion. 11th ed. Check with your doctor to find out if there is a prescription or OTC ointment that would be effective for you and safe for your baby. Common trade name: Bayer. If you have any questions or concerns about breastfeeding or your breast milk production, consult with your doctor or a certified lactation consultant. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. http://www.tga.gov.au/docs/html/medpreg.htm" (2010): "Product Information. 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