Are muscle relaxants safe in breastfeeding?

Overview of Muscle Relaxants and Breastfeeding
Muscle relaxants are medications commonly prescribed to alleviate muscle spasms and discomfort. However, when it comes to breastfeeding, the safety and implications of using these drugs become a critical concern for nursing mothers. This article explores the safety profile of muscle relaxants during breastfeeding and the recommendations for nursing mothers who may require these medications.
Types of Muscle Relaxants
Muscle relaxants can be broadly categorized into two groups: central acting and peripherally acting muscle relaxants.
1. Central Acting Muscle Relaxants: These include drugs like carisoprodol, cyclobenzaprine, and methocarbamol, which operate on the central nervous system (CNS) to alleviate muscle tension.

2. Peripherally Acting Muscle Relaxants: An example is dantrolene, which directly affects muscle fibers, reducing their ability to contract.
Safety Concerns for Breastfeeding Mothers
The primary concern for nursing mothers using muscle relaxants is the potential transfer of these medications into breast milk and their effects on the infant. Research indicates that some muscle relaxants may enter the breast milk in varying degrees, potentially affecting the nursing child.
– Central Acting Muscle Relaxants: Many studies suggest that muscle relaxants such as cyclobenzaprine are generally considered safe for short-term use while breastfeeding. However, there is limited data on their long-term effects. The American Academy of Pediatrics (AAP) classifies cyclobenzaprine as “usually compatible” with breastfeeding, indicating that it is unlikely to cause significant harm to the infant.
– Peripherally Acting Muscle Relaxants: Dantrolene’s safety profile during breastfeeding is less clear, and it is generally recommended that nursing mothers avoid its use unless absolutely necessary, due to its potential effects on the infant’s muscle function.
Recommendations for Nursing Mothers
Breastfeeding mothers should always consult with their healthcare providers before starting any muscle relaxant. Here are some key recommendations:
– Consult a Healthcare Provider: It is essential for mothers to discuss their specific situation with a healthcare professional who can provide personalized advice based on the type of muscle relaxant, dosage, and duration of treatment.
– Monitor Infant for Side Effects: If a nursing mother is prescribed a muscle relaxant, she should closely monitor her infant for any unusual symptoms, such as excessive sleepiness, feeding difficulties, or changes in muscle tone.
– Consider Alternatives: In some cases, non-pharmacological interventions such as physical therapy, heat application, or relaxation techniques may be effective alternatives to muscle relaxants for managing discomfort.
Conclusion
In summary, while some muscle relaxants may be deemed safe for breastfeeding mothers, the decision to use these medications should not be taken lightly. It is crucial for nursing mothers to engage in open discussions with their healthcare providers to weigh the benefits against the potential risks, ensuring the health and safety of both mother and child. As research continues to evolve, ongoing dialogue between healthcare professionals and nursing mothers will be vital in navigating these complex decisions.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug	Comment
Iodine	High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium	Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals	Contact obstetric information service
Retinoids (oral)	Potential for serious adverse effects

What muscle relaxer can I take while pregnant?

Rocuronium. Rocuronium is currently the most commonly used skeletal muscle relaxant during pregnancy and puerperium period.

What muscle relaxer can you take while breastfeeding?

One study found that very low amounts of baclofen enter the breastmilk when baclofen is taken by mouth. When baclofen is used topically or by intrathecal pump, even less of the medication is expected to pass into breastmilk. No harmful effects in nursing infants have been reported.

What medications are not compatible with breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

Can you take muscle relaxers in nursing?

Yes, you can take Flexeril while breastfeeding, but it’s important to do so under the guidance of your healthcare provider. Flexeril is a muscle relaxant commonly used to relieve skeletal muscle spasms and associated pain.

What pain medications should be avoided while breastfeeding?

In some cases, low doses of oxycodone or hydrocodone are safe when used for short-term pain relief while breastfeeding, but you should avoid medications or formulas that contain codeine if possible. Many adults can be slow or rapid metabolizers of codeine which may increase the possibility of side effects in your baby.

What kind of relaxer is safe during pregnancy?

Chemical products designed to straighten or relax hair are generally considered to be safe to use during pregnancy. However, you should avoid products that contain substances called endocrine-disrupting chemicals (EDCs) and products that release formaldehyde when they’re heated.

What can I take for muscle pain while breastfeeding?

Paracetamol is the first choice pain medication during breastfeeding. While it appears in breast milk, the amount is too small to cause harm to your baby. Sometimes paracetamol alone may not control your pain. In this case a non- steroidal anti-inflammatory (NSAID), for example ibuprofen, can also be taken.

Can you get a relaxer while breastfeeding?

Information about having hair treatments while breastfeeding is limited. However, the Organization of Teratology Information Specialists states that it is highly unlikely that a significant amount of the chemicals used would enter the breastmilk because very little enters the mother’s bloodstream.

Can I use icy hot while breastfeeding?

Children may be more sensitive to the side effects of this drug. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. This medication passes into breast milk, but is unlikely to harm a nursing infant.