Can a breastfeeding mother take promethazine?

Can a Breastfeeding Mother Take Promethazine?
The question of whether a breastfeeding mother can safely take promethazine, a medication commonly used to treat nausea and allergies, is one that requires careful consideration of both the drug’s effects and the potential impact on breastfeeding.
Safety Profile of Promethazine in Breastfeeding
Promethazine is classified as a phenothiazine, and while it is generally considered safe for occasional short-term use during breastfeeding, there are important caveats. Research indicates that promethazine is minimally excreted in breast milk, suggesting that the risk to a breastfeeding infant is low when the medication is used sparingly. However, healthcare providers often recommend caution, particularly with repeated doses, as there is a possibility of the infant experiencing sedation.
Impact on Milk Production
One of the concerns associated with promethazine is its potential to affect milk supply. Some studies suggest that the medication could reduce milk production, which is a critical consideration for breastfeeding mothers. If a mother is experiencing difficulties with milk supply, it is advisable to consult with a healthcare provider or a lactation specialist to explore alternatives or strategies to maintain lactation.
Monitoring for Side Effects
For mothers who choose to take promethazine, close monitoring of the infant is essential. There have been reports indicating that promethazine can induce apnea or labored breathing in premature and possibly newborn infants. Therefore, if a mother is prescribed this medication, she should be vigilant for any signs of sedation or respiratory issues in her baby.
Alternatives to Consider
Given the potential risks associated with promethazine, healthcare professionals often recommend considering alternative medications that have a more established safety profile during breastfeeding. Options such as ondansetron or dimenhydrinate may be preferable, depending on the mother’s specific condition.
Conclusion
In summary, while promethazine can be used by breastfeeding mothers with caution, it is crucial to weigh the benefits against the potential risks. Consulting with a healthcare provider is essential to ensure that both the mother’s health needs and the safety of the breastfeeding infant are adequately addressed. If a mother is facing challenges with milk production or has concerns about the effects of the medication, seeking guidance from a lactation consultant can provide additional support and options.

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

Does promethazine affect baby?

Exposure in the womb to promethazine in the two weeks prior to delivery may lead to temporary changes to the baby’s nervous system that can affect their behaviour for a few days after birth, The baby may cry more, be jittery, respond differently to stimuli, and be harder to settle.

Who should avoid promethazine?

Promethazine HCl is contraindicated in comatose states, and in individuals known to be hypersensitive or to have had an idiosyncratic reaction to promethazine or to other phenothiazines. Antihistamines are contraindicated for use in the treatment of lower respiratory tract symptoms, including asthma.

What medications are not compatible with 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.

What is the best cough suppressant while breastfeeding?

Two main OTC cough medications are considered safe to take when breastfeeding: dextromethorphan (Delsym) and guaifenesin (Mucinex, Robitussin). Dextromethorphan helps calm a cough. The amount found in breast milk after taking it is very low, so it should be safe for your baby. Guaifenesin is an expectorant.

Which drug decreases milk supply?

Certain medications can suppress lactation (reduce milk production) in breastfeeding moms. Some of the medications that can decrease milk supply include: Antihistamines like diphenhydramine (Benadryl) and cetirizine (Zyrtec). Decongestants like pseudoephedrine (Sudafed, Claritin-D, Zyrtec-D, and Allegra-D).

Can you take promethazine if you are breastfeeding?

If your doctor or health visitor says your baby is healthy, promethazine can be used during breastfeeding. If you are prescribed promethazine, it’s better to take occasional doses or only for a short time. It’s not known how much promethazine passes into breast milk but it is likely to be a small amount.

How to stop coughing while breastfeeding?

Take honey and lemon mixed in hot water, or sip on other warm fluids like natural teas to keep your throat moist. Gargle some salt water. If you have a cough, try a cough medicine that is based on glycerine and honey. Ask your pharmacist to recommend one that is safe for breastfeeding.

Why is promethazine used in labor and delivery?

The data showed that promethazine was a safe and effective tranquilizer, rendered labor less unpleasant, and reduced the need for those analgesics and anesthetics which have undesirable side-reactions. A shortening of labor was found and was particularly significant in uncomplicated primiparous cases.

What drug can a breastfeeding mother take for cough?

If you are feeling very unwell because of a cold, the flu or sinus problems, you should contact your doctor. For a dry cough, a cough suppressant such as pholcodine or dextromethorphan is considered safe while breastfeeding. A dry, irritating cough is usually associated with a postnasal drip.