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Can breastfeeding moms take Sudafed?

Can Breastfeeding Moms Take Sudafed?
Breastfeeding mothers often face the challenge of managing common ailments while ensuring the safety of their infants. One frequently asked question is whether it is safe to take Sudafed, a popular decongestant containing pseudoephedrine, during breastfeeding.
Understanding Sudafed and Its Effects
Sudafed is primarily used to relieve nasal congestion caused by colds, allergies, or sinus infections. The active ingredient, pseudoephedrine, is known to be effective in alleviating these symptoms. However, it is important for breastfeeding mothers to consider how this medication may affect both their health and their milk supply.
Safety Profile for Breastfeeding
According to the American Academy of Pediatrics (AAP), pseudoephedrine is excreted in breast milk in small amounts. While the medication is generally considered compatible with breastfeeding, there are some caveats. Studies indicate that pseudoephedrine is unlikely to cause significant harm to a breastfeeding infant when taken in recommended doses . However, it can lead to decreased milk production, particularly with repeated use.
Impact on Milk Supply
The potential impact on milk supply is a significant concern for nursing mothers. Research suggests that even a single dose of pseudoephedrine can cause a temporary decrease in milk production. For mothers who rely on breastfeeding, this could pose a challenge, especially if the medication is used frequently. Some experts recommend that breastfeeding mothers avoid decongestants like Sudafed if they are concerned about maintaining their milk supply.
Recommendations for Use
If a breastfeeding mother decides to take Sudafed, it is advisable to do so with caution. Using the medication for short periods and at the lowest effective dose can help mitigate potential risks. Additionally, monitoring the infant for any signs of irritability or changes in feeding patterns is essential, as pseudoephedrine can occasionally cause mild irritability in babies.
In conclusion, while Sudafed can be used by breastfeeding mothers, it is crucial to weigh the benefits against the potential risks, particularly regarding milk supply. Consulting with a healthcare provider before starting any medication is always a prudent step to ensure both maternal and infant health are prioritized.

Which Sudafed is safe while breastfeeding?

However, Sudafed 12 Hour Pressure + Pain also contains the drug naproxen sodium. This drug can help relieve pain and treat fevers. According to the National Institutes of Health, naproxen sodium is thought to be generally safe for use while breastfeeding.

What Sudafed can I take while pregnant?

Sudafed (Pseudoephedrine) 30-60 mg every 4-6 hours can be used in the second and third trimesters in women without gestational hypertension. Avoid use in the first trimester and with breastfeeding. Sudafed PE (Phenylephidrine) should be avoided because of its uncertain efficacy and safety in pregnancy.

What is the best decongestant for breastfeeding moms?

Afrin (oxymetazoline) nasal spray is a nasal decongestant that can be used safely while breastfeeding. Because the medicine is not absorbed well from the nasal passages, it doesn’t have the same effect on milk supply that decongestants taken by mouth can have.

What can I take while breastfeeding for a cold?

You can use lozenges, pastilles and throat sprays (e.g. Strepsils®, Ultra-Chloraseptic throat spray®, Difflam®) when you are breastfeeding, to relieve your symptoms. There is very little data on whether these products affect breastfed infants, but they have been used extensively without reports of problems.

What is the best decongestant to stop breastfeeding?

Take Sudafed.
Pseudoephedrine, or Sudafed, is a common over-the-counter decongestant. Research shows the Sudafed causes a noticeable decrease in milk production. Like birth control, Sudafed should only be used to suppress lactation under the supervision of a doctor.

Why is Zyrtec not recommended for breastfeeding?

However, caution is advised for cetirizine use while breastfeeding due to the theoretical risk of CNS depression based on limited human data and risk of decreased milk production.

Which Sudafed is safe for pregnancy?

Sudafed (Pseudoephedrine) 30-60 mg every 4-6 hours can be used in the second and third trimesters in women without gestational hypertension. Avoid use in the first trimester and with breastfeeding. Sudafed PE (Phenylephidrine) should be avoided because of its uncertain efficacy and safety in pregnancy.

What can I use for sinuses while breastfeeding?

Corticosteroid nasal sprays containing beclomethasone and budesonide are considered safe to use during breastfeeding. Decongestant nasal sprays containing oxymetazoline, xylometazoline or tramazoline may be used if corticosteroid and antihistamine nasal sprays have not relieved the symptoms.

Will Sudafed dry up my milk supply?

The cold medication pseudoephedrine (Sudafed) may help reduce milk production. Researchers found that participants who took the pseudoephedrine had a significant reduction in breastmilk production compared to the participants who took a placebo (a pill that looks like medication but contains no medication).

Will my baby catch my cold if I breastfeed?

With most common illnesses like a cold or flu, it is safe to continue breastfeeding your baby as long as you take proper hygiene precautions like handwashing. Continuing to breastfeed will help you to maintain your milk supply and will provide your baby with protection against the illness you are experiencing.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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