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Can I take allegra D when breastfeeding?

Understanding Allegra-D and Breastfeeding
When it comes to managing allergies while breastfeeding, many mothers may wonder about the safety of medications like Allegra-D. This combination medication contains fexofenadine, an antihistamine, and pseudoephedrine, a decongestant. While both components are effective for treating allergy symptoms, their safety during breastfeeding is a crucial consideration for nursing mothers.
Safety Profile of Allegra-D
Research indicates that fexofenadine, the primary active ingredient in Allegra-D, is generally considered safe for breastfeeding mothers. It is known to pass into breast milk in small amounts, but studies suggest that these levels are likely too low to cause any significant harm to a breastfeeding infant. The American Academy of Pediatrics categorizes fexofenadine as a medication that is usually compatible with breastfeeding.
However, the decongestant component, pseudoephedrine, presents a more complex picture. While it is also deemed safe for short-term use, there are concerns that it may reduce milk production by affecting serum prolactin levels, which are crucial for milk synthesis. Despite this potential effect, there have been no widespread reports of reduced milk supply among mothers who have taken Allegra-D.
Recommendations for Use
For mothers considering Allegra-D, it is essential to consult with a healthcare provider. They can provide personalized advice based on individual health needs and circumstances. It is also advisable to monitor the infant for any unusual symptoms, especially when starting a new medication.
In summary, while Allegra-D can be used by breastfeeding mothers, caution is advised due to the potential effects of pseudoephedrine on milk production. Always prioritize discussions with healthcare professionals to ensure the best outcomes for both mother and child.

Will Claritin D dry up breast milk?

While regular Claritin is completely fine, taking Claritin-D while breastfeeding may reduce milk supply. Claritin-D contains both loratadine, an antihistamine, and pseudoephedrine sulfate, a nasal decongestant,2 which may reduce milk supply, says Silverman.

Is Allegra D safe during pregnancy?

Many allergy drugs may be fine to keep taking during pregnancy, but have the discussion so you can have peace of mind. Oral antihistamines, like cetirizine (Zyrtec), chlorpheniramine (Chlor-Trimeton), diphenhydramine (Benadryl), fexofenadine (Allegra), and loratadine (Claritin) seem to be safe.

Can a breastfeeding mom take Allegra D?

Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. These include Allegra (fexofenadine), Claritin (loratidine), and Xyzal (levocetirizine).

When should you not take Allegra D?

Due to its pseudoephedrine component, ALLEGRA-D (fexofenadine hcl and pseudoephedrine hcl) 12 HOUR is contraindicated in patients with narrow-angle glaucoma or urinary retention, and in patients receiving monoamine oxidase (MAO) inhibitor therapy or within fourteen (14) days of stopping such treatment (see DRUG …

When should you not take Allegra-D?

Due to its pseudoephedrine component, ALLEGRA-D (fexofenadine hcl and pseudoephedrine hcl) 12 HOUR is contraindicated in patients with narrow-angle glaucoma or urinary retention, and in patients receiving monoamine oxidase (MAO) inhibitor therapy or within fourteen (14) days of stopping such treatment (see DRUG …

What is the safest anti allergy medication for breastfeeding?

Cetirizine (Zyrtec) and loratadine (Claritin) are the recommended antihistamines when breastfeeding. Other antihistamines are also considered safe but do not have as much research to support this. These include Allegra and Xyzal. Antihistamines such as Zatador are available as eye drops, which help itchy, watery eyes.

Which antihistamine is safe in breastfeeding?

Loratadine or cetirizine are usually OK to take while breastfeeding. Always check the leaflet that comes with your medicine to see if it’s safe for you before taking it or giving it to your child.

Do antihistamines dry up breast milk?

There is conflicting data on the effect of antihistamines and breast milk production, and the evidence is very limited. Antihistamines, used at normal therapeutic doses are unlikely to affect breast milk production, especially where lactation is established, i.e. after 6-8 weeks postpartum.

Can I take allergy D while breastfeeding?

All antihistamines are considered safe to use during breastfeeding, as minimal amounts are excreted in the breast milk and would not cause any adverse effects on a breastfeeding infant.

Does pseudoephedrine dry up breast milk?

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).

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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