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Can I take Pepto while breastfeeding?

Can I Take Pepto-Bismol While Breastfeeding?
When it comes to managing digestive discomfort during breastfeeding, many mothers may wonder about the safety of medications like Pepto-Bismol. This popular over-the-counter remedy, known for alleviating symptoms such as nausea, heartburn, and upset stomach, contains bismuth subsalicylate, a compound that raises concerns for nursing mothers.
Safety Concerns with Salicylates
The primary issue with Pepto-Bismol is its salicylate content. Salicylates are known to pass into breast milk, and while there is limited research specifically on bismuth subsalicylate, the American Academy of Pediatrics advises caution. They recommend that breastfeeding mothers avoid salicylates due to potential harmful effects on infants. Experts generally suggest that it is best to refrain from using Pepto-Bismol while nursing, particularly if it involves more than a single dose.
Immediate Effects and Recommendations
If a nursing mother does take Pepto-Bismol, it is noted that she can resume breastfeeding immediately afterward. There is no need to “pump and dump,” as the medication does not remain in breast milk for an extended period. Salicylates may be present in breast milk for about one to two hours after ingestion. However, the consensus among healthcare professionals is to prioritize alternative remedies, such as herbal solutions or other medications deemed safer for breastfeeding.
Consulting Healthcare Providers
Given the potential risks associated with salicylates, it is crucial for breastfeeding mothers to consult with their healthcare providers before taking any medication, including Pepto-Bismol. Doctors typically exercise caution when prescribing drugs containing salicylates to nursing women, emphasizing the importance of individualized medical advice.
In summary, while Pepto-Bismol may provide relief for digestive issues, its use during breastfeeding is generally discouraged due to the risks associated with salicylates. Mothers are encouraged to explore safer alternatives and always seek guidance from healthcare professionals to ensure the well-being of both themselves and their infants.

Is Pepto-Bismol safe while breastfeeding for Reye’s syndrome?

There are currently no reports of Reye’s syndrome in babies exposed to bismuth subsalicylate and it is normally only used very short term for stomach upset. Breastfeeding mothers would be well advised to use alternative products to treat acute diarrhoea E.g. loperamine (Imodium®) if possible.

What can I take for a stomach bug while breastfeeding?

Some people are prescribed (or buy) prochlorperazine (Buccastem ®, Stemetil ®) tablets to relieve the nausea and vomiting, loperamide (Imodium®) to reduce the symptoms of diarrhoea and rehydrating sachets (Dioralyte ®) to prevent dehydration. These drugs are suitable to take and carry on breastfeeding as normal.

What are the nursing considerations for Pepto-Bismol?

Nursing Considerations: Bismuth subsalicylate contains salicylate. It should be avoided if the client has an allergy to salicylates (including aspirin) or if the client is taking other salicylate products such as aspirin. It should not be used if the client has an ulcer, a bleeding problem, or bloody or black stool.

Who Cannot take Pepto-Bismol?

Do not take this medicine if you are pregnant or breastfeeding. Pepto-Bismol is not suitable for some people. To make sure this medicine is safe for you, tell your doctor or pharmacist if you have: ever had an allergic reaction to bismuth subsalicylate or any of the other ingredients in Pepto-Bismol or Pepti Calm.

What is the quickest way to get rid of a stomach bug baby?

You can treat stomach bugs at home by making sure your child keeps drinking fluids and gets plenty of rest. The best way to keep your child well hydrated is with an electrolyte-containing solution such as Pedialyte®. Have your child take small sips frequently — meaning every five minutes or so — throughout the day.

What happens if I took Pepto-Bismol while breastfeeding?

It isn’t clinically known if Pepto-Bismol passes into breast milk. However, it is known that other types of salicylates pass into breast milk and may have harmful effects on a breastfeeding child. The American Academy of Pediatrics suggests using caution with salicylates such as Pepto-Bismol while breastfeeding.

Will my upset stomach affect my baby while breastfeeding?

A nursing mother with diarrhea caused by food or water sources can continue to breastfeed her child. However, she should also increase her own fluid intake to prevent dehydration (loss of too much water in the body). The organisms that cause travelers’ diarrhea do not pass through breast milk.

Does mother’s upset stomach affect breast milk?

Some breastfeeding parents notice drops in their milk supply after illnesses like food poisoning. That’s why it’s important that you stay well hydrated. If you do notice a drop in your milk supply, it should be temporary. Nursing more frequently and replenishing your fluids should resolve things.

What can you take for an upset stomach while breastfeeding?

Medicines For Digestive Problems
Bismuth subsalicylate compounds (such as Pepto Bismol) contain enough aspirin ingredients that they may not be safe for your baby. For a sour stomach or heartburn, Tums and Rolaids are safe to use. Look for the ingredients calcium carbonate or magnesium hydroxide.

What can I take if I’m sick while breastfeeding?

Only a miniscule amount of ibuprofen or acetaminophen transfers to breastmilk, making these meds first-choice options for fever and headache while breastfeeding.

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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