Do antihistamines decrease milk supply?

Do Antihistamines Decrease Milk Supply?
As allergy season approaches or during bouts of cold weather, many breastfeeding mothers find themselves reaching for antihistamines to alleviate their symptoms. However, a pressing concern arises: do these medications impact milk supply? The answer is nuanced and depends on the type of antihistamine used.
Understanding Antihistamines
Antihistamines are commonly classified into two categories: first-generation and second-generation. First-generation antihistamines, such as diphenhydramine (Benadryl), are known for their sedative effects and are more likely to cause side effects, including drowsiness and dry mouth. Second-generation antihistamines, like loratadine (Claritin), are less sedating and generally considered safer for breastfeeding mothers.
Impact on Milk Supply
Research indicates that first-generation antihistamines can potentially decrease milk supply. This is primarily due to their anticholinergic properties, which can lead to reduced secretions in the body, including breast milk. A study highlighted that mothers receiving high doses of strong antihistamines, particularly in emergency situations, reported a noticeable drop in their milk supply. Additionally, the Mayo Clinic notes that these medications may reduce the flow of breast milk in some patients.
Conversely, second-generation antihistamines are less likely to affect milk production significantly. While there is limited direct research on their impact during breastfeeding, it is generally believed that clinically significant amounts of these drugs are not expected to be secreted in breast milk. This suggests that mothers may have more leeway in using these medications without fearing a substantial decrease in milk supply.
Clinical Recommendations
Healthcare professionals often advise caution when using antihistamines while breastfeeding. The Breastfeeding Network emphasizes that while some antihistamines can be used, mothers should be aware of the potential risks associated with first-generation options. Moreover, the American Academy of Pediatrics suggests that while some medications may be compatible with breastfeeding, mothers should always consult with their healthcare provider to weigh the benefits against the risks.
Conclusion
In summary, while first-generation antihistamines can decrease milk supply, second-generation antihistamines are generally safer and less likely to have a significant impact. Breastfeeding mothers should consult with healthcare professionals to choose the most appropriate medication for their symptoms while considering the potential effects on milk production. As always, individual responses to medications can vary, making personalized medical advice crucial.

What antihistamines will dry up breast milk?

First generation antihistamines, like Benadryl (diphenhydramine), have effects beyond relieving allergy symptoms. They may decrease supply if used at high doses and for long periods of time. It may be best to avoid these antihistamines if possible.

Does Zyrtec decrease milk supply?

Remember, there are also many medications that can reduce your milk supply. For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply.

What dries up breast milk fast?

Drink one mug of sage or peppermint tea 3 or 4 times per day, for 2 to 3 days. Pseudoephedrine (Sudafed) can help dry up your milk, but ask your doctor before using this medicine, and do not take it if you have kidney or thyroid problems, or if you have glaucoma. Take Benadryl as directed on the package.

Does Zyrtec lower milk supply?

Remember, there are also many medications that can reduce your milk supply. For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply.

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.

What medication dries up milk supply?

Women sometimes to ask for a tablet to stop their milk supply. This medication works best if it is taken within 12- 24 hours of your baby’s birth. The medication is not routinely prescribed in hospital due to the many side effects and health risks with this medication. The medication is called cabergoline (Dostinex®).

Does antihistamine affect breastfeeding?

There are relatively fewer data on the nonsedating second-generation antihistamines; however, published studies are reassuring. 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.

Will Claritin decrease milk supply?

Is It Safe to Take Claritin While Breastfeeding? 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.

What causes a drastic drop in milk supply?

A decrease in milk supply can be caused by a variety of different factors. A very common (and solvable) problem is not pumping or feeding enough. Because milk production works on a supply and demand basis, not pumping on a frequent schedule will signal to your body that it does not need to produce milk.

What medications cause low 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).