Do antihistamines dry up breast milk?

Understanding the Impact of Antihistamines on Breast Milk Production
The question of whether antihistamines can dry up breast milk is a significant concern for breastfeeding mothers who rely on these medications to manage allergies or cold symptoms. The relationship between antihistamines and lactation is complex, and while some evidence suggests potential effects on milk supply, the overall impact varies depending on the specific medication and individual circumstances.
Antihistamines and Milk Supply
Research indicates that certain antihistamines, particularly first-generation types like Benadryl (diphenhydramine), may indeed have an effect on breast milk production. These medications are known to cause sedation and can lead to a decrease in milk supply for some women. For instance, it has been noted that antihistamines such as Benadryl, Zyrtec, and Allegra can reduce the overall milk supply, which is a concern for breastfeeding mothers.
However, the exact mechanism by which these medications affect milk production is not fully understood. Some experts suggest that the drying effects of antihistamines could lead to reduced milk flow, even if the total volume of milk produced does not significantly decrease. This means that while a mother may still produce milk, the ease of breastfeeding could be impacted, potentially leading to frustration for both mother and baby.
Lack of Comprehensive Studies
Despite these observations, there is a notable lack of systematic studies specifically assessing the effects of antihistamines on breastfeeding women. As highlighted by the MGH Center for Women’s Mental Health, there is insufficient data to definitively conclude how first-generation antihistamines impact milk production in postpartum women. This gap in research leaves many mothers uncertain about the safety and implications of using these medications while breastfeeding.
Safety Considerations
While some antihistamines are considered safe for use during breastfeeding, healthcare providers often recommend caution. For example, steroid nasal sprays are suggested as effective alternatives for managing allergies with minimal risk to milk supply, as they act locally and have little systemic absorption. Conversely, the use of decongestants like Sudafed, which can also dry up breast milk, is generally advised against unless absolutely necessary.
Conclusion
In summary, while certain antihistamines may contribute to a decrease in milk supply or flow, the extent of this effect can vary widely among individuals. Mothers are encouraged to consult with healthcare professionals to weigh the benefits of allergy relief against the potential impact on breastfeeding. Ultimately, the decision to use antihistamines should be made with careful consideration of both the mother’s health needs and the breastfeeding relationship.

Why is Zyrtec not recommended while breastfeeding?

Zyrtec, although generally safe, is not recommended during breastfeeding because it passes into breast milk and may affect a nursing infant. Possible side effects on the baby include irritation or lethargy. Always consult your healthcare provider before taking any medication while breastfeeding.

What medication stops lactation?

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®).

What are the side effects of Zyrtec for babies?

Several Zyrtec products, including chewable tablets, syrup, and Dissolve Tabs, are formulated for children. Common side effects like drowsiness and dry mouth are generally mild, but an overdose can lead to more severe symptoms such as irritability, restlessness, and extreme drowsiness.

What medications dry up breast milk?

What medications do you think have been found to decrease milk supply? Choose 1 or more:

• Epinephrine.
• Labetolol.
• High dose steroids (such as Solumedrol)
• Strong antihistamines such as diphenhydramine (Benadryl)
• Testosterone.
• Estrogen.
• Methylergonovine (Methergine)
• Pseudoephedrine (Sudafed)

What antihistamines are safe while 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.

How much Benadryl will dry up breast milk?

“I tell my clients not to take any antihistamines—if they can avoid them—because they tend to dry up the breastfeeding [parent’s] milk. Although everyone’s body is different, just one dose can impact milk supply,” claims Lexi Hess, a certified lactation counselor in Ohio.

What causes breast milk to dry up?

Possible causes of low supply
Nearly all babies need to feed at least 8 to 12 times in 24 hours. Your baby does not feed effectively at the breast. You have started using formula milk as well as breastfeeding. You have had breast surgery that is affecting your milk supply.

What happens if I don’t breastfeed for 3 days?

You may have some milk leak from your breasts, and your breasts may feel sore and swollen. This is called engorgement. It usually gets better after several days. Over time, your body will stop making milk if you don’t breastfeed or pump.

Do soft breasts mean low milk supply?

Your breasts feel softer
This happens as your milk supply adjusts to your baby’s needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.

What happens if I take antihistamines while breastfeeding?

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.