Do decongestants dry up milk supply?

The Impact of Decongestants on Milk Supply
As many new mothers navigate the challenges of breastfeeding, the question of whether decongestants can affect milk supply often arises, particularly during cold and flu season. Understanding the relationship between these medications and lactation is crucial for nursing mothers who may need relief from congestion while maintaining their milk production.
Decongestants and Their Mechanism
Decongestants, such as pseudoephedrine, are commonly used to relieve nasal congestion by constricting blood vessels in the nasal passages, thereby reducing swelling and mucus production. However, this mechanism raises concerns about their potential effects on breastfeeding. Anecdotal evidence suggests that decongestants may also lead to a decrease in milk supply. This is primarily because these medications can reduce blood flow to the mammary glands, which is essential for milk production.
Research Insights
A study published in the *Journal of Human Lactation* examined the effects of pseudoephedrine on lactating women. The findings indicated that while pseudoephedrine does enter breast milk, the levels are generally low and considered safe for infants. However, the study also noted a potential reduction in milk production among some women who used the medication. This suggests that while the immediate effects on milk supply may vary, there is a possibility that regular use of decongestants could lead to a decrease in overall milk production.
Practical Considerations for Nursing Mothers
For nursing mothers, the decision to use decongestants should be made with caution. If a mother is experiencing significant congestion, it may be beneficial to consult with a healthcare provider about safe alternatives that are less likely to impact milk supply. Options such as saline nasal sprays or steam inhalation can provide relief without the risks associated with decongestants.
Moreover, if a mother does choose to use a decongestant, monitoring her milk supply and infant’s feeding patterns is essential. If any noticeable decrease in milk production occurs, it may be wise to discontinue the medication and seek alternative treatments.
Conclusion
In summary, while decongestants can provide much-needed relief from nasal congestion, they may also pose a risk to milk supply for some breastfeeding mothers. The potential for reduced milk production, particularly with medications like pseudoephedrine, underscores the importance of careful consideration and consultation with healthcare professionals. Balancing the need for symptom relief with the desire to maintain a healthy milk supply is a delicate task that requires informed decision-making.

Will my milk supply come back after taking Sudafed?

One small study showed that over a 24-hour period, Sudafed decreased the women’s milk production by 24 percent. If you take Sudafed while breastfeeding, you should monitor how much milk your body makes. Drinking extra fluids may help increase the amount of milk you produce.

What medications drop 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).

How can I regain my milk supply after being sick?

“Sometimes — but not always! — being ill can be stressful on your body, and you may see a dip in your supply,” tells Lori Theisen, Nest Collaborative IBCLC. To recover and protect your milk supply, she advises that you “Stay hydrated, eat well, get lots of rest, and nurse on cue.”

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.

How to tell if breast milk is drying up?

The following are signs your baby isn’t getting enough milk:

1. Poor weight gain. It’s normal for newborns to lose 5% to 7% of their birth weight in the first few days – some lose up to 10%.
2. Insufficient, wet or dirty nappies.
3. Dehydration.

Does Mucinex dry up breast milk?

Neela. “Just as they dry up your nasal congestion, they can also dry up your breast milk. Usually, antihistamines and nasal decongestants are the ingredients that have this effect on breastmilk.”

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.

Can I breastfeed while congested?

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.

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.

Is decongestant safe for breastfeeding?

It is recommended that breastfeeding women AVOID decongestant tablets, powders or drinks. Decongestant nasal sprays containing xylometazoline, oxymetazoline are effective in relieving nasal congestion but do not produce wakefulness nor reduce milk supply.