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Does guaifenesin affect breastfeeding?

Understanding Guaifenesin and Breastfeeding
Guaifenesin, a common expectorant found in over-the-counter medications like Mucinex and Robitussin, is often used to relieve chest congestion by thinning mucus. For breastfeeding mothers, the safety of using guaifenesin is a pertinent concern, especially regarding its potential effects on nursing infants.
Safety Profile of Guaifenesin During Breastfeeding
Current research indicates that guaifenesin is generally considered safe for breastfeeding mothers. Notably, studies have not specifically examined the excretion of guaifenesin in breast milk or its direct effects on breastfed infants. However, it is believed that the amounts present in breast milk, following typical maternal doses, are unlikely to harm infants, particularly those over two months old . This reassurance is crucial for mothers who may be hesitant to use medications while nursing.
Experts emphasize that while guaifenesin is deemed safe, it is always advisable for breastfeeding mothers to consult healthcare providers before starting any new medication. This is particularly important as individual health circumstances can vary widely, and a healthcare provider can offer personalized advice based on a mother’s specific situation.
Considerations for Use
While guaifenesin is not associated with significant risks, it is recommended that mothers avoid products containing high doses of the medication. The general consensus among health professionals is that short-term use of guaifenesin is acceptable, especially when needed to alleviate symptoms of congestion.
Moreover, the background risk of birth defects in pregnancies is around 3-5%, and guaifenesin does not appear to significantly increase this risk. This information can provide additional peace of mind for nursing mothers concerned about the implications of medication use during breastfeeding.
Conclusion
In summary, guaifenesin is considered safe for breastfeeding mothers when used as directed. While there is limited research on its excretion in breast milk, the prevailing view among experts is that it poses minimal risk to nursing infants. As always, mothers should engage in open discussions with their healthcare providers to ensure the best outcomes for both themselves and their babies.

Can I use guaifenesin while pregnant?

There are no controlled data in human pregnancy. Guaifenesin is only recommend for use during pregnancy when benefit outweighs risk. The Collaborative Perinatal Project reported 197 first-trimester exposures to guaifenesin. Fourteen malformations were reported for a relative risk not significantly different from 1.0.

What is the best cough medicine for breastfeeding moms?

For a dry cough, a cough suppressant such as pholcodine or dextromethorphan is considered safe while breastfeeding. A dry, irritating cough is usually associated with a postnasal drip.

Will Mucinex dry up my breast milk?

“It is best to avoid certain over-the-counter cough medications as they may decrease breast milk supply,” says Dr. 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.”

What is the nursing teaching for guaifenesin?

Guaifenesin may cause a skin rash, headache, nausea, and vomiting. Patients should take care to avoid irritants that stimulate their cough. Additionally, the medication can cause drowsiness. Patients should avoid taking them with other CNS depressants or alcohol.

Can I take guaifenesin while pregnant?

There are no controlled data in human pregnancy. Guaifenesin is only recommend for use during pregnancy when benefit outweighs risk. The Collaborative Perinatal Project reported 197 first-trimester exposures to guaifenesin. Fourteen malformations were reported for a relative risk not significantly different from 1.0.

What can I take for phlegm while breastfeeding?

Two main OTC cough medications are considered safe to take when breastfeeding: dextromethorphan (Delsym) and guaifenesin (Mucinex, Robitussin).

What is the best decongestant to 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).

Is guaifenesin safe while breastfeeding?

The expectorant guaifenesin and the cough suppressant dextromethorphan are often found together in products like Mucinex DM or Robitussin DM. Both of these medications have been used while breastfeeding. Small, occasional doses of antihistamines are acceptable while nursing.

What decongestant to avoid while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include: codeine phosphate. decongestants that come as tablets, liquids or powders that you swallow. some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.

Is guaifenesin safe for babies?

Also, guaifenesin should not be given to children and infants younger than 2 years of age unless you are directed to do so by your doctor. Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age.

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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