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Does Sudafed PE dry up breast milk?

Understanding Sudafed PE and Its Impact on Breast Milk Production
When it comes to managing congestion while breastfeeding, many mothers may wonder about the safety and effects of medications like Sudafed PE. This over-the-counter decongestant, which contains phenylephrine, is often used to relieve nasal congestion due to colds or allergies. However, its impact on breast milk production is a significant concern for nursing mothers.
The Effects of Sudafed PE on Lactation
Research indicates that Sudafed PE, particularly due to its active ingredient phenylephrine, can indeed affect breast milk supply. While the immediate effects of a single dose may not be drastic, studies suggest that repeated use of pseudoephedrine (the active ingredient in regular Sudafed) can lead to a noticeable decrease in milk production. In fact, some findings indicate that the use of Sudafed can reduce lactation almost instantly, with effects observable within a day.
Mechanism of Action
The mechanism behind this reduction in milk supply is linked to the way decongestants work. Decongestants like phenylephrine can cause vasoconstriction, which may reduce blood flow to the mammary glands, thereby impacting milk production. Although the amounts of pseudoephedrine that pass into breast milk are generally considered low and unlikely to harm the infant, the potential for irritability in breastfed babies has been noted.
Recommendations for Nursing Mothers
For mothers who are breastfeeding and considering the use of Sudafed PE, it is crucial to consult with a healthcare professional. They can provide personalized advice based on individual health needs and breastfeeding goals. While some mothers may use Sudafed PE off-label to intentionally dry up breast milk, this should be approached with caution and under medical guidance.
In summary, while Sudafed PE can be effective for relieving congestion, it is important for breastfeeding mothers to be aware of its potential to reduce milk supply. Engaging in a conversation with a healthcare provider can help ensure that both the mother’s health and the infant’s well-being are prioritized.

Does Sudafed PE dry you out?

Drowsiness, dizziness, dry mouth/nose/throat, headache, upset stomach, constipation, or trouble sleeping may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Which medicine can stop breast milk?

Using medication to stop your breast milk
Taking drugs such as Cabergoline or Dostinex® to stop breast milk works best for mothers who have not been breastfeeding for long. Talk to your doctor, midwife or nurse if you would like more information about these drugs.

How quickly does Sudafed dry up milk?

Pseudoephedrine is secreted into breastmilk in low levels. In one study (Findlay 1984) the calculated dose that would be absorbed by the infant was very low (0.4 to 0.6% of the maternal dose). However in a study of 8 women a single 60 mg dose of pseudoephedrine reduced milk supply by 24% over a 24 hour period.

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.

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 medications dry up the breast 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.

Can you take Sudafed PE while breastfeeding?

Pseudoephedrine and breastfeeding
Pseudoephedrine is not usually recommended while breastfeeding. Although it only seems to pass into breast milk in very small amounts, there is still not enough information about pseudoephedrine and breastfeeding. Until we know more, other medicines might be better.

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.

Does Sudafed decrease milk supply?

A single dose of pseudoephedrine significantly reduced milk production. This effect was not attributable to changes in blood flow, but depression of prolactin secretion may be a contributing factor.

How to increase milk supply after taking Sudafed?

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.

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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