Home » Blog » Breastfeeding » How long to wait to breastfeed after taking hydrocodone?

How long to wait to breastfeed after taking hydrocodone?

Understanding Hydrocodone and Breastfeeding
Hydrocodone, a powerful opioid pain reliever, poses specific considerations for breastfeeding mothers. While it is not an outright contraindication to breastfeed while taking hydrocodone, careful management is essential to ensure the safety of both mother and child.
Timing and Dosage Recommendations
According to medical guidelines, if a breastfeeding mother requires hydrocodone, it is advisable to limit its use to a short duration—typically no more than 2 to 3 days at a maximum dosage of 30 mg per day. This approach helps minimize the potential transfer of the drug into breast milk, which can occur, albeit at lower levels than in the mother’s bloodstream.
Once the mother’s milk supply is established, healthcare providers often recommend switching to non-narcotic analgesics for pain management whenever possible. This strategy not only reduces the risk of opioid exposure to the infant but also supports the mother’s recovery.
How Long to Wait After Taking Hydrocodone
The half-life of hydrocodone can vary, but it generally remains in the system for 1 to 6 days. Therefore, many experts suggest that mothers should wait at least one week after discontinuing hydrocodone before resuming breastfeeding. This waiting period allows the drug to clear from the mother’s system, significantly reducing the risk of exposure to the infant.
Monitoring and Safety Precautions
If a mother must take hydrocodone, it is crucial to monitor the infant for any signs of sedation or respiratory depression, which can be serious side effects of opioid exposure. Close observation during the period of hydrocodone use is essential, and any concerns should prompt immediate consultation with a healthcare provider.
In summary, while hydrocodone can be used by breastfeeding mothers under specific conditions, it is vital to limit its use, monitor the infant closely, and consider alternative pain management strategies to ensure the safety and well-being of both mother and child.

How long should you wait to breastfeed after taking hydrocodone?

The time hydrocodone is highest in your breastmilk (Tmax) is the first hour after your dose, and the half-life (time it takes for half of the medication to be eliminated from your system) is 4 hours after your dose. If you are waiting eight hours, that allows 75 percent of the drug to be eliminated.

How long after taking drugs can I breastfeed?

A breastfeeding plan
If you do use drugs such as amphetamines or heroin as a one-off, you will need to express your breast milk in the 24 hours afterwards and throw it away before you breastfeed again.

How long does it take for Oxy to get out of breast milk?

Conclusions: Oxycodone is concentrated in human breast milk up to 72-h post-partum. Breastfed infants may receive > 10% of a therapeutic infant dose. However, maternal oxycodone intake up to 72-h post-CS poses only minimal risk to the breast-feeding infant as low volumes of breast milk are ingested during this period.

How long do opioids stay in breastmilk?

Oxycodone: Oxycodone can be detected in breast milk for up to a few days after the last dose. Tramadol: Tramadol and its active metabolite can stay in breast milk for a couple of days. Fentanyl: Fentanyl, due to its high potency, is generally advised against for breastfeeding mothers.

What is the strongest painkiller I can take while breastfeeding?

Morphine (Oramorph®, Actimorph®) is the strong opioid of choice while breastfeeding. It can be used with caution at the lowest effective dose, for the shortest possible duration. Oral morphine is frequently given to mothers after a caesarean section. You can use it with caution when breastfeeding.

Do pain killers pass through breast milk?

Almost any drug that’s present in the blood will transfer into breast milk to some extent. Most medications do so at low levels and pose no real risk to most infants.

How long does hydrocodone stay in the system?

Typically, its half-life is around 3.8 to 4 hours in healthy adults, indicating that it takes about this time for half of the drug to be eliminated. However, hydrocodone detection times in bodily fluids are longer: Urine: Detectable for 2 to 4 days. Blood: Up to 24 hours.

Can I breastfeed 24 hours after taking codeine?

Codeine should not be used during breastfeeding. Use of dihydrocodeine or tramadol while breastfeeding should be at the lowest effective dose for the shortest duration. Regular use of any opioid in a breastfeeding mother beyond 3 days should be under close medical supervision.

Do I have to pump and dump after taking medication?

If it is a short-term medication, pumping and dumping will keep your milk supply up until you can resume nursing. If you are on incompatible medications for the long term, discuss options with your provider. While you may need to wean, donor breast milk is an option for your baby or you may choose to use formula.

How long do you have to wait to breastfeed after taking a pain pill?

The amount that transfers into breast milk is 2.2-3.7% of your dose. We think short term use is probably ok if you do not exceed 40mg in 24 hours. We recommend taking the medication after nursing so you have a break before nursing again as the medication peaks in the breast milk in the first 2 hours after taking it.

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.

Leave a Comment