Is cetirizine safe for breastfeeding?

Is Cetirizine Safe for Breastfeeding?
Cetirizine, a widely used antihistamine, is often prescribed to alleviate allergy symptoms. For breastfeeding mothers, concerns about medication safety for both the mother and infant are paramount. Fortunately, current research and guidelines suggest that cetirizine is generally safe for use during breastfeeding, albeit with some considerations.
Minimal Transfer to Breast Milk
Research indicates that cetirizine transfers into breast milk in very small amounts. Studies have shown that the concentration of cetirizine in breast milk is approximately 1.77% of the weight-adjusted maternal dose, which is considered low. This minimal transfer means that the exposure of breastfeeding infants to cetirizine is significantly reduced, making it a safer option compared to other antihistamines that may cause sedation.
Occasional Use is Acceptable
Health experts agree that small, occasional doses of cetirizine are acceptable for breastfeeding mothers. The British Society for Allergy and Clinical Immunology and other health organizations recommend cetirizine as a suitable choice when an antihistamine is necessary. It has been used for many years without reported adverse effects in infants. However, it is important to note that larger doses or prolonged use could potentially lead to drowsiness in the infant or affect milk supply, particularly if combined with other medications like pseudoephedrine.
Monitoring for Side Effects
While cetirizine is generally safe, mothers are advised to monitor their infants for any signs of excessive drowsiness, especially with repeated use. This is particularly relevant since some antihistamines can cause sedation, which may not be the case with cetirizine, making it a preferred option for breastfeeding mothers.
Conclusion
In summary, cetirizine is considered safe for breastfeeding mothers when used in small, occasional doses. Its low transfer rate into breast milk and the absence of significant side effects in infants make it a viable option for managing allergy symptoms during lactation. However, as with any medication, it is advisable for mothers to consult with healthcare providers to ensure the best outcomes for both themselves and their babies.

Is cetirizine safe for pregnant?

There is no evidence that pregnant women taking cetirizine have a higher chance of having a baby with a birth defect. However, because fewer than 500 pregnancies where the mother took cetirizine during the first trimester have been studied, further research is required to confirm these findings.

What is the most safe antihistamine while breastfeeding?

Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. These include Allegra (fexofenadine), Claritin (loratidine), and Xyzal (levocetirizine).

Will Zyrtec dry up my 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.

Is cetirizine safe for a 2 month old baby?

Question of the Week
Which antihistaminics are safe in neonates and infants up to 4 months? Expert Answer : No antihistamines should be used in children below 2 years of age. Only Cetirizine has been recommended in children with allergic rhinitis before 6 months of age.

Does Zyrtec dry up breast milk?

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.

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 cetirizine not good for you?

You should not use this medication if you are allergic to or had an adverse reaction to cetirizine. Before taking cetirizine, tell your doctor about all of your medical conditions or if you have ever had kidney or liver disease. Cetirizine is not expected to be harmful to an unborn baby.

Who cannot take cetirizine?

Children under 6 years: Not recommended. Patients with renal impairment: Patients with moderate renal impairment are recommended to take 5 mg once daily. If you have severe kidney problems (or liver and kidney problems together) please contact your doctor or pharmacist who may adjust the dose accordingly.

Why is cetirizine 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.

Which cold medicine is safe while breastfeeding?

Most cold medicines are safe while breastfeeding, especially if you take them short term and only when you need them. Some of the medications that are safe include: Expectorants that contain guaifenesin (Mucinex®, Robitussin® and others). Cough suppressants that contain dextromethorphan (DayQuil®, Delsym® and others).