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Is it okay to use Flonase while breastfeeding?

Understanding Flonase Use During Breastfeeding
Flonase, a nasal spray containing fluticasone propionate, is commonly used to relieve symptoms of allergic rhinitis and other nasal conditions. For breastfeeding mothers, the question of whether it is safe to use Flonase is a significant concern, given the potential implications for both maternal health and infant safety.
Safety Profile of Flonase in Lactation
The consensus among healthcare professionals is that while caution is advised, Flonase can generally be considered safe for use during breastfeeding. According to expert opinions, the amounts of fluticasone that may be absorbed into the maternal bloodstream and subsequently excreted into breast milk are likely to be minimal. This suggests that the risk of adverse effects on a breastfed infant is low.
However, it is important to note that corticosteroids, including fluticasone, have been detected in human milk. The absence of controlled trials specifically studying Flonase in lactating individuals means that definitive safety data is lacking. Therefore, healthcare providers often recommend that breastfeeding mothers use Flonase only when necessary and under medical supervision.
Recommendations from Health Authorities
Health organizations, such as the NHS, provide guidance indicating that while Flonase is not contraindicated during breastfeeding, it should be used with caution. The decision to use this medication should involve a careful consideration of the benefits versus potential risks.
Moreover, some pediatricians categorize Flonase as an L3 drug on the Lactation Risk Category scale, which indicates that it is not the safest option but may be used if the benefits outweigh the risks. This categorization underscores the importance of consulting with a healthcare provider before starting any new medication while breastfeeding.
Practical Considerations
For mothers experiencing severe allergy symptoms, the use of Flonase may provide significant relief, allowing them to care for their infants more effectively. However, it is advisable to monitor for any potential side effects, both in the mother and the infant. Reports from breastfeeding forums suggest that while some mothers have used Flonase without issues, others have expressed concerns about its impact on milk supply.
In conclusion, while Flonase can be used during breastfeeding, it is essential for mothers to engage in a dialogue with their healthcare providers to ensure that they are making informed decisions that prioritize both their health and that of their child.

What is the safest allergy medicine to take while breastfeeding?

Non-sedating antihistamines are the preferred choice for a breastfeeding mother: Loratadine (Clarityn®) (Powell 2007, Hilbert 1997), Cetirizine (Zirtek®, BecoAllergy®, Piriteze®, Benadryl®) reaches low levels in breastmilk and is recommended by the British Society for Allergy and Clinical Immunology (Powell 2007)

What nasal spray can I use while breastfeeding?

Corticosteroid nasal sprays containing beclomethasone and budesonide are considered safe to use during breastfeeding. Decongestant nasal sprays containing oxymetazoline, xylometazoline or tramazoline may be used if corticosteroid and antihistamine nasal sprays have not relieved the symptoms.

Will Flonase dry up breast milk?

Flonase and Nasacort are nasal sprays that can help with sinus pressure and congestion. They are considered safe for breastmilk and babies but may take days or weeks to work. Tylenol (acetaminophen) is safe for babies and milk supply and may help mild to moderate pain or headaches.

Is it safe to use FLONASE while pregnant?

Safe Medications During Pregnancy
These OTC meds are safe when taken as directed: Colds and flu: Robitussin, Vicks, saline nasal drops and spray, Flonase, Actifed, Nasocort, Sudafed (not in first trimester), Tylenol and Tylenol cold. Do not use sustained action forms or multiple symptom forms of these drugs.

What is safe to take for nasal congestion while breastfeeding?

Safe decongestants for breastfeeding moms
Options like Robitussin, Delsym, Triaminic and Vicks DayQuil Cough are unlikely to affect your supply and have no reported infant side effects.

Will FLONASE dry up my milk supply?

Most allergy medication are considered safe for use while breastfeeding and will not impact your milk supply.

What is the best decongestant to stop breastfeeding?

Take Sudafed.
Pseudoephedrine, or Sudafed, is a common over-the-counter decongestant. Research shows the Sudafed causes a noticeable decrease in milk production. Like birth control, Sudafed should only be used to suppress lactation under the supervision of a doctor.

What medications should be avoided 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.
  • aspirin for pain relief.

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 it safe to use Flonase while pregnant?

Safe Medications During Pregnancy
These OTC meds are safe when taken as directed: Colds and flu: Robitussin, Vicks, saline nasal drops and spray, Flonase, Actifed, Nasocort, Sudafed (not in first trimester), Tylenol and Tylenol cold. Do not use sustained action forms or multiple symptom forms of these drugs.

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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