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Is it safe to take Aleve PM while breastfeeding?

Understanding Aleve PM and Breastfeeding Safety
When it comes to managing pain or discomfort while breastfeeding, many mothers may wonder about the safety of over-the-counter medications like Aleve PM, which contains naproxen and diphenhydramine. The question of whether it is safe to take Aleve PM while breastfeeding is complex and requires careful consideration of the available research and expert recommendations.
The Risks of Naproxen in Breastfeeding
Naproxen, the active ingredient in Aleve PM, is known to pass into breast milk in small amounts. While some studies suggest that adverse effects in breastfed infants are uncommon, there are significant concerns regarding its use. The long half-life of naproxen raises alarms, as it can remain in the body for an extended period, potentially leading to accumulation in breast milk.
Experts generally advise against the use of naproxen while breastfeeding. The NHS specifically states that naproxen is not usually recommended for nursing mothers, suggesting that safer alternatives, such as ibuprofen or paracetamol, should be considered instead. This caution is echoed by various health sources, which highlight the limited research available on the effects of naproxen during lactation.
Potential Effects on Infants
There have been reports linking naproxen exposure through breast milk to serious health issues in infants, including blood-related problems. Although these cases are rare, they underscore the need for caution. The consensus among healthcare professionals is that while the risk may be low, it is not negligible, and therefore, mothers are often advised to avoid naproxen altogether while breastfeeding.
Alternatives to Aleve PM
For mothers seeking pain relief, ibuprofen is frequently recommended as a safer option during breastfeeding. It has been shown to be effective and is considered safe for both mothers and their infants. Paracetamol is another commonly suggested alternative, known for its safety profile during lactation.
Conclusion
In summary, while Aleve PM may provide relief for pain and discomfort, its use during breastfeeding is generally discouraged due to the potential risks associated with naproxen. Mothers are encouraged to consult with healthcare providers to explore safer alternatives that can effectively manage their symptoms without compromising the health of their infants. Always prioritize safety and informed choices when it comes to medication during this critical time.

What sleep aid is safe while breastfeeding?

However, the ‘z- drugs’ (zolpidem and zopiclone) are preferred for the short-term management of insomnia during breastfeeding, as they have shorter half-lives than the benzodiazepines and appear to pass into breast milk in small amounts. Melatonin can also be used in breastfeeding with caution.

Can I take Aleve PM while breastfeeding?

This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breastfeeding.

Is Aleve PM safe during pregnancy?

Potential harm to unborn baby
Avoid taking Aleve PM (naproxen / diphenhydramine) if you’re at least 20 weeks pregnant. This medication contains naproxen. Taking naproxen during this time in pregnancy might cause problems to your unborn baby or complications during delivery.

What helps with insomnia breastfeeding?

Your health professional may recommend you improve your sleep hygiene. Try these good sleep habits to help you sleep better: Keep regular sleep patterns. Go to bed and wake up at around the same time every day, and avoid napping for more than 20 minutes in the day.

Who should not take Aleve PM?

These conditions can occur without warning while you are using Aleve PM, especially in older adults. You should not use Aleve PM if you are allergic to diphenhydramine or naproxen, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

Can you take Tylenol PM while breastfeeding?

Acetaminophen and diphenhydramine are generally considered safe to take while breastfeeding. But it’s possible that diphenhydramine can cause sleepiness or irritability in your baby if you breastfeed after taking Tylenol PM Extra Strength (acetaminophen / diphenhydramine).

How long does naproxen stay in breastmilk?

Peak milk naproxen levels in a 5-month postpartum patient were 1.1 to 1.3 mg/L while taking oral naproxen 250 mg twice daily and 2.4 mg/L with a dose of 375 mg twice daily. Peak milk levels occurred 4 to 5 hours after the dose and fell slowly over 12 to 24 hours.

What is in Aleve PM that makes you sleep?

What are the active ingredients in Aleve PM? Each caplet contains 220 mg of naproxen sodium, an NSAID pain reliever and 25 mg of diphenhydramine HCl, which is a sleep aid.

What is the difference between Aleve PM and regular Aleve?

How is Aleve PM different from regular Aleve? Aleve PM is for occasional sleeplessness due to minor pain. It contains the same pain reliever found in Aleve (naproxen sodium) but also has a sleep aid (diphenhydramine HCl), so you can fall asleep and stay asleep and have a good night’s rest.

Can you take Advil PM and breastfeed?

You can take ibuprofen or use it on your skin while breastfeeding. It is one of the painkillers that’s usually recommended if you’re breastfeeding. Only tiny amounts get into breast milk and it’s unlikely to cause side effects in your baby. Many people have used it while breastfeeding without any problems.

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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