Is phenylephrine bad for breastfeeding moms?

Understanding Phenylephrine and Its Impact on Breastfeeding
Phenylephrine is a common decongestant often used to relieve nasal congestion due to colds or allergies. However, its safety for breastfeeding mothers has raised concerns among healthcare professionals and researchers.
Potential Effects on Milk Production
One of the primary issues with phenylephrine is its potential to decrease milk production. Studies indicate that both oral and intravenous forms of phenylephrine may lead to reduced milk supply in nursing mothers. This is particularly concerning for those who are breastfeeding newborns or preterm infants, as adequate milk production is crucial for their health and development.
While there is limited research specifically examining the effects of oral phenylephrine during breastfeeding, the consensus among experts is to approach its use with caution. The lack of comprehensive studies means that alternative medications might be preferred, especially for mothers who are nursing.
Safety Profile and Recommendations
Despite the concerns regarding milk production, some sources suggest that phenylephrine is unlikely to pose a significant risk to breastfed infants when taken in normal doses. This is partly due to its poor bioavailability, meaning that it is not well absorbed from the gut, which reduces the likelihood of it affecting the infant. However, the absence of specific research on breastfeeding means that healthcare providers often recommend caution.
In general, while phenylephrine may not be outright dangerous for breastfeeding mothers, its potential to impact milk supply makes it a less favorable choice. Alternatives such as pseudoephedrine, which is another decongestant, have also been noted to decrease milk production, further complicating the decision for nursing mothers.
Conclusion
In summary, while phenylephrine can be effective for treating nasal congestion, breastfeeding mothers should be aware of its potential to reduce milk supply. Given the limited research and the importance of maintaining adequate milk production, consulting with a healthcare provider before using phenylephrine is advisable. This ensures that mothers can make informed decisions that prioritize both their health and that of their infants.

Is it okay to take phenylephrine while pregnant?

Certain OTC medicines can increase the chances of birth defects and should be avoided. Decongestants like Phenylephrine or Pseudoephedrine and pepto bismol should be avoided, especially during the first trimester.

What decongestant is safe while breastfeeding?

Nasal decongestant sprays, such as oxymetazoline (Afrin) and phenylephrine (Neo-Synephrine), are the preferred decongestants for pregnant and breastfeeding women for temporary relief from sinus congestion.

Who should avoid phenylephrine?

Type 2 diabetes mellitus or. Heart or blood vessel disease or. High blood pressure or. Overactive thyroid—Nasal phenylephrine may make the condition worse.

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.

Can I use phenylephrine while breastfeeding?

Phenyephrine is poorly bioavailability (not well absorbed from the gut) so it is not likely to produce effects in a breastfed infant with normal doses. Because of pseudoephedrine’s effect on milk production, concerns exist that phenylephrine may suppress milk although there is no evidence that this occurs.

What are the nursing considerations for phenylephrine?

Nursing considerations

• Observe for bradycardia during instillation.
• Monitor for adverse effects.
• Monitor oxygenation where appropriate.
• Do not exceed recommended dosage because systemic effects can occur.
• Avoid bright light (photophobia due to cycloplegic action).

When should you not use phenylephrine?

Thyroid disease. Trouble passing urine or change in the amount of urine. An unusual or allergic reaction to phenylephrine, other decongestants, other medications, foods, dyes, or preservatives. Pregnant or trying to get pregnant.

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 phenylephrine bad for babies?

Nonprescription cough and cold combination products, including products that contain phenylephrine, can cause serious side effects or death in young children. Do not give these products to children younger than 4 years of age.

Why is phenylephrine preferred in pregnancy?

Phenylephrine is currently the vasopressor of choice for preventing or treating spinal-induced hypotension in many practices, as many studies in elective cesarean deliveries have demonstrated phenylephrine to be associated with more favorable fetal acid–base status and greater effectiveness in preventing hypotension …