Is phenylephrine safe in breastfeeding?

Understanding the Safety of Phenylephrine During Breastfeeding
Phenylephrine, a common decongestant found in many over-the-counter medications, raises important questions regarding its safety for breastfeeding mothers. As of now, the available research presents a mixed picture, primarily due to a lack of comprehensive studies on its effects in humans.
Limited Human Data
Currently, there is no substantial published information regarding the transfer of phenylephrine into breast milk. This absence of data makes it challenging to definitively assess its safety for nursing mothers. However, animal studies suggest that phenylephrine may have the potential to reduce milk production. This concern is echoed by findings related to pseudoephedrine, a similar vasoconstrictor, which has been shown to inhibit milk supply in breastfeeding women.
Potential Risks and Recommendations
Given the limited understanding of how phenylephrine affects lactation, healthcare professionals often recommend caution. While some sources suggest that phenylephrine is unlikely to pose a significant risk to infants when used in minimal doses, the lack of specific research means it might not be the first choice for treating cold symptoms in breastfeeding mothers.
For those seeking alternatives, natural remedies such as lemon, honey, ginger, and herbal teas are often suggested to alleviate nasal congestion without the potential risks associated with medications.
Conclusion
In summary, while phenylephrine may not be outright dangerous for breastfeeding mothers, the uncertainty surrounding its effects on milk production and the lack of human studies warrant a cautious approach. Mothers are encouraged to consult healthcare providers for personalized advice and consider safer alternatives for managing cold symptoms during breastfeeding.

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.

Is it safe to take phenylephrine while pregnant?

The decongestants pseudoephedrine and phenylephrine are generally not recommended during the first 13 weeks of pregnancy. After the first trimester, occasional use of these medications (for example, once or twice daily for no more than a day or two) may be safe.

Who should not use 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.

Can I take 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.

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.

When should phenylephrine be avoided?

do not take phenylephrine if you are taking a monoamine oxidase (MAO) inhibitor, such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking one of these medications within the past 2 weeks.

What can I take while breastfeeding instead of Sudafed?

For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. Common trade name: Afrin.

Is phenylephrine safe for babies?

The recommended dosing for phenylephrine nasal drops is 1 to 2 drops of 0.16% solution in each nostril every three hours as needed in infants older than 6 months; in children aged under 6 years, the dosing is 2 to 3 drops of 0.125% solution in each nostril every four hours as needed.

Is phenylalanine safe while breastfeeding?

Those who are pregnant or breastfeeding should also avoid taking phenylalanine supplements, as there’s limited research on their safety and potential long-term effects. Furthermore, those with phenylketonuria (PKU) should monitor their intake of the amino acid carefully.

What decongestant is not safe during pregnancy?

Sudafed® Sudafed products contain a decongestant and so should be avoided in pregnancy. Ask a pharmacist if you are unsure.