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Is Robitussin safe during breastfeeding?

Understanding Robitussin and Breastfeeding Safety
When it comes to managing cough and cold symptoms during breastfeeding, many mothers find themselves questioning the safety of over-the-counter medications like Robitussin. This common cough syrup, primarily containing guaifenesin and sometimes dextromethorphan, has been a staple in many households. However, the safety of its use while nursing is a nuanced topic.
Current Consensus on Safety
The prevailing view among health professionals is that while Robitussin may be used by breastfeeding mothers, caution is advised. The LactMed database and the Infant Risk Center suggest that it might be best to avoid this medication altogether during breastfeeding. This recommendation stems from concerns about potential side effects and the lack of extensive studies specifically examining the effects of Robitussin on breastfeeding infants.
Interestingly, some sources indicate that the active ingredients in Robitussin, particularly guaifenesin and dextromethorphan, are generally considered safe for use during breastfeeding. These ingredients are believed to have minimal impact on breast milk and, consequently, on nursing infants. However, it is crucial for mothers to adhere to recommended dosages and to be mindful of any side effects they may experience, such as dizziness or drowsiness.
Potential Risks and Considerations
While many mothers may use Robitussin without immediate adverse effects, there are important considerations to keep in mind. Some reports have noted isolated cases of respiratory depression in breastfeeding infants, although these instances are rare. Additionally, if a mother experiences significant side effects that affect her alertness, it is advisable to wait until she feels fully awake before breastfeeding.
Moreover, while the ingredients in Robitussin are generally deemed safe, the potential for side effects such as irritability or restlessness in infants cannot be entirely dismissed. Therefore, monitoring the infant’s behavior after the mother takes the medication is prudent.
Conclusion
In summary, while Robitussin may be used by breastfeeding mothers with caution, the recommendation leans towards avoiding it unless absolutely necessary. The safety of its ingredients is supported by some evidence, but the lack of comprehensive studies means that individual circumstances should guide its use. Mothers should always consult with healthcare providers to weigh the benefits against potential risks, ensuring both their health and that of their breastfeeding infants are prioritized.

What to do when baby coughs while breastfeeding?

If your baby is pulling off and gagging or coughing during feeding, sit your baby up in a seated burp position. Gently pat your baby’s back to help your little one calm down before you continue feeding. If you’ve tried the steps above and this continues to happen, talk to your doctor or lactation consultant.

What is safe to take for a cold while breastfeeding?

You can use lozenges, pastilles and throat sprays (e.g. Strepsils®, Ultra-Chloraseptic throat spray®, Difflam®) when you are breastfeeding, to relieve your symptoms. There is very little data on whether these products affect breastfed infants, but they have been used extensively without reports of problems.

Is Robitussin a cough suppressant?

Robitussin DM contains two active ingredients: dextromethorphan and guaifenesin. Dextromethorphan is an antitussive drug used to help relieve constant coughing.

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.

Can I breastfeed my baby if I have cough and cold?

With most common illnesses like a cold or flu, it is safe to continue breastfeeding your baby as long as you take proper hygiene precautions like handwashing. Continuing to breastfeed will help you to maintain your milk supply and will provide your baby with protection against the illness you are experiencing.

Which drugs cannot be taken when breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

What cold medicine won’t affect my milk supply?

Options like Robitussin, Delsym, Triaminic and Vicks DayQuil Cough are unlikely to affect your supply and have no reported infant side effects. Pseudoephedrine. Another cold medicine safe for breastfeeding moms and their little ones is pseudoephedrine, the active ingredient in Sudafed and Allegra D.

What cough medicine can I take while breastfeeding?

For a dry cough, a cough suppressant such as pholcodine or dextromethorphan is considered safe while breastfeeding. A dry, irritating cough is usually associated with a postnasal drip.

Is Robitussin safe to use while breastfeeding?

The expectorant guaifenesin and the cough suppressant dextromethorphan are often found together in products like Mucinex DM or Robitussin DM. Both of these medications have been used while breastfeeding. Small, occasional doses of antihistamines are acceptable while nursing.

Will Mucinex dry up milk supply?

Neela. “Just as they dry up your nasal congestion, they can also dry up your breast milk.

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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