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Is Tylenol #3 with codeine safe while breastfeeding?

Understanding the Safety of Tylenol #3 with Codeine While Breastfeeding
The use of Tylenol #3, which combines acetaminophen and codeine, raises significant concerns for breastfeeding mothers. Recent guidelines and studies highlight the potential risks associated with codeine use during lactation, primarily due to its effects on infants.
Risks Associated with Codeine
The FDA has issued strong warnings against the use of codeine in breastfeeding mothers. This caution stems from reports of serious adverse reactions in breastfed infants, including excessive sleepiness and respiratory issues, which can be life-threatening. The FDA’s stance is clear: breastfeeding is not recommended while taking codeine or tramadol, as these medications can lead to harmful effects on infants.
Recommendations for Use
While some sources indicate that if codeine is necessary for a mother, it does not automatically necessitate the cessation of breastfeeding, they advise caution. It is recommended that if a mother must use codeine, it should be limited to 2 to 3 days at a low dosage. This approach aims to minimize the infant’s exposure to the drug while still providing necessary pain relief for the mother.
Alternatives to Codeine
Healthcare professionals often suggest that non-narcotic analgesics should be the first line of treatment for pain management in breastfeeding mothers. This is particularly important once the mother’s milk supply is established. Non-narcotic options can effectively manage pain without the associated risks of narcotics like codeine.
Conclusion
In summary, while Tylenol #3 with codeine may provide effective pain relief, its use during breastfeeding is fraught with risks that can endanger an infant’s health. The prevailing medical advice is to avoid codeine and opt for safer alternatives whenever possible. Mothers should always consult with their healthcare providers to discuss pain management strategies that prioritize both their well-being and that of their breastfeeding infants.

How much codeine is in Tylenol 3?

Tylenol-Codeine #3 300 mg-30 mg tablet. Codeine has a risk for abuse and addiction, which can lead to overdose and death. Codeine may also cause severe, possibly fatal, breathing problems.

Who should not take Tylenol 3 with codeine?

Acetaminophen and codeine should never be used to treat pain or cough in children younger than 12 years of age or to relieve pain after surgery to remove the tonsils and/or adenoids in children younger than 18 years of age.

How long after taking codeine is it safe to breastfeed?

Using the half life of codeine as 3 hours – it takes 15 hours for a dose to be regarded as no longer in breastmilk.

Can you take Tylenol codeine 3 while pregnant?

Tylenol with Codeine is labeled Category C for safety in pregnancy; it is usually used for mild to moderately severe pain.

Can codeine affect a baby?

Codeine used around the time of delivery can affect the baby for a while after birth, meaning that they may need to be looked after in a neonatal unit. The baby may be ‘jittery’, have feeding problems, and initially need some help with breathing.

Can you take Tylenol codeine while breastfeeding?

Healthcare professionals should be aware that breastfeeding is not recommended during treatment with codeine or tramadol due to the risk of serious adverse reactions in breastfed infants such as excess sleepiness, difficulty breastfeeding, and serious breathing problems, which may result in death.

What is the strongest painkiller I can take while breastfeeding?

Morphine (Oramorph®, Actimorph®) is the strong opioid of choice while breastfeeding. It can be used with caution at the lowest effective dose, for the shortest possible duration. Oral morphine is frequently given to mothers after a caesarean section. You can use it with caution when breastfeeding.

What is the safest opioid in breastfeeding?

Buprenorphine can be used with caution in breastfeeding for pain, but infant monitoring is still required. Morphine is preferred.

How long does codeine stay in breastmilk?

Using the half life of codeine as 3 hours – it takes 15 hours for a dose to be regarded as no longer in breastmilk.

Is Tylenol 4 stronger than Tylenol 3?

Tylenol #3 contains acetaminophen plus 30 mg of codeine, while Tylenol #4 contains the same amount of acetaminophen, but with 60 mg of codeine. Tylenol #3 would be considered a moderate dose of codeine, while Tylenol #4 would be a large dose of codeine.

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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