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What allergy meds are OK for breastfeeding?

Understanding Allergy Medications for Breastfeeding Mothers
Navigating the world of allergy medications while breastfeeding can be daunting for new mothers. With concerns about the safety of various drugs for both the mother and the nursing infant, it’s crucial to understand which medications are considered safe and effective.
Recommended Antihistamines
When it comes to antihistamines, cetirizine (Zyrtec) and loratadine (Claritin) are widely recommended for breastfeeding mothers. These medications are classified as non-sedating antihistamines, meaning they are less likely to cause drowsiness in both the mother and the infant. Research indicates that the amount of these drugs that passes into breast milk is minimal, making them a safer choice for allergy relief.
Fexofenadine (Allegra) is another option that is generally regarded as safe during breastfeeding. Like Zyrtec and Claritin, it has a low risk of sedation and minimal transfer into breast milk.
Caution with First-Generation Antihistamines
While first-generation antihistamines, such as diphenhydramine (Benadryl), are considered safe for occasional use, they can pose risks. These medications may cause sedation in infants and potentially decrease milk supply, which is why they are not the first choice for breastfeeding mothers. If a mother needs to use a first-generation antihistamine, it is advisable to do so sparingly and under the guidance of a healthcare provider.
Nasal Sprays and Other Options
For those seeking alternative methods to manage allergy symptoms, nasal sprays like fluticasone (Nasalide) and oxymetazoline (Afrin) can be effective. These sprays are absorbed minimally into the bloodstream and, consequently, into breast milk, making them a suitable option for breastfeeding mothers.
Additionally, products designed to block allergens, such as Prevalin allergy and NasalGuard, do not pass into breast milk and can be used without concern.
Consultation is Key
Regardless of the medication, it is essential for breastfeeding mothers to consult with their healthcare provider before starting any new medication. This ensures that the chosen treatment is safe for both the mother and her baby, taking into account individual health circumstances and potential interactions with other medications.
Conclusion
In summary, breastfeeding mothers have several safe options for managing allergies, primarily non-sedating antihistamines like cetirizine, loratadine, and fexofenadine. While first-generation antihistamines can be used occasionally, caution is advised due to their sedative effects. Always consult with a healthcare professional to tailor the best approach for allergy relief while ensuring the safety of both mother and child.

What can I take for allergies while breastfeeding?

Non-sedating antihistamines are the preferred choice for a breastfeeding mother:

  • Loratadine (Clarityn®) (Powell 2007, Hilbert 1997),
  • Cetirizine (Zirtek®, BecoAllergy®, Piriteze®, Benadryl®) reaches low levels in breastmilk and is recommended by the British Society for Allergy and Clinical Immunology (Powell 2007)

Will Claritin dry up my milk supply?

Is It Safe to Take Claritin While Breastfeeding? While regular Claritin is completely fine, taking Claritin-D while breastfeeding may reduce milk supply. Claritin-D contains both loratadine, an antihistamine, and pseudoephedrine sulfate, a nasal decongestant,2 which may reduce milk supply, says Silverman.

Should I take Claritin or zyrtec while breastfeeding?

Cetirizine (Zyrtec) and loratadine (Claritin) are the recommended antihistamines when breastfeeding. Other antihistamines are also considered safe but do not have as much research to support this. These include Allegra and Xyzal. Antihistamines such as Zatador are available as eye drops, which help itchy, watery eyes.

Can I pass my allergies to my baby through breastfeeding?

Food allergens in the mother’s diet can pass through into the breastmilk so a breastfed baby can have an allergic response or intolerance to something in the mother’s diet.

Which works better, Claritin or Zyrtec?

Zyrtec (cetirizine) and Claritin (loratadine) are two popular brands. They contain different compounds but appear to be equally effective. Antihistamines can reduce allergy symptoms, such as watering eyes, itchy skin, hives, and swelling.

Which antihistamine is safe in breastfeeding?

Loratadine or cetirizine are usually OK to take while breastfeeding. Always check the leaflet that comes with your medicine to see if it’s safe for you before taking it or giving it to your child.

Does Zyrtec dry up your milk supply?

Remember, there are also many medications that can reduce your milk supply. For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply.

Can I take Texa allergy while breastfeeding?

Pregnancy and breastfeeding: Do not use TEXA ALLERGY TABLETS if you are pregnant, planning to become pregnant or you are breastfeeding your baby (see Do not take TEXA ALLERGY TABLETS). If you are pregnant or breastfeeding your baby, please consult your healthcare provider for advice before taking TEXA ALLERGY TABLETS.

What can I take for seasonal allergies while breastfeeding?

Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. These include Allegra (fexofenadine), Claritin (loratidine), and Xyzal (levocetirizine).

What is the safest allergy medicine to take while pregnant?

Safe OTC medications:

  • Diphenhydramine (Benadryl®)
  • Loratidine (Claritin®)
  • Cetirizine (Zyrtec®)
  • Nasal steroid (Flonase®)
  • Guaifenesin (plain Mucinex®)
  • Mentholated cream (Vicks Vapor Rub®)
  • Afrin® may be used, but only for a short time (three days or less)
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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