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What can I take for cold sores while breastfeeding?

Understanding Cold Sores While Breastfeeding
Cold sores, caused by the herpes simplex virus, can be uncomfortable and distressing, especially for breastfeeding mothers. When it comes to treating cold sores while nursing, safety for both the mother and the infant is paramount. Fortunately, there are effective options available.
Topical Treatments
One of the most recommended treatments for cold sores is the use of topical antiviral creams. Acyclovir and valaciclovir are two antiviral medications that can be applied directly to the affected area. These medications are generally considered safe for breastfeeding mothers, as they have minimal systemic absorption, meaning they are unlikely to affect breast milk or the nursing infant. When using these creams, it’s advisable to consult with a pharmacist for guidance on proper application techniques.
Oral Antiviral Medications
In cases where cold sores are particularly severe or recurrent, a healthcare provider may prescribe oral antiviral medications. Both acyclovir and valaciclovir are also available in pill form and are deemed safe for use during breastfeeding. These medications work by reducing the severity and duration of outbreaks, providing relief for the mother while ensuring the safety of the infant.
Pain Relief Options
Cold sores can sometimes be painful, leading to discomfort that may require additional pain relief. Acetaminophen and ibuprofen are both safe options for breastfeeding mothers. These medications can help alleviate pain and reduce any associated fever, allowing the mother to care for her infant more comfortably.
Home Remedies and Supportive Care
In addition to medications, supportive care is crucial. Staying hydrated and getting plenty of rest can significantly aid recovery. Some mothers find relief through herbal remedies, such as slippery elm bark, which can soothe sore throats and coughs. However, it’s essential to check the ingredients of any herbal products to ensure they are safe for breastfeeding.
What to Avoid
While there are many safe options, certain treatments should be avoided. Products containing codeine and aspirin are not recommended for breastfeeding mothers. Additionally, over-the-counter medications like NyQuil and DayQuil, which may contain alcohol or other ingredients that could affect milk supply or infant safety, should be avoided.
Conclusion
Breastfeeding mothers dealing with cold sores have several safe and effective treatment options. Topical antivirals, oral medications, and pain relievers can provide relief while ensuring the safety of the nursing infant. As always, consulting with a healthcare provider before starting any new treatment is advisable to tailor the approach to individual health needs.

What if I accidentally kissed my baby with a cold sore?

The herpes simplex virus can be passed to a baby through a cold sore if a person has a cold sore and kisses the baby. The herpes virus can also be spread to your baby if you have a blister caused by herpes on your breast and you feed your baby with the affected breast or expressed breast milk from the affected breast.

Can I take L-lysine while breastfeeding?

Lysine may reduce how much calcium you absorb. It may decrease urine loss. Women who are pregnant or breastfeeding shouldn’t use lysine supplements.

What cold medicine can I take while breastfeeding?

Most cold medicines are safe while breastfeeding, especially if you take them short term and only when you need them. Some of the medications that are safe include: Expectorants that contain guaifenesin (Mucinex®, Robitussin® and others). Cough suppressants that contain dextromethorphan (DayQuil®, Delsym® and others).

Is it okay to take valacyclovir while breastfeeding?

Herpes can be a serious, life-threatening infection for a newborn. Cold sores occur commonly around the time of delivery, so it is important to treat cold sores aggressively to prevent transmission to a newborn baby. Aciclovir cream, aciclovir or valaciclovir tablets are all considered safe while breastfeeding.

How do you cure a cold sore quickly?

The cold sore ointment docosanol (Abreva) may shorten the healing time of a cold sore. At the first sign of symptoms, apply it to the affected skin as directed on the package. Use a cotton-tipped swab to put medicine on a cold sore. This helps prevent the spread of the sores to other parts of the body.

Can I use Abreva while breastfeeding?

Abreva is not recommended for use during pregnancy or while breast feeding unless advised by a physician.

Can nursing mothers take NyQuil?

Official answer. It is best not to take Nyquil while breastfeeding because it contains ingredients such as doxylamine that may affect your milk supply, and cause drowsiness in you and your newborn. Liquid formulations of Nyquil also contain alcohol which is not recommended during breastfeeding.

Is lysine safe while breastfeeding?

Lysine may reduce how much calcium you absorb. It may decrease urine loss. Women who are pregnant or breastfeeding shouldn’t use lysine supplements.

Is it safe to take lysine while breastfeeding?

Lysine may reduce how much calcium you absorb. It may decrease urine loss. Women who are pregnant or breastfeeding shouldn’t use lysine supplements.

What can you use for cold sores while breastfeeding?

The recommended treatment for cold sores is ice applied to the affected area as well as using lip balms to keep the area moist. Aciclovir cream can be used at the recommended dose during breastfeeding. Famciclovir tablets are not recommended for use during breastfeeding.

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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