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What decongestant to avoid while breastfeeding?

Understanding Decongestants and Breastfeeding
When it comes to managing nasal congestion while breastfeeding, it’s crucial for nursing mothers to be informed about which medications are safe and which should be avoided. While many over-the-counter options exist, not all are suitable for breastfeeding mothers due to potential effects on the infant.
Decongestants to Avoid
One of the primary decongestants that breastfeeding mothers should be cautious about is pseudoephedrine. This oral decongestant is commonly found in many cold and allergy medications. Although some sources suggest that pseudoephedrine is generally considered safe for short-term use during breastfeeding, it can still pose risks. It may decrease milk supply in some women and could potentially affect the infant, especially if taken in larger doses or for extended periods.
Another decongestant to be wary of is phenylephrine, which is also found in various cold medications. Similar to pseudoephedrine, while it may be deemed safe in moderation, its effects on breastfeeding and the infant are not as well-studied, leading to recommendations for caution.
Safer Alternatives
For mothers seeking relief from congestion, oxymetazoline, a nasal spray decongestant, is often recommended as a safer alternative. It is less likely to affect milk supply and is generally considered safe for short-term use. However, it should only be used for a limited duration—ideally no more than three days—to avoid rebound congestion.
Conclusion
In summary, while managing congestion during breastfeeding, mothers should avoid oral decongestants like pseudoephedrine and phenylephrine due to their potential effects on milk supply and infant health. Instead, opting for nasal sprays like oxymetazoline can provide relief without the same level of risk. As always, consulting with a healthcare provider before taking any medication is advisable to ensure the safety of both mother and child.

What can I use for sinuses while breastfeeding?

Corticosteroid nasal sprays containing beclomethasone and budesonide are considered safe to use during breastfeeding. Decongestant nasal sprays containing oxymetazoline, xylometazoline or tramazoline may be used if corticosteroid and antihistamine nasal sprays have not relieved the symptoms.

What is the best decongestant to dry up breast milk?

The cold medication pseudoephedrine (Sudafed) may help reduce milk production. Researchers found that participants who took the pseudoephedrine had a significant reduction in breastmilk production compared to the participants who took a placebo (a pill that looks like medication but contains no medication).

Why is Zyrtec not recommended while breastfeeding?

Zyrtec, although generally safe, is not recommended during breastfeeding because it passes into breast milk and may affect a nursing infant. Possible side effects on the baby include irritation or lethargy. Always consult your healthcare provider before taking any medication while breastfeeding.

Does pseudoephedrine dry up breast milk?

A single dose of pseudoephedrine significantly reduced milk production. This effect was not attributable to changes in blood flow, but depression of prolactin secretion may be a contributing factor.

Can I take Tylenol cold and Sinus while breastfeeding?

Many medicines are safe to use when you breastfeed. These include: Pain relievers, such as acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Some cold and influenza (flu) medicines.

What is the most safe antihistamine 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 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.

Can I take emergen C while breastfeeding?

Yes, you can take Emergen-C while breastfeeding, but it’s important to not exceed the recommended dosage. Emergen-C is a supplement rich in vitamin C, often used for boosting immune health. However, while vitamin C is crucial for both you and your baby, consuming it in large amounts can cause digestive upset.

Can I take Mucinex decongestant 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.

What decongestant is safe while breastfeeding?

Flonase and Nasacort are nasal sprays that can help with sinus pressure and congestion. They are considered safe for breastmilk and babies but may take days or weeks to work. Tylenol (acetaminophen) is safe for babies and milk supply and may help mild to moderate pain or headaches.

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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