What medications are safe while breastfeeding?

Understanding Safe Medications During Breastfeeding
Breastfeeding mothers often face the dilemma of needing medication while ensuring the safety of their infants. Fortunately, most commonly used medications are considered safe for breastfeeding, as the amount transferred to breast milk is typically minimal and significantly lower than the doses given directly to infants. This article explores which medications are generally safe and what considerations mothers should keep in mind.
Commonly Safe Medications
1. Pain Relievers: Over-the-counter pain relievers like paracetamol (acetaminophen) and ibuprofen are widely regarded as safe during breastfeeding. They have been extensively studied and show minimal transfer into breast milk, posing little risk to the nursing infant.
2. Antibiotics: Many antibiotics are also safe for breastfeeding mothers. For instance, penicillin and cephalosporins are commonly prescribed and have a good safety profile. However, some antibiotics, like tetracycline, are contraindicated due to potential effects on the infant’s teeth and bones.
3. Asthma Medications: Inhaled steroids, such as fluticasone, are safe for breastfeeding mothers. These medications achieve very low levels in maternal plasma, making them a non-concern for nursing.
4. Cold and Allergy Medications: While many cold medications are available, caution is advised. Some, particularly those containing pseudoephedrine, can reduce milk supply. However, smaller doses of medications like hydrocodone are considered safe when used judiciously.
5. Mental Health Medications: Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), are generally safe for breastfeeding mothers. Studies indicate that the levels of these medications in breast milk are low and unlikely to affect the infant.
Important Considerations
While many medications are safe, it is crucial for breastfeeding mothers to consult healthcare providers before starting any new medication. The American Academy of Pediatrics (AAP) emphasizes that most medications and immunizations are safe during breastfeeding, but individual circumstances can vary.
Additionally, mothers should be aware of potential side effects that could affect their milk supply or the infant’s behavior. For example, some medications may cause drowsiness in the baby or impact milk production.
Conclusion
In summary, while breastfeeding mothers can often safely take a variety of medications, it is essential to approach this with caution and seek professional guidance. Understanding which medications are safe and being aware of their potential effects can help mothers manage their health while ensuring the well-being of their infants. Always consult with a healthcare provider to make informed decisions tailored to individual health needs.

What drugs can be passed through breast milk?

Most drug molecules, including alcohol, nicotine and caffeine, are small enough to enter milk. Exceptions are drugs with high molecular weights such as heparins and insulin.

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.

How do I find out if medication is safe while breastfeeding?

Check with a health care provider, either yours or your baby’s, or a Board-Certified Lactation Consultant (IBCLC) to find out if you can take a certain medicine while breastfeeding. The ADHS 24-Hour Breastfeeding Hotline is available at 1-800-833-4642 to answer your questions about breastfeeding and medicines.

What medicine can I take for a cold 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).

What are unsafe drugs in 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.

Can I have Tylenol cold and flu 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 should you not do while breastfeeding?

What foods and drinks should I limit or avoid while breastfeeding?

• Alcohol. There’s no level of alcohol in breast milk that’s considered safe for a baby.
• Caffeine. Avoid drinking more than 2 to 3 cups (16 to 24 ounces) of caffeinated drinks a day.
• Fish. Seafood can be a great source of protein and omega-3 fatty acids.

What can’t you do while breastfeeding?

What foods and drinks should I limit or avoid while breastfeeding?

• Alcohol. There’s no level of alcohol in breast milk that’s considered safe for a baby.
• Caffeine. Avoid drinking more than 2 to 3 cups (16 to 24 ounces) of caffeinated drinks a day.
• Fish. Seafood can be a great source of protein and omega-3 fatty acids.

What medications should pregnant nurses not handle?

Hazardous medications include those for chemotherapy, some antivirals (aerosolized ribavirin, entecavir, valganciclovir), hormone agents (testosterone, misoprostol), and bioengineered drugs that interfere with cell growth or proliferation or with DNA synthesis.

What medications should be avoided while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

• codeine phosphate.
• decongestants that come as tablets, liquids or powders that you swallow.
• some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
• aspirin for pain relief.