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What painkillers are safe for breastfeeding?

Understanding Pain Relief Options for Breastfeeding Mothers
Breastfeeding can be a beautiful yet challenging experience for new mothers, and managing pain during this period is crucial. When it comes to pain relief, many mothers wonder which medications are safe to take while nursing. Fortunately, there are several options that have been deemed safe for breastfeeding mothers, allowing them to manage discomfort without compromising their baby’s health.
Safe Painkillers for Breastfeeding
Paracetamol (Acetaminophen) is widely recognized as a safe choice for breastfeeding mothers. It is effective for mild to moderate pain relief and has minimal transfer into breast milk, making it a go-to option for many healthcare providers. However, it is always advisable for mothers to consult with their GP or midwife, especially if the paracetamol is combined with other medications.
Ibuprofen is another pain reliever that is considered safe during breastfeeding. Like paracetamol, it can be used for mild to moderate pain and is generally well-tolerated. Mothers can take ibuprofen up to the daily maximum dose without significant concern for their nursing infants.
Diclofenac, particularly in topical forms such as gels and eye drops, is also compatible with breastfeeding. However, oral or suppository forms should be discussed with a healthcare provider, especially for mothers with pre-existing health conditions like heart disease or diabetes.
Caution with Stronger Painkillers
While many over-the-counter pain relievers are safe, caution is advised with stronger medications. Hydrocodone, commonly found in medications like Vicodin, has been studied and may be safe in smaller doses for breastfeeding mothers. However, it is crucial to use such medications under strict medical supervision to avoid any potential risks to the infant.
Aspirin and codeine are generally not recommended for breastfeeding mothers. Aspirin can pose risks of Reye’s syndrome in children, while codeine has been associated with serious side effects in nursing infants, particularly if the mother metabolizes the drug rapidly.
Conclusion
In summary, breastfeeding mothers have several safe options for pain relief, including paracetamol and ibuprofen, which are effective and pose minimal risk to infants. Topical treatments like diclofenac gel are also safe, while stronger opioids should be approached with caution and under medical guidance. As always, it is essential for mothers to consult healthcare professionals before starting any medication to ensure both their health and the safety of their breastfeeding child.

What painkillers can I take for breast pain while breastfeeding?

take some paracetamol or ibuprofen at the recommended dose to ease the pain (these are safe to take while you’re breastfeeding)

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

Can I take Tylenol Extra Strength while breastfeeding?

Most over-the-counter (also called OTC) medicine, like pain relievers and cold medicine, are OK to take when you’re breastfeeding. For example, OTC pain relievers like ibuprofen (Advil®) or acetaminophen (Tylenol®) are safe to use when breastfeeding.

Why can’t I take Tylenol while breastfeeding?

Most over-the-counter (also called OTC) medicine, like pain relievers and cold medicine, are OK to take when you’re breastfeeding. For example, OTC pain relievers like ibuprofen (Advil®) or acetaminophen (Tylenol®) are safe to use when breastfeeding.

What painkillers are safe while breastfeeding?

What medications are safe to take while breastfeeding?

  • Acetaminophen (Tylenol, others)
  • Ibuprofen (Advil, Motrin IB, others)
  • Naproxen sodium (Aleve, Anaprox DS, others) — short-term use only.

What is a stomach friendly alternative to ibuprofen?

Acetaminophen, especially in low dose, appears less likely to irritate the stomach than NSAIDs, so in many cases it is reasonable to take acetaminophen along with (or instead of) NSAIDs.

What is the best painkiller for breast pain?

If you have painful breasts, the following may help:

  • Take medicine such as acetaminophen or ibuprofen.
  • Use heat or ice on the breast.
  • Wear a well-fitting bra that supports your breasts, such as a sports bra.

Why no ibuprofen while breastfeeding?

You can take ibuprofen or use it on your skin while breastfeeding. It is one of the painkillers that’s usually recommended if you’re breastfeeding. Only tiny amounts get into breast milk and it’s unlikely to cause side effects in your baby. Many people have used it while breastfeeding without any problems.

Is Tylenol better than ibuprofen while breastfeeding?

Summary of Use during Lactation
There is no difference in breastfeeding initiation rate between ibuprofen or acetaminophen alone after vaginal delivery. Amounts in milk are much less than doses usually given to infants. Adverse effects in breastfed infants appear to be rare.

Why can’t you take ibuprofen while breastfeeding?

You can take ibuprofen or use it on your skin while breastfeeding. It is one of the painkillers that’s usually recommended if you’re breastfeeding. Only tiny amounts get into breast milk and it’s unlikely to cause side effects in your baby. Many people have used it while breastfeeding without any problems.

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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