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Which antacid is safe during breastfeeding?

Understanding Antacid Safety During Breastfeeding
For breastfeeding mothers, managing heartburn or indigestion can be a challenge, especially when considering the safety of medications. Antacids are commonly used to alleviate these symptoms, but questions often arise regarding their safety during lactation.
General Safety of Antacids
Most antacids, particularly those containing calcium, magnesium, or aluminum, are generally considered safe for use during breastfeeding. Research indicates that the additional intake of these minerals from antacids is unlikely to exceed levels found in other foods consumed by infants. This suggests that the risk of significant transfer to breast milk is minimal.
Calcium-Containing Antacids
Calcium carbonate, a common ingredient in many antacids, is often recommended not only for its antacid properties but also as a calcium supplement. The prevailing opinion among healthcare professionals is that calcium-containing antacids are safe for breastfeeding mothers. This is particularly important as adequate calcium intake is crucial for both maternal health and the development of the nursing infant.
Specific Antacid Recommendations
Products like Tums, which contain calcium carbonate, are frequently mentioned in discussions about antacid safety during breastfeeding. They can be taken as needed, and it is advisable to plan doses around feeding schedules to minimize any potential effects on the baby.
Caution with Long-Term Use
While occasional use of antacids is deemed safe, long-term or heavy use has not been extensively studied in breastfeeding contexts. Therefore, it is recommended that mothers use antacids only as needed to manage symptoms.
Consultation with Healthcare Providers
As with any medication, it is always best for breastfeeding mothers to consult with their healthcare provider before starting any new treatment. This ensures that the chosen antacid aligns with their specific health needs and circumstances.
In summary, breastfeeding mothers can generally use antacids like calcium carbonate safely to manage heartburn and indigestion. However, moderation is key, and professional guidance is always recommended to ensure the health and safety of both mother and child.

Is Zantac safe while breastfeeding?

E) Acid blockers (Zantac, Pepcid, Prilosec, Protonix, Nexium): These are not found in any significant levels in breast milk and are considered safe. In fact Pepcid and Zantac are commonly used by pediatricians in babies.

How do you treat acid reflux while breastfeeding?

Helping your baby with reflux

  1. get advice about your baby’s breastfeeding position.
  2. hold your baby upright during feeding and for as long as possible after feeding.
  3. burp (or wind) your baby regularly during feeds.
  4. make sure your baby sleeps flat on their back (they should not sleep on their side or front)

Is Pepcid ok while breastfeeding?

Famotidine gets into breast milk in small amounts and is used in newborn infants in higher dosages than the levels that have been found in breastmilk. Taking famotidine while breastfeeding is not expected to cause problems in breastfed infants.

What makes reflux worse in breastfed babies?

Babies who are not latching effectively for breastfeeds may have reflux. This can be because they are taking in air when feeding or when crying. Sometimes, babies just need to be in a slightly different position to latch more deeply. Sometimes it can be a result of physiological issues such as a tongue tie.

What is the best medicine for upset stomach while breastfeeding?

Cimetidine, ranitidine, famotidine
Ranitidine and famotidine appear to carry minimal risk in pregnant women,6, 7 cimetidine has a small risk. Similarly, ranitidine and famotidine are the preferred choices in breastfeeding women.

What medication is used for reflux in breastfed babies?

Gaviscon is a medication that we sometimes use for reflux. It works as a thickener to make milk less likely to reflux back up your baby’s food pipe. It can be difficult to give to breastfed babies and it sometimes causes them constipation. Omeprazole is another medication which we sometimes use.

What is the best breastfeeding for reflux?

Koala-hold (straddle-hold)
Koala-hold position is good for babies with reflux, an ear infection, tongue-tie, low muscle tone, hip dysplasia or oversupply of breast milk. This position is easier for babies who can sit unaided. You can use this position with a newborn if you give your baby plenty of support.

What are the side effects of Pepcid for babies?

What side effects can this medication cause?

  • headache.
  • dizziness.
  • constipation.
  • diarrhea.
  • fussiness (in babies who take famotidine)

What antacids can breastfeeding moms take?

Antacid and alginate preparations
There is extensive experience of use of antacids during breastfeeding and they are considered first-line options for managing heartburn or dyspepsia. Alginates and simeticone are also considered acceptable for use during breastfeeding.

What medicine to avoid 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.
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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