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Which painkiller is safe during breastfeeding?

Understanding Safe Painkillers During Breastfeeding
Breastfeeding mothers often face the challenge of managing pain while ensuring the safety of their infants. Fortunately, several pain relief options are considered safe for use during this critical period.
Acetaminophen and Ibuprofen: The Go-To Pain Relievers
Among the most recommended painkillers for breastfeeding mothers are acetaminophen (also known as paracetamol) and ibuprofen. Both medications are widely used and have been shown to be safe when taken at the recommended dosages. Research indicates that only minor amounts of these drugs pass into breast milk, making them suitable for managing pain without posing significant risks to the nursing infant.
Acetaminophen is particularly favored for its effectiveness in alleviating mild to moderate pain and is often the first choice for postpartum pain relief. However, it is advisable for mothers to consult with a healthcare provider, especially if the acetaminophen is combined with other medications.
Diclofenac: A Cautious Option
Another pain relief option is diclofenac, which can be used in topical forms such as gels and eye drops. These forms are compatible with breastfeeding, as they minimize systemic absorption and thus reduce the amount that enters breast milk. However, oral or suppository forms of diclofenac should be approached with caution. A healthcare professional should evaluate its safety for individual cases, particularly for mothers with pre-existing health conditions like heart disease or diabetes.
Considerations for Stronger Pain Relief
In cases where over-the-counter options are insufficient, some studies suggest that stronger pain medications may also be safe for breastfeeding mothers. For instance, low doses of opioids have been found to be acceptable under medical supervision, particularly for those recovering from surgical procedures such as cesarean sections. However, the use of such medications should always be closely monitored by a healthcare provider to ensure the safety of both mother and child.
Conclusion: Prioritize Safety and Consultation
While managing pain during breastfeeding, it is crucial for mothers to prioritize both their health and the safety of their infants. Acetaminophen and ibuprofen stand out as the safest options, while topical diclofenac can also be considered. For any pain management strategy, consulting with a healthcare professional is essential to tailor the approach to individual health needs and circumstances. This ensures that mothers can effectively manage their pain while providing the best care for their newborns.

What is the safest pain reliever during pregnancy?

Paracetamol is the painkiller of choice for use in pregnancy and its use does not require medical supervision. It is not uncommon for women to have used other types of painkiller early in pregnancy before finding out they are pregnant.

Can I drink my wife’s breast milk?

However, drinking breast milk is safe only if it is from your partner whom you know well. This is because breast milk is a bodily fluid, and you do not want yourself to be at risk of infectious diseases such as cytomegalovirus, hepatitis B and C, human immunodeficiency virus, or syphilis.

Is Tylenol complete safe 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 can I take for a headache while breastfeeding?

Women with migraine may be concerned about breastfeeding due to fears of exposing the baby to medication. However, many medications can be safely taken during breastfeeding, including acetaminophen (Tylenol), anti-inflammatory medications such as ibuprofen (Motrin) and naproxen (Aleve), and sumatriptan (Imitrex).

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.

Does Tylenol mess with milk supply?

Most medications are safe to take when breastfeeding. Very little of the Tylenol you take for your headache will get to your baby, for example, and it won’t affect your milk supply.

Is ibuprofen or Tylenol safer for 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 can I take 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.

What medications cannot be given 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.

Does ibuprofen decrease milk supply?

Your baby receives very little of the medication in your milk, and very few meds will affect your milk supply. Tylenol and ibuprofen are fine to take for pain relief and fever, for example. For allergies and colds, most antihistamines are okay, but some decongestants can decrease your milk supply.

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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