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Why cant I take Sudafed while breastfeeding?

Understanding the Risks of Taking Sudafed While Breastfeeding
For breastfeeding mothers, the decision to take any medication, including Sudafed, can be fraught with concern about the potential effects on their infant. Sudafed, which contains pseudoephedrine, is commonly used to relieve nasal congestion, but its safety during breastfeeding is a topic of considerable debate.
Potential Impact on Milk Supply
One of the primary concerns regarding the use of Sudafed while breastfeeding is its potential to decrease milk supply. Research indicates that pseudoephedrine can lead to a reduction in milk production, particularly with repeated use. A single dose has been shown to decrease milk output acutely, which can be particularly concerning for mothers who rely on breastfeeding as their primary means of feeding their infants.
Effects on Infants
While the amounts of pseudoephedrine that pass into breast milk are generally considered low, there are still risks to be aware of. Some studies have reported that infants exposed to pseudoephedrine may exhibit irritability. Although the risk of significant harm is deemed low, the possibility of irritability in about 20% of infants has been documented, raising concerns for mothers who want to ensure their babies remain calm and comfortable.
Alternatives and Recommendations
Given these potential risks, many healthcare professionals recommend that breastfeeding mothers consider alternative methods for managing congestion. Non-medication approaches, such as saline nasal sprays or steam inhalation, may provide relief without the associated risks of medication. If medication is necessary, it is crucial for mothers to consult with their healthcare provider to explore safer options that won’t compromise milk supply or infant comfort.
Conclusion
In summary, while Sudafed may not pose a significant danger to breastfeeding infants, its potential to decrease milk supply and cause irritability in some babies makes it a medication that should be approached with caution. Mothers are encouraged to weigh the benefits against the risks and to seek guidance from healthcare professionals to make informed decisions about their health and their baby’s well-being.

What is the safest decongestant for breastfeeding?

Afrin (oxymetazoline) nasal spray is a nasal decongestant that can be used safely while breastfeeding. Because the medicine is not absorbed well from the nasal passages, it doesn’t have the same effect on milk supply that decongestants taken by mouth can have.

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.

Is Sudafed bad for breastfeeding?

Brand names include: Sudafed, Lemsip, Beechams, and Benylin. Pharmacy own brands are also available. It is recommended that breastfeeding women AVOID decongestant tablets, powders or drinks.

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.

What is a good alternative to Sudafed?

6 alternatives to phenylephrine

  • Sudafed. Good to know: Pseudoephedrine isn’t recommended for people with high blood pressure or other heart problems.
  • Afrin.
  • Neo-Synephrine.
  • Nasal sprays like Flonase.
  • Saline rinses and nasal sprays.
  • Antihistamines like Claritin.

Will my milk supply come back after taking Sudafed?

One small study showed that over a 24-hour period, Sudafed decreased the women’s milk production by 24 percent. If you take Sudafed while breastfeeding, you should monitor how much milk your body makes. Drinking extra fluids may help increase the amount of milk you produce.

Does Sudafed dry up breast milk?

Tips for Drying Up Your Breast Milk

  1. Drink one mug of sage or peppermint tea 3 or 4 times per day, for 2 to 3 days.
  2. Pseudoephedrine (Sudafed) can help dry up your milk, but ask your doctor before using this medicine, and do not take it if you have kidney or thyroid problems, or if you have glaucoma.

How to help congestion while breastfeeding?

Nasal decongestant sprays or drops (e.g. Otrivine®, Sudafed®) act directly on your nasal passages to relieve congestion. Very little will be absorbed into your body and pass into your breastmilk, so you can use them when you are breastfeeding, as an alternative to decongestant tablets or powders.

How can I clear my sinuses without Sudafed?

Steam Out Nasal Congestion
Taking a steamy shower and allowing the hot water to run over your forehead and face can help open your airways and offer sinus pressure relief. For a quicker stuffy nose remedy, fill a sink or bowl with hot water and stand over it while breathing in the steam.

What happens if you take Sudafed while pregnant?

When ingested by healthy pregnant patients in the third trimester a single dose did not alter blood pressure or blood flow to the uterus or fetal circulation, therefore, in healthy patients, Sudafed may be used sparingly for periodic symptomatic relief. However, we suggest discussing with your OBGYN prior to use.

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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