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Why cant you take decongestants when breastfeeding?

Understanding the Risks of Decongestants While Breastfeeding
When it comes to managing nasal congestion during breastfeeding, many mothers may wonder about the safety of using decongestants. While these medications can provide relief from symptoms, there are several important considerations that nursing mothers should keep in mind.
Impact on Milk Supply
One of the primary concerns with decongestants is their potential effect on milk supply. Medications designed to dry up mucus, such as pseudoephedrine, can also lead to a drying effect throughout the body, which may inadvertently reduce breast milk production. This is particularly concerning for breastfeeding mothers who are already navigating the challenges of maintaining an adequate milk supply.
Effects on Infants
Another significant factor is how decongestants can affect infants. While only a small percentage of the medication may pass into breast milk—typically around 5-10%—this can still have implications for the baby. Some infants may experience irritability, restlessness, or even sleep disturbances if they are exposed to traces of decongestants through their mother’s milk. In more severe cases, there is a risk of tachycardia, or an increased heart rate, in breastfeeding babies, which can be alarming for new parents.
Lack of Comprehensive Studies
The safety of specific decongestants during breastfeeding is not fully established due to a lack of comprehensive studies. For instance, while some formulations like oxymetazoline are thought to have minimal absorption into the bloodstream and thus less likely to affect breast milk, there is still uncertainty regarding their overall safety. This ambiguity can make it difficult for mothers to make informed decisions about their health and their baby’s well-being.
Consulting Healthcare Professionals
Given these complexities, it is crucial for breastfeeding mothers to consult healthcare professionals before taking any decongestants. Pediatricians and lactation consultants can provide tailored advice based on individual health needs and circumstances. They may suggest alternative remedies or safer medications that can alleviate congestion without compromising milk supply or infant health.
In summary, while decongestants can be effective for relieving nasal congestion, their use during breastfeeding is fraught with potential risks. The impact on milk supply, possible side effects on infants, and the lack of definitive research all contribute to a cautious approach. Mothers are encouraged to seek professional guidance to navigate these challenges safely.

What can I take for congestion while breastfeeding?

Safe cold medicine while breastfeeding
In general, pseudoephedrine, dextromethorphan, NSAID pain relievers, acetaminophen, and second-generation allergy medications such as Zyrtec and Claritin are considered safe options for treating cold symptoms while breastfeeding.

What can I use for sinus 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.

Why is Zyrtec not recommended while breastfeeding?

Zyrtec, although generally safe, is not recommended during breastfeeding because it passes into breast milk and may affect a nursing infant. Possible side effects on the baby include irritation or lethargy. Always consult your healthcare provider before taking any medication while breastfeeding.

How long does decongestant stay in breastmilk?

When possible, avoid breastfeeding within two hours of your last dose of Sudafed. You have the highest amount of Sudafed in your breast milk one to two hours after you take the drug.

What decongestant can I take while pregnant?

Pseudoephedrine and phenylephrine are available over the counter as Sudafed and are safe for many women to use during pregnancy. However, women who have high blood pressure should not take pseudoephedrine without first talking to a doctor.

How long after taking Sudafed can I breastfeed?

When possible, avoid breastfeeding within two hours of your last dose of Sudafed. You have the highest amount of Sudafed in your breast milk one to two hours after you take the drug.

Why can’t you take decongestants when breastfeeding?

Pseudoephedrine and breastfeeding
Pseudoephedrine may also reduce the amount of milk you make, so try to avoid taking it if possible. If you do need a medicine, speak to you doctor or pharmacist who will be able to advise on other options that are more suitable.

What decongestant won’t dry up breast milk?

Safe decongestants for breastfeeding moms
Options like Robitussin, Delsym, Triaminic and Vicks DayQuil Cough are unlikely to affect your supply and have no reported infant side effects.

Why can’t you take mucinex while breastfeeding?

Although research shows that the main ingredient in Mucinex is OK to take as directed while breastfeeding or chestfeeding, it’s important to know which variety of Mucinex you are taking since some forms contain additional medications that may be less safe for your baby.

What is the most safe antihistamine while breastfeeding?

Zyrtec (cetirizine) is the preferred antihistamine when breastfeeding. Other second-generation antihistamines are also considered safe, but do not have as much research to support their use. These include Allegra (fexofenadine), Claritin (loratidine), and Xyzal (levocetirizine).

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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