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Why does Sudafed dry up breast milk?

Understanding the Impact of Sudafed on Breast Milk Production
Sudafed, a common over-the-counter medication primarily used to relieve nasal congestion, contains the active ingredient pseudoephedrine. While it is effective for alleviating symptoms of colds and allergies, its use during breastfeeding raises important questions, particularly regarding its effects on breast milk production.
Mechanism of Action
Pseudoephedrine works by constricting blood vessels in the nasal passages, which reduces swelling and congestion. However, this vasoconstrictive effect can extend beyond the nasal tissues. Research indicates that pseudoephedrine may also affect the blood flow to the mammary glands, which are responsible for milk production. When blood flow to these glands is reduced, it can lead to a decrease in milk supply.
Clinical Observations
Studies have shown that the use of pseudoephedrine can lead to a significant reduction in breast milk production. In a controlled study involving lactating women, it was observed that those who took pseudoephedrine experienced a measurable decrease in milk output compared to those who did not. This effect is particularly concerning for breastfeeding mothers who rely on a steady milk supply for their infants.
Considerations for Breastfeeding Mothers
For mothers who are breastfeeding, the decision to use Sudafed should be approached with caution. While the medication may provide relief from congestion, the potential side effects on milk supply cannot be overlooked. Health professionals often advise mothers to consider alternative remedies for congestion that do not carry the same risk of reducing milk production.
Moreover, if a mother is in the process of weaning or reducing breastfeeding sessions, the use of Sudafed might inadvertently assist in drying up milk supply more quickly than intended. This can be beneficial for some, but it is crucial to weigh the benefits against the potential impact on breastfeeding.
Conclusion
In summary, while Sudafed can be effective for treating nasal congestion, its active ingredient, pseudoephedrine, poses a risk to breast milk production by reducing blood flow to the mammary glands. Breastfeeding mothers should consult healthcare providers to explore safer alternatives for managing congestion without compromising their milk supply.

Does Sudafed really dry up breast milk?

The cold medication pseudoephedrine (Sudafed) may help reduce milk production. Researchers found that participants who took the pseudoephedrine had a significant reduction in breastmilk production compared to the participants who took a placebo (a pill that looks like medication but contains no medication).

What medication dries up breast milk?

Women sometimes to ask for a tablet to stop their milk supply. This medication works best if it is taken within 12- 24 hours of your baby’s birth. The medication is not routinely prescribed in hospital due to the many side effects and health risks with this medication. The medication is called cabergoline (Dostinex®).

Can breast milk come back after drying up?

Some parents impacted by the baby formula shortage may be wondering if they can start breastfeeding again. A process known as re-lactation can help patients produce breast milk, even if it has been weeks or months since they did so.

Is it safe to take pseudoephedrine hydrochloride while breastfeeding?

Pseudoephedrine and breastfeeding
Pseudoephedrine is not usually recommended while breastfeeding. Although it only seems to pass into breast milk in very small amounts, there is still not enough information about pseudoephedrine and breastfeeding. Until we know more, other medicines might be better.

What can I take while breastfeeding instead of Sudafed?

For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. Common trade name: Afrin.

How long do stimulants stay in breastmilk?

Methamphetamine remains in human milk for up to 4 days after use. Prescribed Ritalin® (methylphenidate) remains in human milk for about 21 hours after use.

What happens if you breastfeed with drugs in your system?

There is still a lot we don’t know about the effects of drugs on your baby when you are breastfeeding but it’s thought that, even at low levels, taking drugs is likely to: make your baby drowsy, feed poorly and have disturbed sleep patterns and poor weight gain. cause behavioural problems.

How to tell when breast milk is drying up?

The following are signs your baby isn’t getting enough milk:

  1. Poor weight gain. It’s normal for newborns to lose 5% to 7% of their birth weight in the first few days – some lose up to 10%.
  2. Insufficient, wet or dirty nappies.
  3. Dehydration.

What dries up breast milk fast?

Drink one mug of sage or peppermint tea 3 or 4 times per day, for 2 to 3 days. 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. Take Benadryl as directed on the package.

Do soft breasts mean low milk supply?

Your breasts feel softer
This happens as your milk supply adjusts to your baby’s needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on 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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