Why is Zyrtec not recommended for breastfeeding?

Understanding the Concerns Around Zyrtec and Breastfeeding
Zyrtec, known generically as cetirizine, is an antihistamine commonly used to alleviate allergy symptoms. While it is often considered safe for occasional use during breastfeeding, there are important considerations that nursing mothers should be aware of before taking this medication.
Potential Risks of Zyrtec for Nursing Infants
One of the primary concerns regarding Zyrtec use in breastfeeding mothers is its potential effects on infants. Although small, occasional doses of cetirizine are generally deemed acceptable, larger doses or prolonged use can lead to adverse effects. Notably, these may include drowsiness in the infant, which can be particularly concerning for new parents monitoring their baby’s alertness and responsiveness. Additionally, there is a risk that higher doses may decrease milk supply, especially if taken in conjunction with other medications like pseudoephedrine, which is a sympathomimetic agent.
Guidelines and Recommendations
International guidelines suggest that while cetirizine can be used during breastfeeding, it should be approached with caution. The recommendation is to limit the dosage and duration of use to minimize any potential risks to the infant. This is particularly crucial in the early stages of lactation when milk supply is still being established.
Moreover, while there have been no significant reports of negative reactions in breastfeeding mothers using Zyrtec, the drug does pass into breast milk, which necessitates a careful evaluation of its use. Health professionals often advise consulting with a doctor before starting any new medication while breastfeeding to ensure it aligns with both the mother’s and the infant’s health needs.
Conclusion
In summary, while Zyrtec can be used by breastfeeding mothers under certain conditions, it is essential to be mindful of the dosage and duration of use. The potential for drowsiness in infants and the risk of decreased milk supply are significant factors that warrant careful consideration. Nursing mothers should always consult healthcare providers to weigh the benefits against the risks before taking Zyrtec or any other medication.

What is the safest antihistamine while breastfeeding?

Non-sedating antihistamines are the preferred choice for a breastfeeding mother: Loratadine (Clarityn®) (Powell 2007, Hilbert 1997), Cetirizine (Zirtek®, BecoAllergy®, Piriteze®, Benadryl®) reaches low levels in breastmilk and is recommended by the British Society for Allergy and Clinical Immunology (Powell 2007)

Is it safe to take Zyrtec while pregnant?

Does taking cetirizine increase the chance of birth defects? Every pregnancy starts out with a 3-5% chance of having a birth defect. This is called the background risk. Studies involving over 1,300 babies exposed to cetirizine in the first trimester of pregnancy did not show an increased chance of birth defects.

What are the side effects of Zyrtec for babies?

Several Zyrtec products, including chewable tablets, syrup, and Dissolve Tabs, are formulated for children. Common side effects like drowsiness and dry mouth are generally mild, but an overdose can lead to more severe symptoms such as irritability, restlessness, and extreme drowsiness.

Which works better, Claritin or Zyrtec?

Zyrtec (cetirizine) and Claritin (loratadine) are two popular brands. They contain different compounds but appear to be equally effective. Antihistamines can reduce allergy symptoms, such as watering eyes, itchy skin, hives, and swelling.

What organ does Zyrtec affect?

Cetirizine (applies to Zyrtec) renal/liver disease
Cetirizine is eliminated primarily by the kidney but also undergoes metabolism in the liver to some extent. Patients with renal and/or liver disease may be at greater risk for adverse effects from cetirizine due to decreased drug clearance.

Is Claritin better than Zyrtec 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).

What is the best natural antihistamine?

Top 8 natural antihistamines for allergies

• Vitamin C.
• Quercetin.
• Ceylon cinnamon.
• Butterbur.
• Probiotics.
• Black pepper extract.
• Berberine.
• Spirulina.

Is it okay to take Zyrtec while breastfeeding?

Breastfeeding while taking cetirizine:
Most reports show no problems for babies who are exposed to cetirizine through breast milk. Compared to some other antihistamines, cetirizine is thought to have a lower chance of causing drowsiness for the breastfeeding individual and the nursing baby.

Will Claritin dry up milk supply?

Is It Safe to Take Claritin While Breastfeeding? While regular Claritin is completely fine, taking Claritin-D while breastfeeding may reduce milk supply. Claritin-D contains both loratadine, an antihistamine, and pseudoephedrine sulfate, a nasal decongestant,2 which may reduce milk supply, says Silverman.

What medications should be avoided 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.