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Why is Zyrtec not recommended while breastfeeding?

Understanding Zyrtec and Breastfeeding
Zyrtec, the brand name for cetirizine, is an antihistamine commonly used to alleviate allergy symptoms. While it is generally considered safe for occasional use during breastfeeding, there are important considerations that nursing mothers should be aware of regarding its use.
Potential Risks of Zyrtec While Breastfeeding
The primary concern with Zyrtec during breastfeeding revolves around dosage and duration of use. According to health experts, small, occasional doses of cetirizine are typically acceptable. However, larger doses or prolonged use can lead to adverse effects in infants, such as drowsiness and potential impacts on milk supply. This is particularly relevant when Zyrtec is combined with other medications, like sympathomimetics (e.g., pseudoephedrine), which can exacerbate these effects.
Effects on Infants
Research indicates that while cetirizine does not significantly affect breast milk production, its sedative properties may pose risks to breastfed infants. Infants exposed to higher levels of cetirizine through breast milk could experience increased drowsiness, which may affect their feeding patterns and overall alertness. This is a crucial consideration for mothers who are still establishing their breastfeeding routine, as any medication that alters an infant’s alertness can complicate the breastfeeding process.
Recommendations for Nursing Mothers
Health professionals often recommend that nursing mothers consult with their healthcare providers before taking Zyrtec, especially if they plan to use it regularly or in higher doses. The consensus is that while cetirizine can be used safely in moderation, monitoring the infant for any unusual symptoms is essential. If a mother notices increased drowsiness or feeding difficulties in her baby, it may be wise to reconsider the use of Zyrtec or discuss alternative allergy management strategies with a healthcare professional.
Conclusion
In summary, while Zyrtec can be a useful tool for managing allergy symptoms, nursing mothers should approach its use with caution. Understanding the potential risks associated with higher doses and prolonged use is vital for ensuring both maternal health and infant safety. Consulting with healthcare providers can help mothers make informed decisions about their allergy treatment while breastfeeding.

What is the best decongestant for breastfeeding moms?

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. Pseudoephedrine.

What is the best natural antihistamine?

Top 8 natural antihistamines for allergies

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

What can I take to clear my sinuses while breastfeeding?

It is recommended that breastfeeding women AVOID decongestant tablets, powders or drinks. Decongestant nasal sprays containing xylometazoline, oxymetazoline are effective in relieving nasal congestion but do not produce wakefulness nor reduce milk supply.

What happens if you take Zyrtec while breastfeeding?

Cetirizine gets into breast milk in small amounts. 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.

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 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.

Do decongestants dry up milk supply?

Remember, there are also many medications that can reduce your milk supply. For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply.

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.

Will Claritin decrease 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 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)

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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