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Why shouldnt you take Zyrtec while breastfeeding?

Understanding the Risks of Zyrtec While Breastfeeding
When it comes to managing allergies during breastfeeding, many mothers may wonder about the safety of medications like Zyrtec, which contains the active ingredient cetirizine. While Zyrtec is generally considered safe for occasional use, there are important considerations that nursing mothers should keep in mind.
Potential Effects on Infants
Research indicates that small, occasional doses of cetirizine are typically acceptable during breastfeeding. However, larger doses or prolonged use can lead to potential risks for infants. Notably, higher doses may cause drowsiness in the nursing baby, which is a significant concern for mothers who want to ensure their infants remain alert and healthy. Additionally, there is a possibility that excessive use of cetirizine could decrease milk supply, particularly when combined with other medications like pseudoephedrine, which is a sympathomimetic agent.
Timing and Dosage Considerations
The timing of medication intake is also crucial. It is recommended that mothers avoid taking Zyrtec before lactation is well established, as this could further complicate milk production and potentially affect the infant. While occasional use may not pose significant risks, mothers should be cautious about the frequency and dosage of cetirizine to mitigate any adverse effects on their breastfeeding experience.
Lack of Comprehensive Studies
Despite the general consensus that Zyrtec is safe for breastfeeding mothers, there is a notable lack of extensive studies specifically addressing its long-term effects on infants. While there have been no widespread reports of negative reactions in breastfeeding mothers or their babies, the absence of comprehensive data means that caution is warranted.
Conclusion
In summary, while Zyrtec can be used by breastfeeding mothers in small, occasional doses without significant risk, it is essential to be mindful of the potential for drowsiness in infants and the possibility of decreased milk supply with higher doses or prolonged use. Consulting with a healthcare provider before starting any medication is always advisable to ensure the safety and well-being of both mother and child.

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.

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.

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 safest allergy medicine to take 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)

Why can’t you take antihistamines while breastfeeding?

There are relatively fewer data on the nonsedating second-generation antihistamines; however, published studies are reassuring. All antihistamines are considered safe to use during breastfeeding, as minimal amounts are excreted in the breast milk and would not cause any adverse effects on a breastfeeding infant.

What is the most common allergy in a breastfed baby?

Food allergies in babies can cause mild to severe skin reactions, respiratory problems, and intestinal symptoms. Breastfed babies typically develop allergies to the foods that their mother eats. The most common food allergies in babies and children include milk and dairy products, peanuts, and shellfish.

Can I pass my allergies to my baby through breastfeeding?

Food allergens in the mother’s diet can pass through into the breastmilk so a breastfed baby can have an allergic response or intolerance to something in the mother’s diet.

What antihistamines will dry up breast milk?

First generation antihistamines, like Benadryl (diphenhydramine), have effects beyond relieving allergy symptoms. They may decrease supply if used at high doses and for long periods of time. It may be best to avoid these antihistamines if possible.

Which drug decreases milk supply?

Certain medications can suppress lactation (reduce milk production) in breastfeeding moms. Some of the medications that can decrease milk supply include: Antihistamines like diphenhydramine (Benadryl) and cetirizine (Zyrtec). Decongestants like pseudoephedrine (Sudafed, Claritin-D, Zyrtec-D, and Allegra-D).

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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