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Will Norco affect breast milk?

Understanding Norco and Its Impact on Breastfeeding
Norco, a prescription medication that combines hydrocodone and acetaminophen, is commonly prescribed for pain relief. However, its use during breastfeeding raises important questions regarding the safety for nursing infants.
The Composition of Norco
Norco contains hydrocodone, an opioid pain reliever, and acetaminophen, a non-opioid analgesic. While acetaminophen is generally considered safe during breastfeeding, the implications of hydrocodone are more complex. Hydrocodone is known to pass into breast milk, which can potentially affect a breastfeeding infant.
Effects on Breast Milk and Infants
Research indicates that hydrocodone can be excreted into breast milk, although the exact amounts and their effects on infants are not fully understood. Case reports suggest that while some infants may tolerate hydrocodone without noticeable issues, there are instances where it can lead to adverse effects, such as drowsiness or even more severe central nervous system depression in rare cases.
The American Academy of Family Physicians emphasizes the need for healthcare providers to weigh the benefits of pain management for the mother against the potential risks to the infant when prescribing medications like Norco. This is particularly crucial as the effects can vary significantly from one infant to another, depending on factors such as age, weight, and overall health.
Recommendations for Nursing Mothers
Given the potential risks associated with hydrocodone, many healthcare professionals recommend that mothers avoid breastfeeding while taking Norco. If a mother must use Norco for pain management, it is often advised to pump and discard breast milk during the period of medication use to prevent the infant from exposure.
Additionally, mothers are encouraged to consult with their healthcare providers to explore alternative pain relief options that may be safer during breastfeeding. The March of Dimes highlights the importance of keeping breast milk safe and healthy, advising mothers to be cautious about the substances they consume while nursing.
Conclusion
In summary, while Norco can be effective for pain relief, its use during breastfeeding is fraught with potential risks. The presence of hydrocodone in breast milk necessitates careful consideration and consultation with healthcare professionals to ensure the safety of both mother and child. As always, the health and well-being of the infant should be the primary concern when making decisions about medication use during breastfeeding.

How long does Norco stay in your system?

Because it takes five half-lives for your body to remove a drug from your system, Norco is usually eliminated from a person’s body within 20 hours of the latest dose.

What is the safest opioid while breastfeeding?

Morphine is the strong opioid analgesic of choice for treating pain in breastfeeding. Recommendations apply to full term and healthy infants only.

What can I take for joint pain while breastfeeding?

It is important to consider a pain reliever’s benefits for you and its effect on your baby. Ibuprofen is usually the preferred first step because little of it passes through breastmilk. Acetaminophen also is safe to take while breastfeeding.

What medications decrease milk supply?

High dose steroids (such as Solumedrol) Strong antihistamines such as diphenhydramine (Benadryl) Testosterone. Estrogen.

What is the strongest painkiller while breastfeeding?

Aspirin is generally not recommended for treatment of pain during breastfeeding. If paracetamol and a NSAID does not effectively control your pain, opiate painkillers for example, morphine sulphate or Oramorph, can also be taken.

Is Norco safe while breastfeeding?

Moderate dosages of hydrocodone appear acceptable during breastfeeding, but more data are needed to determine the maximum safe dosage for nursing mothers. Neonates and preterm infants may be more susceptible than older infants to adverse effects of hydrocodone and its metabolites in breast milk.

What drugs should be avoided during lactation?

Drugs contraindicated during breastfeeding include anticancer drugs, lithium, oral retinoids, iodine, amiodarone and gold salts. An understanding of the principles underlying the transfer into breast milk is important, as is an awareness of the potential adverse effects on the infant.

How soon after narcotics can you breastfeed?

A breastfeeding plan
If you do use drugs such as amphetamines or heroin as a one-off, you will need to express your breast milk in the 24 hours afterwards and throw it away before you breastfeed again. After using drugs, it is not safe for you to care for or breastfeed your baby.

Which painkiller is safe during lactation?

Dihydrocodeine is a weak opioid. It is the first choice if you need stronger pain relief than paracetamol or ibuprofen whilst breastfeeding. This is because your body processes it differently to codeine.

How long after Norco can I breastfeed?

Wait at least 1-3 hours after taking opioids before nursing your baby. After 3 hours, the amount of opioids in your milk will continue to get smaller. It will usually take 1-5 days for your body to completely remove all opioids from your milk.

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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