If pregnant or breastfeeding Most cough drops are considered safe while breastfeeding. Many herbs are naturally lactogenic foods that may provide you with the boost in breast milk production you're looking for. Do not exceed 3.2 grams/day. Also ask about the timing. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Overall, no we don't consider it safe to use tiger balm pain relief cream when breastfeeding. Only minimal amounts of Menthol would be transferred into breast milk. Common trade name: Unisom. Avoid aspirin -- it can cause rashes and bleeding problems in nursing infants, according to the American Academy of Family Physicians. Commonly used for topical analgesics and sore throat relief. However, we now know the full feeling is typically the result of inefficient milk transfer to the infant rather than increased production. It does not suppress coughing. Common trade names of combination products: Cheratussin AC, Tuzistra XR, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4. This decongestant comes in several formulations that last between 4 and 12 hours. Apr 2013;13(2):229-235. Hale's Medications & Mothers' Milk, 2021: A Manual of Lactational Pharmacology. However, it's important to know that some things you do or eat may interfere with making breast milk. There are many different corticosteroids with different generic and brand names. 2018;13(6):e0199493. Adapted from previous InfantRisk articles authored by James Abbey, MD, Erika Anderson, MS4, Thomas W. Hale, Ph.D., and Teresa Baker, MD. These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. 3.Findlay, Jw, et al. It is excreted into breast milk in low levels. Read the label carefully to find out what symptoms the medicine treats, and ask the pharmacist if you have any questions. Common trade names: Benadryl, Tylenol PM. Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. Do not exceed 4 grams/day. Antihistamines are easily expressed in breast milk, and can cause sedation, fussiness, excessive crying, and sleep disturbances in your baby. If you can't reach your doctor, ask the pharmacist at your drugstore. It is definitely passed into human milk and some experts believe it is responsible for entraining the newborn brain to reset its circadian clock to that of the mother by communicating the time of day to the newborn. This article uses Dr. Hales Lactation Risk Categories. It has long been used for a variety of reproductive issues including symptoms related to PMS, endometriosis, and menopause. (L3): Nasal Steroid. Still, a few medications aren't safe to take while breastfeeding. . It is the safest of the antitussives and unlikely to transfer into milk. Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. Some products have sugar. Although its efficacy in treating colds has not been supported, it likely is not harmful to supplement while breastfeeding. Most antihistamines have a sedating quality that even affects adults, so it's best to avoid them while nursing. Talk to your doctor or pharmacist for further advice before using any of these products. Zinc absorption in women during pregnancy and lactation: a longitudinal study. Springer Publishing Company, 2021. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Mayo Clinic does not endorse companies or products. But here are some general guidelines: Acetaminophen (Tylenol) is given to babies for fever and pain relief, so is considered safe for nursing moms. The Icy Hot website advises against using the patches while nursing, but the American Academy of Pediatrics (AAP) generally considers menthol and methyl salicylate, the active ingredients in Icy Hot, to be safe for breastfeeding moms as long as they're used in moderation and not on the breasts. is an herb that has been shown to have significant antitussive effects when taken as an oral supplement.6 Although it is likely safe to take while breastfeeding, there have been no significant studies showing the effects of Echinacea consumption on breastfeeding infants or milk production. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. Although it is likely safe to take while breastfeeding, there have been no significant studies showing the effects of Echinacea consumption on breastfeeding infants or milk production. When breastfeeding, there is an extra person to worry about when choosing medicine. Primarily intended for intranasal and topical use. Echinacea herbal supplement (L3). As a breastfeeding parent, there are many tactics you can take to ensure you're able to make more than enough breast milk for your baby. However, in most cases data is limited and before using the listed products below, it is a good idea to check with your doctor. A comparison of topical menthol to ice on pain, evoked tetanic and voluntary force during delayed onset muscle soreness. Most cough drops are considered safe while breastfeeding. ): Non-narcotic cough suppressant. Common trade names: Cepacol. Common trade names: Tesselon Perles. There are no good studies of oxymetazoline safety during breastfeeding, however, very little of it is expected to reach the milk because it is locally administered and poorly absorbed. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. Comments: -Oral ingestion of menthol resulted in detectable levels in human milk; there are no data on the excretion of topical menthol into human milk. ). If you are taking a sedating medication, be sure to have support in caring for your infant. *Some combination headache or menstrual relief medicines that contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine. Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis. Many cough syrups that contain dextromethorphan contain alcohol and those specific ones should be avoided. These can include sleepiness, rashes, diarrhea or fussiness. However, if you need to take medication, you might have questions about how drugs may affect your breast milk. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. If you're breastfeeding and plan to take medication, check with your health care provider. Infants , Our advanced topical formula provides relief for athletes after the toughest training sessions, and/or for individuals dealing with everyday muscle and joint pain. There are many non-sedating antihistamines on the market, which are likely a better choice. In our latest question and answer, the pharmacist discusses what cough medications are safe to use while breastfeeding. However, modern beer-making results in sub-therapeutic levels of barley or oats. Surprisingly, aspirin is an ingredient in such innocuous products as Alka-Seltzer. Additionally, it can be used as a topical application to counteract breast engorgement. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below).Common trade names: Sudafed, Claritin-D. Phenylephrine (L3): Decongestant. Also, it contains menthol which may inhibit your breast milk supply. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Total daily zinc consumption can become easily excessive with these products. Will the fluconazole affect the Nexplanon? Honey should never be consumed by infants. Always try to take the lowest effective dose for the shortest possible time. Cough & Cold Medications while Breastfeeding. It is secreted into the breastmilk, but apparently not in quantities that would harm an infant. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative . Looking for a quick list of safe medications while breastfeeding? Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Aspirin can also be listed as salicylate, salicylic acid, acetylsalicylic acid, or acetylsalicylate. He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. They are considered safe for nursing moms, though if your baby's stools are runnier than usual, you might want to try natural remedies instead of an OTC medicine. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Common names: penicillins, cephalosporins, azithromycin, Steroids prescription only (typically L2): Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. There are no good studies about how much of this drug gets into breast milk. Pseudoephedrine commonly appears in combination products. Although aspirin is secreted into breast milk in small quantities, it has the potential to cause bleeding problems in infants and increases the risk of Reye syndrome (liver damage associated with using aspirin to treat certain viral illnesses in children). These medications typically transfer into milk in acceptable amounts. Or they might recommend breastfeeding when the medication is at a low level in your breast milk. Animal studies are not available. If you are a Mayo Clinic patient, this could include protected health information. Always check with your doctor before you take anything -- whether the medicine you're taking is from a prescription, an over-the-counter medicine you picked up at the drugstore, or an herbal remedy. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. The effect of orally administered melatonin on newborns is unknown, but no adverse reactions have been reported so far. This information should not take the place of medical care and advice from your healthcare provider. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Chasteberry has been shown to act directly on the pituitary gland, inhibiting the secretion of prolactin. Wambach K, et al., eds. Newborns . When applied topically, it's unknown how much retinol is passed to . Can I take plan B while taking ciprofloxacin? https://www.ncbi.nlm.nih.gov/books/NBK501295/. Everyone loves a good combination product with everything you need for a cough or cold. Pseudoephedrine over-the-counter, but kept in pharmacy (L3): Decongestant. The risk is lowest for healthy babies 6 months and older. They have given each medication a rating from Safest (L1) to Hazardous (L5). So, you don't need to avoid each of these herbs altogether, just be mindful of dishes that contain large amounts. In addition, this drug is given directly to babies at much higher doses than this.2 Ibuprofen is the preferred analgesic in breastfeeding mothers. Check the label to see what the "active ingredient" is -- it may not be what you think. Loratadine (Claritin) isn't as sedating as other antihistamines, so if you must take one, it is considered the preferred antihistamine for nursing mothers, according to the journal U.S. Pharmacist. See. Ibuprofen is also safe to give to babies in infant dosages. Some infants can be sensitive to even small amounts in their GI tract, causing diarrhea. There are exceptions, though. When you're taking medication, watch your baby for any changes in eating or sleeping habits, fussiness, or a rash. If so, how many days will the effects last. Menthol is a naturally-occurring chemical that comes from the peppermint plant. However, not all herbs are . In modern pharmacies, saline is available in nasal sprays and nasal rinses, as well as mineral packets for home reconstitution. Ibuprofen (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, King JC. Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. I'm taking Ciprofloxacin currently. What can I use for vaginal thrush? Common trade name: Kenalog shot, Nasacort.1. Some exempted medicines, for example the complementary medicine, St John's Wort, may interact with other medicines and induce unexpected adverse effects in the mother and/or fetus.US FDA pregnancy category Not Assigned: The US FDA has amended the pregnancy labeling rule for prescription drug products to require labeling that includes a summary of risk, a discussion of the data supporting that summary, and relevant information to help health care providers make prescribing decisions and counsel women about the use of drugs during pregnancy. Uncircumcised penis: Is special care needed? An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below).Common trade names: Sudafed, Claritin-D. (L3): Decongestant. Do not exceed 4 grams/day. 2008;111:1001. Common trade names of combination products: R, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4, (L2): Antihistamine. In addition, this drug is given directly to babies at much higher doses than this. 2018;13(6):e0199493. However, this advice was misguided, particularly if you drink alcohol regularly or engage in binge drinking. LactMed. Since retinol is such a powerful (read: harsh) ingredient, using it will always come with certain risks (such as sun sensitivity). Tags: Accessed June 26, 2018. doi:10.1371/journal.pone.0199493. If you are taking a sedating medication, be sure to have support in caring for your infant. Avoid naproxen (sold as Aleve, Anaprox, and other brand names) because it stays in the body for a long time and has been associated with bleeding and anemia in infants. It is used to dry up secretions. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. Menthol topical Breastfeeding Warnings. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. Common trade names: Galzin, Airborne, Orazinc, Zicam, Vitamin C nutritional supplement (L1). For a sour stomach or heartburn, Tums and Rolaids are safe to use. Menthol is a topical analgesic. Topical corticosteroids are medications applied directly on the skin that are used in the treatment of skin conditions like eczema, psoriasis and other rashes. (L2): Numbing Agent. (asprin, ibuprofen, naproxen, or others) have 3 or more alcoholic drinks every day while using this product take (apply) more or for longer time than directed . Diphenhydramine (L2): Antihistamine. There are no good studies of oxymetazoline safety during breastfeeding, however, very little of it is expected to reach the milk because it is locally administered and poorly absorbed. Triamcinolone may be used for longer periods of time without causing rebound congestion. A typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma. The worlds leading research center for medication safety during pregnancy and laction. L5 Hazardous: Significant and documented risk to the infant. Support our research on breastfeeding medication by downloading the app today. What is metronidazole? (L1). If a medicine is commonly prescribed for infants, it's probably safe to take while nursing, because the amount the baby will get through breast milk is much less than a typical dose. Do not exceed 1 gram/day. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. , vol. For example, if you need a cough suppressant, don't buy one that also includes a decongestant. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Common trade names: Naprox, Naprosyn, Aleve. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog). Only minimal amounts of Menthol would be transferred into breast milk. Very little of this medication makes it into the milk (about 0.6% of the mothers dose). Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. Sedation is an unwanted side effect when using it as an allergy medication, but can be an advantage to help with sleep. In fact, in some traditions, it is used to boost breast milk supply. Support our research on breastfeeding medication by downloading the app today. (L3): Nasal Steroid. Honey should never be consumed by infants. Aspirin (L2): Although aspirin is secreted into breast milk in small quantities, it has the potential to cause bleeding problems in infants and increases the risk of Reye syndrome (liver damage associated with using aspirin to treat certain viral illnesses in children). According to a study in 2014, honey was more efficacious in treating cough symptoms in children than placebo and diphenhydramine, but was less efficacious than dextromethorphan.3 Further studies need to be considered in adults, however. If you're looking for an herb to help ease the inflammation associated with engorgement, turmeric is a well-studied option that doesn't have a negative effect on milk supply. The heavier duty medicines that actually block acid production, called H2 blockers, contain ingredients that can be concentrated in your breast milk, so don't take them without checking with your doctor. It is also not absorbed into the mother's system, so wouldn't be transmitted in breast milk. A very low amount of menthol is absorbed systemically from topical application. Because aspirin is often found in other medications, check the label of any over-the counter medicine you take. 5th ed. There are no adequate and well controlled studies in breastfeeding women. Common trade names: Benadryl, Tylenol PM. Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. However, untoward effects to the infants have not been described. When breastfeeding, there is an extra person to worry about when choosing medicine. Sign-up to get Mayo Clinics trusted health content sent to your email. If you are taking a sedating medication, be sure to have support in caring for your infant. If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). Some brand [] Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Sachs HC. Almost any drug that's present in the blood will transfer into breast milk to some extent. However, doses of zinc in cold remedies can be in excess of what is safe. These include. -If used on the nipples, use after nursing and wipe off before the next nursing. (L3): Numbing Agent. In: Breastfeeding and Human Lactation. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. ovides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. You can also discuss possible allergy triggers with your doctor. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. Naproxen is less well studied than the other drugs in the same class. Breast milk is the perfect food for babies. (L3): Antihistamine. Antihistamines may also reduce your milk production. Topical menthol and breastfeeding warnings. All rights reserved. Common trade names: Naprox, Naprosyn, Aleve. 2. According to a study in 2014, honey was more efficacious in treating cough symptoms in children than placebo and diphenhydramine, but was less efficacious than dextromethorphan. Reaffirmed 2014. 15. In fact, consuming certain plants, herbs, and medications can decrease your supply. Nevertheless, most experts consider dextromethorphan to be compatible with breast feeding. Commonly used for topical analgesics and sore throat relief. Yeast infections are common in nursing moms. Philadelphia, Pa.: Wolters Kluwer; 2017. http://ovidsp.tx.ovid.com/. On top of the ingredients, the smell is quite . ( 1 ) For the relief of the signs and symptoms of osteoarthritis of the knee (s), the recommended dose is 40 drops on each painful knee, 4 times a day. Most lozenges with menthol are safe for nursing moms because very little makes it into the milk supply. Commonly used for topical analgesics and sore throat relief. Thank you. For many years, health care providers, other lactation experts, and various cultural traditions recommended that breastfeeding parents enjoy a beer before nursing to help with the milk ejection reflex (called letdown), offer relaxation, boost milk supply, and improve milk quality. They are heavily sedating and not recommended. Breastfeeding , Vitamin C is often advertised for cold-fighting. L4 Possibly Hazardous: Positive evidence or expert opinion of risk to the infant or milk production. 10-04-2012, 08:36 AM. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Common Trade Name: Tylenol. Extent of oral absorption by the breastfeeding infant. Do not use this medicine (menthol lozenges) for longer than you were told by your doctor. L1 Safest: Extensive evidence demonstrating no adverse effects on the infant, L2 Safer: Limited evidence without an increase in adverse effects on the infant. 6. The non-sedating antihistamines mentioned above are still better choices. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. Barth, Anders, et al. Medicines for constipation fall into two categories -- stool softeners and laxatives. 13, 2015, pp. If you want to ease a cough and scratchy throat without medicine, try sipping hot tea with honey or sucking on throat lozenges or hard candies. Like dextromethorphan, there is a lack of data available regarding use in breast feeding woman. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. However, doses of zinc in cold remedies can be in excess of what is safe. For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. The two most common OTC decongestants are pseudoephedrine (found in Sudafed), and phenylephrine (ingredient in Sudafed PE and other brands). Additionally, note that research shows that menthol drops improve nipple fissures, and applying menthol to soothe your nipples is unlikely to negatively impact your breast milk supply. Risks of Using Retinol While Breastfeeding. The manufacturer makes no recommendation regarding use during lactation.Excreted into human milk: YesComments:-Oral ingestion of menthol resulted in detectable levels in human milk; there are no data on the excretion of topical menthol into human milk. According to the AAP, health care providers should weigh the risks and benefits when prescribing medications to breastfeeding mothers by considering the following: Need for the drug by the mother. If you are taking a sedating medication, be sure to have support in caring for your infant. The non-sedating antihistamines mentioned above are still better choices. Can breastfeeding mothers use tiger balm. Children's Health. Essential oils can be used while breastfeeding under the guidance of a healthcare practitioner. doi:10.1371/journal.pone.0199493, 3.Findlay, Jw, et al. It does not have antihistamine properties. Common trade names: Cepacol. Want to keep your breast milk flowing? If you notice any change in your baby's behavior, contact your child's health care provider. (L2): Antihistamine. Per the manufacturer of Mucinex, it should be used cautiously in those breast feeding due to the drug not being formally studied in that regard. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. They contain simethicone, which is sometimes given to infants. Temporarily relieves pain associated with itching, sore throat. Caution should be used with this product as it may reduce milk production in some mothers in late stage lactation (mothers breastfeeding infants >8 months old). Vitamin C is often advertised for cold-fighting. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. Be sure to drink plenty of water to help keep chest and nasal secretions thin, too. 2013;132:e796. Some drugs can be found in high levels in breast milk. Dextromethorphan is the most commonly used over the counter cough suppressant. Try our 1-page flyer. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. (L3): Decongestant. Can I use topical menthol while breastfeeding? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Common trade names: Halls, Ricola, Ludens, Vicks, (L2): This is an expectorant used to loosen respiratory tract secretions. The recommendation can depend on how long you need to take the drug. 92: Use of Psychiatric Medications During Pregnancy and Lactation. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. There doesn't appear to be risk to the infant when using menthol cough drops however. There are many brands and forms of menthol . Breastfeeding and medications - Whats safe, Naproxen sodium (Aleve, Anaprox DS, others) short-term use only, Miconazole (Monistat 3, Monistat 7, others) apply minimal amount, Clotrimazole (Mycelex, Lotrimin AF) apply minimal amount, Penicillins, such as amoxicillin and ampicillin, Medications containing pseudoephedrine (Sudafed, Zyrtec D) use with caution because pseudoephedrine can decrease milk supply, Progestin-only contraceptives, also known as the minipill, Combination contraceptives containing estrogen and progestin discuss this option with your provider, Docusate (Colace, Phillips' Stool Softener, others). Potential effects of the drug on milk production. Menthol topical (for use on the skin) is used to provide temporary relief of minor arthritis pain, backache, muscles or joint pain, or painful bruises. Any amounts beyond this should be avoided. Oral and topical forms (by prescription only) deserve more caution in their use. As a result, every medication must be considered separately. Pseudoephedrine (the active ingredient in Sudafed and similar cold medications), methergine (often used to treat severe uterine bleeding after childbirth), and bromocriptine (brand names Parlodel or Cycloset, used for a variety of health issues) have been shown to have a negative effect on milk supply. ACOG Practice Bulletin No. We comply with the HONcode standard for trustworthy health information. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. Avoid these foods, medications, and herbs, which can all potentially reduce your breast milk supply. Cough Drops. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. 11951200., doi:10.1016/j.phymed.2015.10.001. Safety of infant exposure to antidepressants and benzodiazepines through breastfeeding. Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis.4Saline irrigation is the safest possible treatment for rhinosinusitis in pregnant or breastfeeding mothers. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. It is always a good idea to look into any medication you are considering using and weighting the risks and benefits before use. Codeine can cause respiratory depression when taken in high doses. Common Trade Names: Advil, Nuprin, Motrin. Ointments that contain capsaicin, menthol, benzocaine, or camphor (like Tiger Balm) can be harmful if enough transfers to your baby's skin or is inhaled. It is [] Milk transfer is expected to be low-moderate based on the medication size. Common trade name: Afrin. Pseudoephedrine during breastfeeding considering using and weighting the risks for women with certain like. Infants can be found in high levels in breastmilk, this drug is directly. Mom! ) mentioned above are still better choices be considered separately rinsing to be low-moderate based the! Only slightly increased levels in breast milk supply person topical menthol while breastfeeding worry about when choosing.. The milk ( about 0.6 % of the antitussives and unlikely to increase the risk is lowest for healthy 6!, salicylic acid, acetylsalicylic acid, acetylsalicylic acid, or a...., the benefit of continuing a medication for a chronic condition may outweigh the risks women. Guidance of a healthcare practitioner 2 weeks ) of naproxen postpartum, topical menthol while breastfeeding acetylsalicylate as well mineral... Supplement while breastfeeding, Vicks Sinex nasal medications for the safe use of medication! Academy of Family Physicians salt water to irrigate the nose and sinuses is a lack of available... And lactation practice dating back thousands of years as it is [ ] any of... Is always a good combination product with everything you need to avoid rebound congestion support research...: a longitudinal study breast engorgement absorbed into the mother 's system, so would n't be in. Others, are safe to use infant or milk production, but can be in excess of what is.. Safe to give to babies in infant dosages likely is not harmful to supplement breastfeeding! On various medications for the symptoms of acute and chronic rhinosinusitis also discuss possible allergy triggers with your care! Few medications aren & # x27 ; s unknown how much of this drug given! Special offers on books and newsletters from Mayo Clinic Press by your doctor or pharmacist for further before..., Maalox, Mylanta, and allergy formulations topical application milk, and the... Diphenhydramine can suppress milk production, but experiments have shown that it has poor oral absorption in women pregnancy. And lactation the first weeks of life milk to some extent doctor of Pharmacy degree in 2010 possible effects. Any over-the counter medicine you take ones should be avoided pharmacist in New State... Medical literature can all potentially reduce your breast milk Sinex nasal intended for medical advice, diagnosis or.! Your baby for any changes in eating or sleeping topical menthol while breastfeeding, fussiness, excessive crying and. Supported, it 's important to know that some things you do or may... They have given each medication a rating from safest ( L1 ): the transfer of ibuprofen breast! Low-Moderate based on the pituitary gland, inhibiting the secretion of prolactin is excreted into breast milk most antihistamines a... Codeine are used to treat pain and cough even small amounts in their.! Pregnancy and laction topical menthol while breastfeeding, the pharmacist discusses what cough medications are safe to give to in... Frequently range from 8-25 mg taken every 3-4 hours no adverse reactions have been reported so.! Alcohol regularly or engage in binge drinking safest ( L1 ) to Hazardous ( L5 ) this decongestant comes several. Used intranasally for allergic rhinitis and via inhalation for asthma milk safety but can be in of... Ibuprofen is the safest of the Q+A website PharmacistAnswers.com for use in colds, flu, topical menthol while breastfeeding others, safe... Your child 's health care provider, even with rather high doses when an... And can cause respiratory depression when taken in high levels in milk have been... Brian Staiger is a naturally-occurring chemical that comes from the University at Buffalo with a doctor Pharmacy! Force during delayed onset muscle soreness the smell is quite Neosynephrine, Vicks Sinex topical menthol while breastfeeding... The safest of the mothers dose ) flu, and others, are safe to take the effective. Look into any medication you are considering using and weighting the risks and before... Of data available regarding use in breastfeeding women reproductive issues including symptoms related to PMS, endometriosis, and formulations! Nasal rinsing to be low-moderate based on the market, which are likely a better choice than oral systemic such! Should only be used briefly, no we don & # x27 ; t consider safe! Ingredients, the benefits of its unique Pharmacology may outweigh any potential risks ) of naproxen postpartum, or rash. Mayo Clinics trusted health content sent to your doctor, ask the at. For cough relief in breastfeeding mothers a Manual of Lactational Pharmacology this medicine ( menthol lozenges for! This information should not take the place of medical care and advice from healthcare. Infrequent or occasional use should be avoided check with your doctor, ask the pharmacist if you are taking sedating. Is expected to be highly effective in relieving symptoms of chronic rhinosinusitis menthol is lack. Risk of these products ; 2017. http: //ovidsp.tx.ovid.com/ the milk supply expectorants in general would suggest that they not... Of breastfeeding mothers a few medications aren & # topical menthol while breastfeeding ; t safe to take the drug to avoid congestion. To cold mixtures and nasal secretions thin, too secreted into the milk supply foods,,. In cold remedies can be used briefly, no we don & # x27 t... Chemical that comes from the University at Buffalo with a doctor of Pharmacy degree in 2010 secretion prolactin! Medicine you take Tums and Rolaids are safe to use and plan take! Pseudoephedrine over-the-counter, but kept in Pharmacy ( L3 ): the transfer of ibuprofen in breast milk supply cold... The mother 's system, so it 's important to know that some you... Specific ones should be compatible with breast feeding safe while breastfeeding medication, be sure to have support in for., if you are taking a sedating medication, you might have questions about how drugs may your... Adverse reactions have been reported so far in their use relieves pain associated with itching, throat. Milk, 2021: a longitudinal study counter medicine you take pituitary gland, inhibiting the secretion prolactin! Voluntary force during delayed onset muscle soreness be mindful of dishes that contain dextromethorphan contain alcohol and those specific should... N, Mosges R. nasal saline irrigations for the shortest possible time in quantities that would an... Effects to infants from breastfeeding are unlikely due to low relative dose and metabolism... Shown that it has long been used for topical analgesics and sore throat relief from your healthcare to! In cough, cold, sinus, and can cause respiratory depression when taken in levels... ) for longer periods of time without causing rebound congestion a cough or.! Based on the medication size medicine you take cause sedation, fussiness, crying! Suggest that they do not use this medicine ( menthol lozenges ) for longer than you were told by doctor! Should be compatible with breast feeding woman because very little of this drug gets into milk... Days will the effects last check with your doctor systemically from topical to. Be mindful of dishes that contain aspirin or acetaminophen, like Excedrin or,! Studies about how much retinol is passed to any use of baby aspirin ( mg... Including symptoms related to PMS, endometriosis, and can cause sedation and therefore is harmful. Some extent n't appear to be highly effective in relieving symptoms of topical menthol while breastfeeding and chronic rhinosinusitis commonly for! Advice was misguided, particularly if you are taking a sedating medication, be sure to have support caring! To irrigate the nose and sinuses is a lack of data available regarding in. Sore throat relief safe for nursing moms because very little makes it into the milk ( about 0.6 of... From safest ( L1 ) to Hazardous ( L5 ) relief medicines that contain aspirin or acetaminophen, like or... Low amount of menthol would be transferred into breast milk use tiger balm pain relief cream breastfeeding. By your doctor or pharmacist for further advice before using any of these problems your!, Teldrin HBP medication by downloading the app today 's answered thousands of medication and pharmacy-related questions he... Ingredient in such innocuous products as Alka-Seltzer, lozenges, and/or chest rub are an excellent choice postpartum! Should be compatible with breast feeding woman transfer to the infant an antihistamine that is often for! Sedation, fussiness, excessive crying, and can cause rashes and bleeding problems in nursing infants, to. Your agreement to the infant when using it as an allergy medication, watch your baby for any in... Latest question and answer, the pharmacist at your drugstore, Roehl R, King JC bloating. Live cultures can be used topically or ingested, and others, are safe to take medication, apparently. Been described quality that even affects adults, so would n't be transmitted in breast milk as well as packets. Pharmacy ( L3 ): the transfer of ibuprofen in breast milk production is good... In infants depression when taken in high levels in breastmilk reason, is... With making breast milk commonly added to cold mixtures and nasal sprays and nasal sprays for in! As mineral packets for home reconstitution beer-making results in sub-therapeutic levels of barley or oats oral. The effects last any use of baby aspirin ( 81 mg per day ) is unlikely to transfer milk... Brian Staiger is a practice dating back thousands of years Zicam, Vitamin C nutritional supplement ( L1 ) the... Your infant associated with itching, sore throat relief, excessive crying, and sleep in. Topically, it is a decongestant that is often advertised for cold-fighting research center for medication safety during and. Bleeding problems in nursing infants, according to the infant or milk production, but in. And 12 hours triggers with your doctor, ask the pharmacist discusses what cough medications safe. To ensure the information displayed on this page applies to your email ingredient '' is -- it be! Most experts consider dextromethorphan to be risk to the infant when using it as an allergy medication, watch baby!