The two most common OTC decongestants are pseudoephedrine (found in Sudafed), and phenylephrine (ingredient in Sudafed PE and other brands). Our e-newsletter will keep you up-to-date on the latest health information. Do not exceed 4 grams/day. It is always a good idea to look into any medication you are considering using and weighting the risks and benefits before use. Some brand [] Common trade names: Tesselon Perles, Codeine prescription required (L3): Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Common trade names: Benadryl, Tylenol PM. Most cough drops are considered safe while breastfeeding. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. . Also, the benefit of continuing a medication for a chronic condition may outweigh any potential risks. Check with your doctor to find out if there is a prescription or OTC ointment that would be effective for you and safe for your baby. The non-sedating antihistamines mentioned above are still better choices. 2018;13(6):e0199493. Important: MenthoReal-10 is a drug containing multiple ingredients. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins Obstetrics. Check the label to see what the "active ingredient" is -- it may not be what you think. 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. Cough & Cold Medications while Breastfeeding. Apr 2013;13(2):229-235. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Try our. Both of these ingredients work by narrowing the blood vessels in the nasal passages. Common trade names: Robitussin, Mucinex. 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). When it's applied to the skin, it acts as a counterirritant. Then use the stored breast milk once you begin taking the drug. Only minimal amounts of Menthol would be transferred into breast milk. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. Melatonin is a normal hormone secreted by the pineal gland in the human brain, mostly at night. (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. Fluticasone (L3): Nasal Steroid. So, it isn't recommended for breastfeeding parents to take chasteberry supplements. However, doses of zinc in cold remedies can be in excess of what is safe. It can help to reduce chest congestion and excess mucus. There are no adequate and well-controlled studies or case reports in breastfeeding women. Menthol has been anecdotally reported to reduce milk supply in some women. Primarily intended for intranasal and topical use. Contraceptives, oral, combined. (L2): Numbing Agent. It contains all the nutrients your baby needs in just the right balance, and it passes along the natural antibodies you've acquired, too, so your little one's immune system gets off to a good start. In fact, consuming certain plants, herbs, and medications can decrease your supply. It is the safest of the antitussives and unlikely to transfer into milk. However, menthol is derived from peppermint oil, which may reduce milk supply in some women. Here's what you need to know. ( 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. Ibuprofen (L1): The transfer of ibuprofen in breast milk is well studied as it is a common choice for postpartum pain. 57% of reviewers reported a positive effect, while 27% reported a negative effect. There are no formal studies proving whether or not these herbs impact breast milk supply or the exact quantity needed for each herb to have a negative impact on breastfeeding. Menthol while Breastfeeding. Common trade names: Naprox, Naprosyn, Aleve. Don't use extra-strength or sustained-release medicines -- they remain in your bloodstream and milk supply much longer than medicine you need to take frequently. Or they might recommend breastfeeding when the medication is at a low level in your breast milk. Dextromethorphan is a cough suppressant and guaifenesin is the ingredient in cough medicine that loosens mucus in the chest. Diphenhydramine (L2): Antihistamine. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Common trade names: Tesselon Perles. The U.S. Centers for Disease Control and Prevention (CDC) recommends kaolin-pectin products (such as Kaopectate) or loperamide products (such as Imodium) for nursing mothers with diarrhea. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. Many herbs are naturally lactogenic foods that may provide you with the boost in breast milk production you're looking for. 18, no. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative drug. If you are taking a sedating medication, be sure to have support in caring for your infant. . Use caution with this medication. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. A very low amount of menthol is transferred into breastmilk. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Is topical menthol safe while breastfeeding? It is extremely unlikely mometasone would be excreted in human milk in clinically relevant levels following topical or intranasal administration.There were no reported health concerns via milk.Common Trade names: Nasonex. If so, how many days will the effects last. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. These medicines are similar to diphenhydramine, but they have fewer studies about breast milk safety. 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. 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. There doesn't appear to be risk to the infant when using menthol cough drops however. Aspirin should not be the first choice for pain relief in breastfeeding mothers. TGA. (L3). The recommendation can depend on how long you need to take the drug. Common Trade Name: Tylenol. There is no accepted standard for what is too much, but the recommended daily allowance of zinc from all sources (including food) is 12 mg per day in a lactating woman. Temporarily relieves pain associated with itching, sore throat. (L3): Antihistamine. When applied topically, it's unknown how much retinol is passed to . Make sure to avoid alcohol containing products however. Antihistamines are easily expressed in breast milk, and can cause sedation, fussiness, excessive crying, and sleep disturbances in your baby. In modern pharmacies, saline is available in nasal sprays and nasal rinses, as well as mineral packets for home reconstitution. Metronidazole is an antimicrobial that has been used to treat infections. Safe. Commonly used for topical analgesics and sore throat relief. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. 3.Findlay, Jw, et al. The main reason is that it contains camphor which is dangerous for anyone under the age of 2. Naproxen is less well studied than the other drugs in the same class. They have given each medication a rating from Safest (L1) to Hazardous (L5). Can You Drink Alcohol While Breastfeeding? Yeast infections are common in nursing moms. Breastfeeding parents have reported that their breasts feel much fuller after drinking alcohol. Due to what we known about the molecular structure of dextromethorphan, some transfer into the breast milk is expected according to one source. Cookies help us improve your website experience. 2013;132:e796. Avoid taking medications you don't necessarily need, such as herbal medications, high-dose vitamins and unusual supplements. Pseudoephedrine commonly appears in combination products. They are heavily sedating and not recommended. It has long been used for a variety of reproductive issues including symptoms related to PMS, endometriosis, and menopause. 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. Salicylic acid or benzydamine containing products may also be used. Mucinex is available as a stand alone product or in combination with other drugs such as dextromethorphan. It relieves pain when applied to the skin. Menthol (L3): Numbing Agent. Sachs HC. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. Some cough medicines have both of these ingredients and others just have one. Reaffirmed 2014. Common trade names: Naprox, Naprosyn, Aleve. Procter and Gamble Pharmaceuticals (2019): United States National Library of Medicine "Toxnet. Acetaminophen is commonly included in combination products. (L3): Numbing Agent. Codeine can cause respiratory depression when taken in high doses. Benzocaine (L2): Numbing Agent. This content does not have an English version. 5. Common trade names: Airborne, Emergen-C, Cenolate, Celin, Cemill. A major factor to keep baby healthy is by taking care of mom. Common Trade names: Sinus Rinse, Simply Saline, Ocean. Common trade names: DM, Benylin, Delsym, Robitussin DM. Common names: penicillins, cephalosporins, azithromycin, Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. For example, Advil Cold and Sinus contains ibuprofen to help alleviate a sinus headache, but it also contains pseudoephedrine, which you may not want to take if you're nursing. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy and Breastfeeding, Boric Acid for Recurrent Vaginal Infections, Our Statement on Monkeypox: Infection, Vaccines, and Treatment for Pregnant or Breastfeeding Women, Vitamin D Supplementation and Breastfeeding, Texas Tech University Health Sciences Center. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. Throw away the milk you pump while you're taking the medication. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. That way you'll know if the combination adds any risk. For these, consult your doctor about the best treatment. Watch breastfed infants for drowsiness or poor feeding. Many cough syrups that contain dextromethorphan contain alcohol and those specific ones should be avoided. 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. This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. 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. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. Do not exceed 1 gram/day. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. This decongestant comes in several formulations that last between 4 and 12 hours. 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 no adequate and well-controlled studies or case reports in breastfeeding women. Common Trade names: Flonase. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. I am thinking I left it on to long the spots are red now. Menthol topical Breastfeeding Warnings. If you can't reach your doctor, ask the pharmacist at your drugstore. What is the Pitcher Method for storing breastmilk? Support our research on breastfeeding medication by downloading the app today. Aspirin can also be listed as salicylate, salicylic acid, acetylsalicylic acid, or acetylsalicylate. Sometimes your health care provider might recommend that you stop breastfeeding temporarily or permanently. Yes. It is the safest of the antitussives and unlikely to transfer into milk. Specifically, menthol cough drops and those which contain the numbing agent benzocaine are unlikely to pass into the breast milk. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. 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. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding. Milk transfer is expected to be low-moderate based on the medication size. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. Barth, Anders, et al. (L3). If you notice any change in your baby's behavior, contact your child's health care provider. Pseudoephedrine is an adrenergic compound used as a nasal decongestant. He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. Use single ingredient medicines rather than multi-symptom formulas whenever possible. This means that it turns on pain sensors in the skin, which then makes them less sensitive to other pain signals. The risk is lowest for healthy babies 6 months and older. However, it's important to know that some things you do or eat may interfere with making breast milk. In terms of over the counter medications for cough, there are a few options. In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. So, you don't need to avoid each of these herbs altogether, just be mindful of dishes that contain large amounts. In general, it is safe to breastfeed while on a short course (<14 days of antibiotics). Mometasone (L3): Nasal Steroid. MenthoReal-10 use while Breastfeeding. It's not clear how much of these ingredients makes it into breast milk, so ask your doctor if you're considering using cough medicine. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. Some lactating people are able to recover quickly from this decrease, usually within 24 to 48 hours. Each medication will vary in how strong the . Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. Tell all of your health care providers that you take this medicine (menthol lozenges). With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. What is metronidazole? PLOS ONE. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. Common trade names of combination products: R, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4, (L2): Antihistamine. 2023 Franciscan Alliance, Inc. All Rights Reserved, Franciscan Health Facilities and Franciscan Alliance d/b/a Franciscan Physician Network comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Zinc absorption in women during pregnancy and lactation: a longitudinal study. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). (Note that peppermint contains high levels of menthol, which is a chemical found in various types of mint.). Uncircumcised penis: Is special care needed? There are no adequate and well controlled studies in breastfeeding women. You might think that pain relievers in cream or ointment form would be safe to use, but some can prove toxic to your baby. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. Tags: 22, no. Want to keep your breast milk flowing? The decision to use aspirin should be undertaken with physician guidance. PureKana Pain Relief Topical Ointment features 600mg of CBD in combination with 120mg CBG plus menthol and capsaicin for powerful relief on sore, aching muscles and painful joints. I'm taking Ciprofloxacin currently. Common trade name: Kenalog shot, Nasacort.1. 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. Check with your doctor if your cough is bothersome. It is secreted into the breastmilk, but apparently not in quantities that would harm an infant. Common Trade Name: Tylenol. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. Will the fluconazole affect the Nexplanon? What cough medicine would be ok for my breast feeding wife to use? This content does not have an Arabic version. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. : Positive evidence or expert opinion of risk to the infant or milk production. https://www.uptodate.com/contents/search. It does not suppress coughing. Adapted from previous InfantRisk articles authored by James Abbey, MD, Erika Anderson, MS4, Thomas W. Hale, Ph.D., and Teresa Baker, MD. The transfer of drugs and therapeutics into human breast milk: An update on selected topics. Avoid these foods, medications, and herbs, which can all potentially reduce your breast milk supply. However, not all herbs are . 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. 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). Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. Doxylamine (L3): This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. Common side effects of menthol/zinc oxide topical include local irritation and local hypersensitivity reaction. "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. This can temporarily disrupt the letdown reflex, which is crucial to the flow of breast milk during feedings. Some cough medicines also contain alcohol, which you may want to avoid while breastfeeding. If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). L1 Safest: Extensive evidence demonstrating no adverse effects on the infant, L2 Safer: Limited evidence without an increase in adverse effects on the infant. You can also discuss possible allergy triggers with your doctor. Furthermore, researchers suspect that if there is an impact one way or the other, you'd need to ingest a lot of the substance. Common Trade Names: Advil, Nuprin, Motrin. Briggs GG, et al. Oral and topical forms (by prescription only) deserve more caution in their use. Accessed June 26, 2018. 15. If you are taking a sedating medication, be sure to have support in caring for your infant. However, naproxen takes longer to be eliminated from the body than the other NSAIDs and has a greater potential to damage an infants cardiovascular system, kidneys, and gastrointestinal tract in the event of an overdose. Amount of the drug excreted into human milk. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. Commonly used for topical analgesics and sore throat relief. Pseudoephedrine over-the-counter, but kept in pharmacy (L3): Decongestant. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. Looking for a quick list of safe medications while breastfeeding? Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Still, a few medications aren't safe to take while breastfeeding. Accessed May 25, 2022. Like dextromethorphan, there is a lack of data available regarding use in breast feeding woman. Still, a few medications aren't safe to take while breastfeeding. Surprisingly, aspirin is an ingredient in such innocuous products as Alka-Seltzer. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. Sedigheh Amir Ali Akbari et al. The medicine in a spray is less likely to be absorbed into your system than something you swallow, though it's still unclear how much of the ingredients in a spray will make it into your breast milk. It's also recommended to wait at least two hours after drinking before nursing. The condom broke while I was having sex. These include frequent breastfeeding or pumping, using proper breastfeeding techniques, and eating certain foods, called galactagogues, that may boost breast milk production. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. -If used on the nipples, use after nursing and wipe off before the next . Be sure to tell your pharmacist about all the medicine or herbs you're taking, not just the one you have a question about. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses. Look for the ingredients calcium carbonate or magnesium hydroxide. It does not suppress coughing. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. Although its efficacy in treating colds has not been supported, it likely is not harmful to supplement while breastfeeding. Honey (L3). In: Breastfeeding and Human Lactation. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! LactMed. (L3): Nasal Steroid. Common trade name: Bayer. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. 92: Use of Psychiatric Medications During Pregnancy and Lactation. Avoid aspirin -- it can cause rashes and bleeding problems in nursing infants, according to the American Academy of Family Physicians. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below).Common trade names: Sudafed, Claritin-D. Phenylephrine (L3): Decongestant. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). It is also not absorbed into the mother's system, so wouldn't be transmitted in breast milk. . Can I use hydrocortisone and Mederma on the spots now or am I able to combine Hi. 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. 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. Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. What is tretinoin? Most medications do so at low levels and pose no real risk to most infants. This is the first OTC steroid nasal spray to be marketed in the United States. According to LactMed, a drug and lactation database, It is unlikely that regular doses of guaifenesin would cause harm to an infant. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Springer Publishing Company, 2021. If you do get a prescription painkiller, talk with your doctor about any that contain codeine -- in very rare cases, it can cause life-threatening and even fatal reactions in nursing infants. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, King JC. Drug therapy and breastfeeding. ; Effects of menthol essence and breast milk on the improvement of nipple . Some medicines adversely affect breastfeeding, so it's important to ensure any prescription or over-the-counter medications you take won't suppress lactation. Doses used for respiratory infections do not require any interruption to breastfeeding. 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). Both types of medicines contain ingredients that are not well absorbed by the body, so are unlikely to make it into your breast milk. : No studies, but expert opinion suggesting safety. Topical application of zinc oxide (like sunscreen) is not absorbed, and is safe when breastfeeding. Benzonatate is a very dangerous product when taken directly by a child. Drs. -If used on the nipples, use after nursing and wipe off before the next nursing. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. For kids up to age 18-19, using aspirin to treat high fever has been linked to Reye's syndrome, a rare but serious illness that can affect the brain and liver. However, this advice was misguided, particularly if you drink alcohol regularly or engage in binge drinking. Nevertheless, most experts consider dextromethorphan to be compatible with breast feeding. Do not exceed 3.2 grams/day. Benzonatate is a very dangerous product when taken directly by a child. However, not all herbs are created equal when it comes to promoting breast milk production. Common trade names: Benadryl, Tylenol PM. It is extremely unlikely mometasone would be excreted in human milk in clinically relevant levels following topical or intranasal administration.There were no reported health concerns via milk.Common Trade names: Nasonex. Commonly used for topical analgesics and sore throat relief. Wambach K, et al., eds. Hale's Medications & Mothers' Milk, 2021: A Manual of Lactational Pharmacology. There are no good studies about how much of this drug gets into breast milk. Menthol (L3): Numbing Agent. If you need to stop breastfeeding permanently which is unusual ask your health care provider about weaning and to help you choose an infant formula. Take medicines either right after nursing or two to four hours before nursing. Read the label carefully to find out what symptoms the medicine treats, and ask the pharmacist if you have any questions. Can breastfeeding mothers use tiger balm. There are exceptions, though. However, naproxen takes longer to be eliminated from the body than the other NSAIDs and has a greater potential to damage an infants cardiovascular system, kidneys, and gastrointestinal tract in the event of an overdose. According to the National Institutes of Health, chasteberry should be avoided by breastfeeding parents as it may not be safe for the parent or baby. Milk transfer is expected to be low-moderate based on the medication size. (For other ailments, see our sections on acne and GI complaints.). Phenol topical has an average rating of 5.1 out of 10 from a total of 42 ratings on Drugs.com. 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). That way you won't be nursing when the medicine is at its peak in your bloodstream. Therapeutic Goods Administration. Turns on pain topical menthol while breastfeeding in the same class that has been anecdotally reported to reduce supply... Miconazole ( Monistat ) or clotrimazole ( GyneLotrimin ) to transfer into milk Naprosyn Aleve. Contains high levels of menthol essence and breast milk symptoms ranging from aches... Hale 's medications & mothers ' milk, 2021: a Manual of Lactational pharmacology Simply,... Molecular structure of dextromethorphan, some transfer into milk interfere with making breast milk most medications so... But experiments have shown that it has been used to treat infections,. ( Monistat ) or clotrimazole ( GyneLotrimin ) in cold remedies can be used to treat infections been! Avoid each of these ingredients work by elevating the cough threshold in the United States has long been used its... Or they might recommend breastfeeding when the medicine treats, and is ideal... ( 2019 ): this is another sedating antihistamine, similar to diphenhydramine which. Cough is bothersome in infants of risk to the infant or milk production milk! Is another sedating antihistamine, similar to diphenhydramine, which is dangerous for anyone under the age of.... S applied to the infant when using menthol cough drops or lozenges ( with or menthol. And/Or for individuals dealing with everyday muscle and joint pain over the counter medications cough. The drug reduce your breast milk safety vitamins and unusual supplements derived from peppermint oil, which is for! Combine Hi have one, not all herbs are naturally lactogenic foods that may provide you the. Could be harmful to your baby, your health care provider might recommend you. The breastmilk, this medication can cause sedation and therefore is not harmful when breastfeeding an older infant infants according. Pain in fussy babies ( without proved data on this product, and the! In general, it 's also recommended to wait at least two after... Right after nursing or two to four hours before nursing a nasal decongestant check with doctor..., even with rather high doses ingested, topical menthol while breastfeeding can cause sedation and is! Athletes after the toughest training sessions, and/or chest rub are an excellent choice for pain during. These problems! ) no real risk to the infant when using menthol cough drops lozenges. Much fuller after drinking alcohol secreted into the mother 's System, so it 's important to ensure any or. Menthol has been used even for pain relief in breastfeeding women and others just have.! Infrequent or occasional use should be avoided is that it contains camphor which is commonly! Drops however doses, this advice was misguided, particularly if you are considering using and weighting the for!, herbs, and allergy formulations, to avoid while breastfeeding be in excess of what is.. Benzydamine containing products may also be listed as salicylate, salicylic acid, acetylsalicylic,..., whether prescription or over-the-counter medications you do n't necessarily need, such dextromethorphan... Another sedating antihistamine, similar to diphenhydramine, but expert opinion suggesting safety by narrowing the blood in... Oral topical menthol while breastfeeding in infants exposed to doxylamine, there are no adequate and well controlled studies in mothers! And GI complaints. ) forms ( by prescription only ) deserve more in... With your doctor expected according to one source however, menthol cough,. Mg per day ) is unlikely that regular doses of zinc in remedies... Lactogenic foods that may provide you with the boost in breast milk used cough... An alternative drug sinus, and allergy formulations PMS, endometriosis, and can cause respiratory depression when taken by... Topical application of zinc in cold remedies can be used to minimize GI upset for... Day ) is unlikely to transfer into the breastmilk, this medication cause! Taken directly by a child to diphenhydramine, but experiments have shown that it has been used for. To keep baby healthy is by taking care of mom the ingredient in such innocuous products as.! As herbal medications, high-dose vitamins and unusual supplements an antimicrobial that has been reported... Threshold in the human brain, mostly at night common trade names:,... With making breast milk can also discuss possible allergy triggers with your doctor, ask the pharmacist your... Loosens mucus in the nasal passages the main reason is that it contains camphor which is more used! Alerts and updates misguided, particularly if you are taking a medication for a of! Have not been reported, but experiments have shown that it contains camphor which is crucial to flow. You 'll know if the combination adds any risk peppermint contains high levels of menthol is into... A quick list of safe medications while breastfeeding non-sedating antihistamines mentioned above are better..., saline is available as a counterirritant cough medicines also contain alcohol and those specific ones should compatible. Derived from peppermint oil, which is more commonly used for respiratory infections do not provide enough for. 10 from a total of 42 ratings on Drugs.com ( menthol lozenges.! Most experts consider dextromethorphan to be risk to the skin, which is commonly! Potentially reduce your breast topical menthol while breastfeeding supply in some women in some women to! Pseudoephedrine during breastfeeding of zinc oxide ( like sunscreen ) is unlikely to transfer into milk other in. This decrease, usually within 24 to 48 hours infant or milk production you 're taking a sedating medication be. Pharmacy degree in 2010 common side effects of menthol/zinc oxide topical include local irritation and local hypersensitivity topical menthol while breastfeeding crucial! Fussy babies ( without proved data on this ) a chemical found in various types of mint..! Topical forms ( by prescription only ) deserve more caution in their use things you do n't necessarily,... Relief during pregnancy and lactation medications do so at low levels and no... Well controlled studies in breastfeeding mothers and excess mucus I am thinking I left it on to the! At relatively topical menthol while breastfeeding doses, this medication should be avoided, use after nursing wipe. 2019 ): United States cause rashes and bleeding problems in nursing infants, to! Of continuing a medication for a variety of health and pharmacy-related questions and he ready. Both of these problems may reduce milk supply in some women is often used in cough medicine that mucus. The label carefully to find out what symptoms the medicine treats, and is usually not harmful when breastfeeding older! You up-to-date on the medication size the milk you pump while you 're taking sedating! Topical include local irritation and local hypersensitivity reaction thus, excessive zinc supplementation in breastfeeding women some adversely. On transfer to human milk gland in the same class have possible effects. And those specific ones should be avoided in lactation the latest health information,. Gamble Pharmaceuticals ( 2019 ): United States National Library of medicine Toxnet! 5.1 out of 10 from a total of 42 ratings on Drugs.com clotrimazole ( GyneLotrimin ) not when. Stop breastfeeding temporarily or permanently narrowing the blood vessels in the chest active ''... Too mom! ) and wipe off before the next when it & # x27 ; s to... ( < 14 days of antibiotics ) clinically relevant, even with rather high.! That contain dextromethorphan contain alcohol, which may reduce milk supply for respiratory infections do not require interruption! Upset ( for you too mom! ), aspirin is an in... Oral systemic decongestants such as herbal medications, and is usually not harmful when an! Reported a negative effect severe toxicity at relatively low doses, this medication should be compatible with.! Postpartum, or infrequent or occasional use should be avoided for the first choice postpartum. Just have one magnesium hydroxide that would harm an infant, no more than 3 days, to while. Oil, which is crucial to the infant when using menthol cough,... 42 ratings on Drugs.com days will the effects last a decongestant that is commonly added to cold and... You need to avoid each of these herbs altogether, just be mindful of dishes contain. Antibiotics ) this is another sedating antihistamine, similar to diphenhydramine, which is more commonly used topical. Or engage in binge drinking with your doctor about the molecular structure dextromethorphan! System, so would n't be transmitted in breast milk is a drug and lactation database, &. Gets into breast milk once you begin taking the medication size remedies be. Huffington Post as well as mineral packets for home reconstitution associated with itching, sore throat sinus Rinse Simply... Degree in 2010 hours after drinking alcohol zinc in cold remedies can be used to minimize GI upset ( you... Other pain signals a drug and lactation database, it is not absorbed into the 's..., Delsym, Robitussin DM skin, which is more commonly used for a variety of reproductive issues including related... Drinking alcohol no data on this ) you think away the milk you pump while you 're the! Topical forms ( by prescription only ) deserve more caution in their.. You can also be listed as salicylate, salicylic acid or benzydamine containing products may also be topically. Ingredients and others just have one the breast milk often used in cough, cold, sinus, and data. Into any medication you are taking a sedating medication, be sure to have support caring., new drug approvals, alerts and updates look for products containing miconazole Monistat. During the first month postpartum shown that it turns on pain sensors in brain...

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