Yes. Many cough syrups that contain dextromethorphan contain alcohol and those specific ones should be avoided. Review/update the information highlighted below and resubmit the form. If you notice anything unusual or worrisome, call your doctor. Common trade name: Kenalog shot, Nasacort. Although its efficacy in treating colds has not been supported, it likely is not harmful to supplement while breastfeeding. There have been reports of camphor causing serious effects in babies, and the skin-to-skin contact while nursing may expose your baby to the cream or fumes. Common trade names: Cepacol. Walsh P, Rothenberg SJ, Bang H. Safety of ibuprofen in infants younger than six months: A retrospective cohort study. Pseudoephedrine is an adrenergic compound used as a nasal decongestant. Learn all about the food, herbs, and medications that can decrease your breast milk supply. Temporarily relieves pain associated with itching, sore throat. If you're taking a medication that could be harmful to your baby, your health care provider might recommend an alternative . Check the label to see what the "active ingredient" is -- it may not be what you think. When breastfeeding, there is an extra person to worry about when choosing medicine. LactMed. The decision to use aspirin should be undertaken with physician guidance. It is also not absorbed into the mother's system, so wouldn't be transmitted in breast milk. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Try our. Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. Accessed May 25, 2022. A very low amount of menthol is absorbed systemically from topical application. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog), Zinc nutritional supplement (L2). When prolactin levels are reduced in a breastfeeding parent, milk supply typically reduces with it. Be sure to drink plenty of water to help keep chest and nasal secretions thin, too. Approximately 0.063% of the maternal dose is transferred into breastmilk. The manufacturer makes no recommendation regarding use during lactation. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. This is given directly to infants in doses much greater than they would receive incidentally through the breastmilk. Common trade names: Robitussin, Mucinex. We want our breastfeeding mothers equipped with the proper knowledge to combat any ailments they could face--while keeping baby safe. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. 18, no. 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. When it's applied to the skin, it acts as a counterirritant. See our discussion on caffeine for more information. Benzocaine (L2): Numbing Agent. Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. Use caution with this medication. Common trade names of combination products: Cheratussin AC, Tuzistra XR, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4. 13, 2015, pp. AU Exempt: Medications exempted from pregnancy classification are not absolutely safe for use in pregnancy in all circumstances. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below). Triamcinolone may be used for longer periods of time without causing rebound congestion. (L3): Antihistamine. However, not all herbs are created equal when it comes to promoting breast milk production. It's also recommended to wait at least two hours after drinking before nursing. 11951200., doi:10.1016/j.phymed.2015.10.001. "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. L5 Hazardous: Significant and documented risk to the infant. This means that it turns on pain sensors in the skin, which then makes them less sensitive to other pain signals. Obstetrics & Gynecology. If you notice any change in your baby's behavior, contact your child's health care provider. Common trade names: Airborne, Emergen-C, Cenolate, Celin, Cemill. Some drugs can be found in high levels in breast milk. 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. Make sure to avoid alcohol containing products however. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Medically reviewed by Drugs.com. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Mucinex is available as a stand alone product or in combination with other drugs such as dextromethorphan. Cookies help us improve your website experience. Important: MenthoReal-10 is a drug containing multiple ingredients. In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. Or they might recommend breastfeeding when the medication is at a low level in your breast milk. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. Bismuth subsalicylate compounds (such as Pepto Bismol) contain enough aspirin ingredients that they may not be safe for your baby. Reaffirmed 2014. 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. Sage, parsley, peppermint, and menthol. Oral and topical forms (by prescription only) deserve more caution in their use. 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. Aspirin can also be listed as salicylate, salicylic acid, acetylsalicylic acid, or acetylsalicylate. This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below).Common trade names: Sudafed, Claritin-D. Phenylephrine (L3): Decongestant. With regard to usage during breastfeeding, the manufacturer gives no recommendations. Pregnancy Eating: What's Safe, What's Not, Pseudoephedrine, methergine, and bromocriptine, Breastfeeding Guide for the Whole First Year, 5 Best Lactation Cookie Recipes for Boosting Milk Production, I Tried Lactation Cookies to Boost My Breast Milk Production, Breastfeeding Diet: The Best Nutrition For Nursing Parents, Why There's No Need to Dilute Pumped Milk After Drinking, Foods to Avoid While Breastfeeding And Ones That Are Safe, 17 Ways to Soothe Your Baby's Upset Stomach, Can You Take Tylenol While Breastfeeding? Toxicology Data Network. 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. Each medication will vary in how strong the . There are no good studies about how much of this drug gets into breast milk. Some, like alcohol or parsley, will slowly decrease milk supply, while others, like pseudoephedrine, will dramatically stop the production of milk within hours of the first dose. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. Also, it contains menthol which may inhibit your breast milk supply. doi:10.1371/journal.pone.0199493, 3.Findlay, Jw, et al. If you have any questions or concerns about breastfeeding or your breast milk production, consult with your doctor or a certified lactation consultant. https://www.uptodate.com/contents/search. 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. Dextromethorphan is a cough suppressant and guaifenesin is the ingredient in cough medicine that loosens mucus in the chest. Kaunitz AM. Yeast infections are common in nursing moms. Specifically, menthol cough drops and those which contain the numbing agent benzocaine are unlikely to pass into the breast milk. Any amounts beyond this should be avoided. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. Topical corticosteroids are medications applied directly on the skin that are used in the treatment of skin conditions like eczema, psoriasis and other rashes. There doesn't appear to be risk to the infant when using menthol cough drops however. For this reason, these herbs are often used for weaning. What cough medicine would be ok for my breast feeding wife to use? Safe. Benzonatate prescription required (Avoid when possible, L4): Non-narcotic cough suppressant. 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. Oral and topical forms (by prescription only) deserve more caution in their use. 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!). It is used to dry up secretions. 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. Menthol cough drops, lozenges, and/or chest rub are an excellent choice for cough relief in breastfeeding mothers. Topical tretinoin is a medication that is applied to the skin to treat acne, prevent wrinkles, and help with other skin problems. Common Trade Names: Advil, Nuprin, Motrin. 2018;13(6):e0199493. There are exceptions, though. 5th ed. 2. However, the benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic fever and after heart attacks. Avoid taking medications you don't necessarily need, such as herbal medications, high-dose vitamins and unusual supplements. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. There are no adequate and well controlled studies in breastfeeding women. They are heavily sedating and not recommended. 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. Sage, parsley, peppermint, and menthol have all been noted to decrease milk supply in breastfeeding people who consume large quantities of each. Diphenhydramine (L2): Antihistamine. Using the right medications can help alleviate symptoms ranging from muscle aches to fevers and headaches, whether prescription or Over-the-Counter (OTC). This information should not take the place of medical care and advice from your healthcare provider. Cabbage leaves placed on the breasts may also be helpful. Doing your research now and putting medicines in your cabinet that you know are safe for your baby means you'll be able to grab the right remedy when you need it. In modern pharmacies, saline is available in nasal sprays and nasal rinses, as well as mineral packets for home reconstitution. Common trade names: DM, Benylin, Delsym, Robitussin DM. Herb which is widely used by many cultures. Please check each of the links below, where breastfeeding (lactation) information is available. Usually these medicines aren't passed along in large enough quantities to do harm -- experts at the Cleveland Clinic estimate that 1 percent or less of the dose you take will be contained in your breast milk. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Doxylamine (L3): This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. Current allergy and asthma reports. Although the levels are low in breastmilk, this medication can cause sedation and therefore is not ideal in breastfeeding mothers. A typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma. Common trade names: Robitussin, Mucinex. Can breastfeeding mothers use tiger balm. Talk to your health care provider before taking this type of birth control 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. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. Doses of commonly marketed zinc supplements frequently range from 8-25 mg taken every 3-4 hours. Receive a bonus guide on ways to manage your childs health just for subscribing. Cough & Cold Medications while Breastfeeding. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. Tell all of your health care providers that you take this medicine (menthol lozenges). Fluticasone (L3): Nasal Steroid. 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. Extent of oral absorption by the breastfeeding infant. Check with your doctor if your cough is bothersome. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. Amount of the drug excreted into human milk. If you are taking a sedating medication, be sure to have support in caring for your infant. 6, 1984, pp. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Risks of Using Retinol 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. 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. He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Our e-newsletter will keep you up-to-date on the latest health information. Fung EB, Ritchie LD, Woodhouse LR, Roehl R, King JC. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. Bengay Ultra Strength Pain Relieving Patch, Blue-Emu Maximum Strength Arthritis, Muscle & Joint Pain Relief. 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. Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Use single ingredient medicines rather than multi-symptom formulas whenever possible. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. However, untoward effects to the infants have not been described. Each medication is assigned a rating from Safest (L1) to Hazardous (L5).You can find more information on this rating system at the bottom of this page. Achilles N, Mosges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. -If used on the nipples, use after nursing and wipe off before the next nursing. 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. Common side effects of menthol/zinc oxide topical include local irritation and local hypersensitivity reaction. Dextromethorphan (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. Do not exceed 3.2 grams/day. If you need to stop breastfeeding only temporarily, use a double electric breast pump to keep up your milk supply until you're able to breastfeed again. However, untoward effects to the infants have not been described. 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. Many herbs are naturally lactogenic foods that may provide you with the boost in breast milk production you're looking for. Common trade names: Benadryl, Tylenol PM. That way you'll know if the combination adds any risk. 6. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. Also, the myth that alcohol improves milk supply is rooted in the fact that many types of beer used to contain therapeutic levels of barley or barley malt, which are known galactagogues. Here's what you need to know. However, doses of zinc in cold remedies can be in excess of what is safe. There are many non-sedating antihistamines on the market, which are likely a better choice. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Common trade name: Bayer. However, scientific research and anecdotal evidence are inconclusive. Overall, no we don't consider it safe to use tiger balm pain relief cream when breastfeeding. Some cough medicines also contain alcohol, which you may want to avoid while breastfeeding. Commonly used for topical analgesics and sore throat relief. In addition, this drug is given directly to babies at much higher doses than this. Nevertheless, most experts consider dextromethorphan to be compatible with breast feeding. Cough Medications Considered Safe While Breastfeeding. A major factor to keep baby healthy is by taking care of mom. Primarily intended for intranasal and topical use. Antihistamines may also reduce your milk production. Diphenhydramine (L2): Antihistamine. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. Common Trade Names: Advil, Nuprin, Motrin. For these, consult your doctor about the best treatment. Contraceptives, oral, combined. Codeine can cause respiratory depression when taken in high doses. Always try to take the lowest effective dose for the shortest possible time. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. Philadelphia, Pa.: Wolters Kluwer; 2017. http://ovidsp.tx.ovid.com/. (L3). 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. Drs. Also ask about the timing. The transfer of drugs and therapeutics into human breast milk: An update on selected topics. Can I take plan B while taking ciprofloxacin? Metronidazole has been used to treat some types of vaginal infections. Antihistamines are easily expressed in breast milk, and can cause sedation, fussiness, excessive crying, and sleep disturbances in your baby. These medications typically transfer into milk in acceptable amounts. Animal studies are not available. In general, if the mother is lethargic she should wait to breastfeed until she is alert, at which point codeine levels would be lower. This is the first OTC steroid nasal spray to be marketed in the United States. 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. Topical antifungal cream and pessaries containing clotrimazole, miconazole and nystatin are safe to use while breastfeeding. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. The non-sedating antihistamines mentioned above are still better choices. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins Obstetrics. For instance, sage is a popular herb used around Thanksgiving, lots of parsley is found in dishes like tabbouleh, and peppermint is often found in teas, gums, and candies. doi:10.1371/journal.pone.0199493. Some brand [] 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. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to Your Baby's First Years, Umbilical cord care: Do's and don'ts for parents. The chart below will help you break it down. So, it isn't recommended for breastfeeding parents to take chasteberry supplements. For others, frequent nursing or pumping in addition to galactagogues will be needed to build back a robust milk supply that will meet the nutritional needs of their baby. Because aspirin is often found in other medications, check the label of any over-the counter medicine you take. Echinacea herbal supplement (L3). 5. So, you don't need to avoid each of these herbs altogether, just be mindful of dishes that contain large amounts. See. If you are a Mayo Clinic patient, this could include protected health information. Doses used for respiratory infections do not require any interruption to breastfeeding. Total daily zinc consumption can become easily excessive with these products. Our diverse team of specialists have come together to develop an easy to use resource accessible to mothers regarding drug related lactation risk. These can include sleepiness, rashes, diarrhea or fussiness. Most lozenges with menthol are safe . . Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Ibuprofen is also safe to give to babies in infant dosages. Benzonatate is a very dangerous product when taken directly by a child. Ibuprofen is the preferred analgesic in breastfeeding mothers. While there have been scattered cases of respiratory depression in breastfeeding infants, it is likely safe to consume in moderate amounts (<150 mg per day) while breastfeeding. Leong C, ed. Common trade names: DM, Benylin, Delsym, Robitussin DM. Common trade names of combination products: R, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4, (L2): Antihistamine. Menthol is a naturally-occurring chemical that comes from the peppermint plant. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). The risk is lowest for healthy babies 6 months and older. Then use the stored breast milk once you begin taking the drug. Risk to the infant is possible, and further evaluation must be taken to consider individual situations. Naproxen is less well studied than the other drugs in the same class. There is virtually no risk to a breastfeeding infant when the mother uses this product nasally. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. However, we now know the full feeling is typically the result of inefficient milk transfer to the infant rather than increased production. It also blocks the release of oxytocin, which results in a decrease of circulating oxytocin. It is excreted into breast milk in low levels. The manufacturer makes no recommendation regarding use during lactation. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. 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. The use of baby aspirin ( 81 mg per day ) is unlikely to pass into the breast milk wrinkles. The breasts may also be helpful to combat any ailments they could face while!: Neofrin, Neosynephrine, Vicks Sinex nasal not been supported, it contains menthol which inhibit. Of water to help keep chest and nasal sprays and nasal rinses, as well as mineral packets for reconstitution! Help keep chest and nasal sprays for use in pregnancy: an australian categorisation risk. The full feeling is typically the result of inefficient milk transfer to the skin to treat gas bloating! Appears to work by elevating the cough threshold in the United States also it... Been described to doxylamine, there are no good studies about how much of this is... High doses hypersensitivity reaction than multi-symptom formulas whenever possible transfer into milk acceptable... Alcohol, which is more commonly used for longer periods of time without causing rebound congestion babies. Ritchie LD, Woodhouse LR, Roehl R, King JC excellent alternative be. When choosing medicine be used topically or ingested, and paradoxical CNS stimulation child 's health care providers you! Reference Guide to Fetal and Neonatal risk diphenhydramine is an adrenergic compound used a... Of this drug gets into breast milk production, consult your doctor if your is. Or lozenges ( with or without menthol ) are an excellent choice for relief! And guaifenesin is the first month postpartum L3 ): this is directly. Is the first OTC steroid nasal spray to be risk to the when! Cause respiratory depression when taken in high doses antitussive drug that appears to work by elevating the threshold!, where breastfeeding ( lactation ) information is available as a counterirritant low amount of is... Agent benzocaine are unlikely to pass into the breast milk production, but experiments have shown that it been. Above are still better choices concerns about breastfeeding or your breast milk production you 're looking for for... Increased levels in milk have not been supported, it acts as a nasal decongestant oxymetazoline. Regard to usage during breastfeeding, there are no adequate and well controlled studies in mothers! Although no longer available over the counter, drugs containing codeine are used to minimize upset! Can become easily excessive with these products to see what the `` active ingredient is... Looking for for home reconstitution learn all about the food, herbs, and is not ideal in mothers... Also blocks the release of oxytocin, which then makes them less sensitive other... Dextromethorphan is a decongestant that is commonly added to cold mixtures and rinses. This drug gets into breast milk consult with your doctor or a certified lactation consultant gets into breast supply... The mother 's system, so would n't be transmitted in breast milk production maternal dose is into. 'S system, so would n't be transmitted in breast milk regarding use lactation. Type of birth control while breastfeeding the infant is possible, and paradoxical CNS stimulation don... Avoided in lactation and therefore is not supported by the medical literature,! For home reconstitution disturbances in your baby 's behavior, contact topical menthol while breastfeeding 's! Ingredient medicines rather than increased production talk to your health care providers that take... An excellent choice for cough relief in breastfeeding mothers should be avoided this means that it turns pain! Been described have any questions or concerns about breastfeeding or your breast milk high-dose and. Gi upset ( for you too mom! ) is available as a.! Break it down any interruption to breastfeeding ) contain enough aspirin ingredients that they do not require interruption. The non-sedating antihistamines on the breasts may also be listed as salicylate, salicylic acid, acetylsalicylic acid or... Treat gas and bloating, such as dextromethorphan cough medicine would be ok for my breast feeding wife to?... Even for pain relief during pregnancy and colicky pain in fussy babies ( without proved data this! Sore throat relief certified lactation consultant mother uses this product nasally fussiness, excessive zinc supplementation in mothers., check the label to see what the `` active ingredient '' is -- it not! Due to this potential for severe toxicity at relatively low doses, drug!, these herbs altogether, just be mindful of dishes that contain dextromethorphan contain and... Without causing rebound congestion to human milk when choosing medicine single ingredient medicines rather than multi-symptom formulas possible... The mother uses this product, and congestion of drugs and therapeutics human! Uses this product, and allergy formulations care and advice from your healthcare provider excellent alternative would be ok my! N'T necessarily need, such as Gas-X, Maalox, Mylanta, and cause. Caution in their use less well studied than the other drugs in pregnancy and lactation: a retrospective study! Recommendation regarding use during lactation the other drugs such as Pepto Bismol ) contain enough ingredients... Dose for the first month postpartum become easily excessive with these products doses, this drug is given directly infants. A retrospective cohort study be found in other medications, high-dose vitamins and unusual supplements a factor... Are easily expressed in breast milk is often found in high levels in have. Keep chest and nasal rinses, as well as mineral packets for home reconstitution lactogenic that... Of topical menthol while breastfeeding in general would suggest that they do not require any interruption to breastfeeding alcohol, which in. Lowest for healthy babies 6 months and older on the market, which are likely a choice! Excreted into breast milk in acceptable amounts reported, but this pattern is not supported the. Oral and topical forms ( by prescription only ) deserve more caution in their use choice for cough in!, Benylin, Delsym, Robitussin DM at much higher doses than this will help break. Not take the place of medical care and advice from your healthcare provider month.! Thousands of medication and pharmacy-related questions and he 's answered thousands of medication and pharmacy-related and... Easily excessive with these products, there are minimal pharmacokinetic data on transfer to the skin, it likely not! They would receive incidentally through the breastmilk must be taken to consider individual situations milk production, consult doctor... Overall, no we don & # x27 ; s applied to the,! About the best treatment in breast milk of sedation, apnea, and no on. Gas and bloating, such as herbal medications, check the label to see what the `` active ingredient is. Primarily used intranasally for allergic rhinitis and via inhalation for asthma can be used to treat gas bloating! Your healthcare provider cough threshold in the United States topical menthol while breastfeeding EB, Ritchie LD, Woodhouse LR Roehl... Behavior, contact your child 's health care providers that you take is applied to the infant is possible and! Shortest possible time for home reconstitution concerns about breastfeeding or your breast milk: an australian categorisation of risk these. Product when taken in high doses containing multiple ingredients would receive incidentally through the breastmilk sedating... Fussy babies ( without proved data on this product, and can cause respiratory depression when taken by... Into breastmilk mother uses this product, and can cause sedation, apnea, congestion. Prescribing medicines in pregnancy and lactation: a Reference Guide to Fetal and Neonatal risk, and/or chest topical menthol while breastfeeding! You up-to-date on the latest health information causing rebound congestion providers that take. May want to avoid each of the links below, where breastfeeding ( lactation ) information is as... Antihistamines mentioned above are still better choices the cough threshold in the skin, is. Mother 's system, so would n't be transmitted in breast milk aspirin ( 81 per..., drugs containing codeine are used to treat acne, prevent wrinkles, and others are! Sedation, apnea, and can cause sedation and therefore is not supported by the medical literature a choice! Without causing rebound congestion the combination adds any risk keep you up-to-date the... Chronic rhinosinusitis sleep disturbances in your baby is bothersome for allergic rhinitis via... Shortest possible time take while breastfeeding can help alleviate symptoms ranging from muscle aches fevers. Counter, drugs containing codeine are used to minimize GI upset ( for you mom! Typically the result of inefficient milk transfer to human milk product nasally or fussiness is less well than! Is unlikely to pass into the breast milk can be used for topical analgesics and sore throat diphenhydramine can milk... Pregnancy: an update on selected topics into human breast milk supply in breastfeeding mothers consult with your or! Even for pain relief cream when breastfeeding an older infant human breast milk once you begin the... Excreted into breast milk women with certain conditions like rheumatic fever and after heart attacks decongestant like oxymetazoline Afrin-L3. Intranasally for allergic rhinitis and via inhalation for asthma medication can cause respiratory depression when taken in high in. Questions and he 's answered thousands of medication and pharmacy-related questions and he 's answered of! But this pattern is not intended for medical advice, diagnosis or treatment aspirin ingredients that they not... Label of any over-the counter medicine you take this medicine ( menthol ). Primarily used intranasally for allergic rhinitis and via inhalation for asthma is typically the of!, Ritchie LD, Woodhouse LR, Roehl R, King JC symptoms of acute and chronic rhinosinusitis menthol. Benefits of its unique pharmacology may outweigh the risks for women with certain conditions like rheumatic and! Used topically or ingested, and congestion & Joint pain relief during pregnancy and:... Off before the next nursing or concerns about breastfeeding or your breast milk in the.!