What we do know is this: Medications get into breast milk, but probably in smaller doses than what the mom is taking. Basically, says Dr. Ross, the baby will probably get only 10 percent of whatever dose mom takes when breastfeeding — so there might be only one-tenth of the effect of the medication on the baby. Many over-the-counter cold medicine products are considered safe during pregnancy, when baby is directly impacted.
So it's generally considered safe for breastfeeding moms to take those medications with, of course, the same precautions.
A sustained release product means your baby will get the medication over a longer period of time. Choose medications with only one ingredient for the symptom that's plaguing you most and avoid combination cough and common cold medicines that have ingredients for cough, sneezing, congestion, headache, and more.
Simple diphenhydramine Benadryl and guaifenesin Robitussin are fine, says Ross. And you can take ibuprofen Motrin , Advil and aspirin while breastfeeding, which were a no-no for pregnant women. Those drugs are "not shown to do damage to most newborn babies," Ross says.
Ross says it's also fine to use something like Vicks VapoRub or a saline mist. Just be careful that the Vicks doesn't get on your breasts. It won't affect your baby unless it gets on the breasts and the baby eats it. Vaporizer with plain water may be beneficial in moistening the nasal passages and helping to clear the airway. Menthol products in a vaporizer should be avoided and have been identified as an irritant in nasal passages in infants.
Zinc Gluconate,as found in Cold-eeze and Zicam is considered safe with breastfeeding although the nasal gel is recommended over the oral drops. While zinc does enter the breastmilk, growing newborns require zinc and as long as supplementation does not exceed mgs per day,….
A Neti Pot is recommended for people with allergies or sinus problems, and works to clear the nasal passages during the common cold. Since it only uses water and the mother is not actually ingesting anything, it is very safe for a nursing mom. Seasonal flu treatment includes either Oseltamivir Tamiflu or zanamivir Relenza.
These antivirals work early on in the illness and are not indicated if fever and illness has been present for more than 48 hours. The CDC considers oseltamivir safe to use in breastfeeding mothers. At present, there is no breastfeeding data on zanamivir Relenza.
Physicians are advised to use oseltamivir Tamiflu instead of zanamivir Relenza in breastfeeding mothers. Many herbal remedies and their safety have not been evaluated for the breastfeeding infant. Just because a product is marked natural does not mean it is safe while breastfeeding. Caution should be used for any consumption of herbals as well as prescribed medications.
Cough medicines work to suppress coughs or to loosen chest congestion so you can get rid of mucus more easily when you cough. Dextromethorphan is a cough suppressant and guaifenesin is the ingredient in cough medicine that loosens mucus in the chest.
Some cough medicines have both of these ingredients and others just have one. 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. Some cough medicines also contain alcohol, which you may want to avoid while breastfeeding.
Keep in mind that coughing is your body's way of getting rid of mucus, and sometimes suppressing it is not the way to go. Check with your doctor if your cough is bothersome.
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. Be sure to drink plenty of water to help keep chest and nasal secretions thin, too. Most lozenges with menthol are safe for nursing moms because very little makes it into the milk supply. However, menthol is derived from peppermint oil, which may reduce milk supply in some women. It's probably best to avoid consuming large amounts of peppermint or menthol cough drops.
When diarrhea has you running for the bathroom every time you turn around, you want fast relief. 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. The U. 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.
Bismuth subsalicylate compounds such as Pepto Bismol contain enough aspirin ingredients that they may not be safe for your baby. For a sour stomach or heartburn, Tums and Rolaids are safe to use. Look for the ingredients calcium carbonate or magnesium hydroxide. 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.
Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take. They contain simethicone, which is sometimes given to infants. It is also not absorbed into the mother's system, so wouldn't be transmitted in breast milk. Medicines for constipation fall into two categories -- stool softeners and laxatives. Both types of medicines contain ingredients that are not well absorbed by the body, so are unlikely to make it into your breast milk.
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. Eating a diet with plenty of fiber, drinking lots of water and getting exercise every day can help you avoid constipation altogether. Yeast infections are common in nursing moms. Many over-the-counter treatments for vaginal yeast are safe to use while nursing, since little of the medicine is absorbed into the body. Look for products containing miconazole Monistat or clotrimazole GyneLotrimin.
Some infants and toddlers get a similar yeast infection in their mouths called thrush , which can then be passed to their mothers' nipples during breastfeeding. For these, consult your doctor about the best treatment. American Academy of Family Physicians. March Masters K, and Trompeter J. Breastfeeding and OTC Medications. Centers for Disease Control and Prevention. Food-borne and waterborne illness during breastfeeding.
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