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. 13, 2015, pp. Herb which is widely used by many cultures. It does not suppress coughing. 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. Some infants can be sensitive to even small amounts in their GI tract, causing diarrhea. ovides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. 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. Here's what you need to know. However, not all herbs are created equal when it comes to promoting breast milk production. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. What is the Pitcher Method for storing breastmilk? 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. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. However, doses of zinc in cold remedies can be in excess of what is safe. Oral and topical forms (by prescription only) deserve more caution in their use. However, different drugs peak in breast milk at different times. 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. Researchers don't have a final answer about whether combination contraceptives containing estrogen and progestin affect milk production. 92: Use of Psychiatric Medications During Pregnancy and Lactation. Take medicines either right after nursing or two to four hours before nursing. Commonly used for topical analgesics and sore throat relief. (L2): Antihistamine. Pseudoephedrine commonly appears in combination products. is an herb that has been shown to have significant antitussive effects when taken as an oral supplement. There are no adequate and well controlled studies in breastfeeding women. Pseudoephedrine and Triprolidine in Plasma and Breast Milk of Nursing Mothers.. (L3). It is always a good idea to look into any medication you are considering using and weighting the risks and benefits before use. ; Effects of menthol essence and breast milk on the improvement of nipple . 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. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Our advanced topical formula provides relief for athletes after the toughest training sessions, and/or for individuals dealing with everyday muscle and joint pain. 6. 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. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Menthol while Breastfeeding. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. Then use the stored breast milk once you begin taking the drug. Salicylic acid or benzydamine containing products may also be used. If you are taking a sedating medication, be sure to have support in caring for your infant. This is the first OTC steroid nasal spray to be marketed in the United States. Do not exceed 4 grams/day. 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. It is excreted into breast milk in low levels. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. Potential effects of the drug on milk production. 2. There is virtually no risk to a breastfeeding infant when the mother uses this product nasally. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. (L3): Decongestant. 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. . 39% of reviewers reported a positive effect, while 47% reported a . L5 Hazardous: Significant and documented risk to the infant. Common trade names: Benadryl, Tylenol PM. Mayo Clinic does not endorse companies or products. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. When breastfeeding, there is an extra person to worry about when choosing medicine. (Note that peppermint contains high levels of menthol, which is a chemical found in various types of mint.). That said, some anecdotal evidence indicates that these herbs can decrease milk supply. Ibuprofen is the preferred analgesic in breastfeeding mothers. It has long been used for a variety of reproductive issues including symptoms related to PMS, endometriosis, and menopause. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" (2013). Most lozenges with menthol are safe . Very little of this medication makes it into the milk (about 0.6% of the mothers dose). It can help to reduce chest congestion and excess mucus. 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. Most medications do so at low levels and pose no real risk to most infants. Approximately 0.063% of the maternal dose is transferred into breastmilk. A major factor to keep baby healthy is by taking care of mom. (L3): Numbing Agent. Dextromethorphan is the most commonly used over the counter cough suppressant. The risk is lowest for healthy babies 6 months and older. Am J Clin Nutr 1997; 66(1):80-88. 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. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. The transfer of drugs and therapeutics into human breast milk: An update on selected topics. 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. . There doesn't appear to be risk to the infant when using menthol cough drops however. Topical tretinoin is a medication that is applied to the skin to treat acne, prevent wrinkles, and help with other skin problems. This means that it turns on pain sensors in the skin, which then makes them less sensitive to other pain signals. Accessed June 26, 2018. Avoid taking medications you don't necessarily need, such as herbal medications, high-dose vitamins and unusual supplements. Doxylamine (L3): This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. Menthol topical Breastfeeding Warnings. Common Trade Names: Advil, Nuprin, Motrin. 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. 5th ed. It's probably best to avoid consuming large amounts of peppermint or menthol cough drops. (L3): Nasal Steroid. Zinc absorption in women during pregnancy and lactation: a longitudinal study. Breastfeeding parents have reported that their breasts feel much fuller after drinking alcohol. Philadelphia, Pa.: Wolters Kluwer; 2017. http://ovidsp.tx.ovid.com/. Nonsteroidal anti-inflammatories (NSAIDs) include all oral OTC pain relievers except Tylenol. Common trade names: Cepacol. Uncircumcised penis: Is special care needed? 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). So, you don't need to avoid each of these herbs altogether, just be mindful of dishes that contain large amounts. Antitussive Effect of a Fixed Combination of Justicia Adhatoda, Echinacea Purpurea and Eleutherococcus Senticosus Extracts in Patients with Acute Upper Respiratory Tract Infection: A Comparative, Randomized, Double-Blind, Placebo-Controlled Study. Phytomedicine, vol. For assistance in the following languages: | | | Nederlands | Franais | Deutsche | | | | Italiano | | | | Pennsylvania Nederlands | Polskie | | Espaol | Pilipino | | Ting Vit. It has been used even for pain relief during pregnancy and colicky pain in fussy babies (without proved data on this). Because aspirin is often found in other medications, check the label of any over-the counter medicine you take. Cough & Cold Medications while Breastfeeding. (L1). Sage, parsley, peppermint, and menthol. 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. Use caution with this medication. However, scientific research and anecdotal evidence are inconclusive. The use of baby aspirin (81 mg per day) is unlikely to increase the risk of these problems. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. Look for the ingredients calcium carbonate or magnesium hydroxide. Accessed June 26, 2018. 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. Apr 2013;13(2):229-235. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Echinacea herbal supplement (L3). According to LactMed, a drug and lactation database, It is unlikely that regular doses of guaifenesin would cause harm to an infant. Reaffirmed 2014. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). Common trade names: Benadryl, Tylenol PM. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Menthol topical is also known as: ActivICE, ActivOn Arthritis, Aspercreme Max No Mess Roll-On, Aspercreme Pain Relieving Heat Gel, BENGAY Vanishing Scent, Bengay Pain Relief+Massage, Bengay Ultra Strength Pain Relieving Patch, Biofreeze, Blue Gel, Blue-Emu Maximum Strength Arthritis, Muscle & Joint Pain Relief, Deep Freeze Cold Gel, Flanax Cough Lozenges, Flexall, Gold Bond, Halls Mentho-Lyptus Drops, Halls Naturals, Happinose, Icy Hot Extra Strength, Luden's Honey Lemon Throat Drops, Luden's Honey Licorice Throat Drops, Mineral Ice, Nostroline, Robitussin Cough Drop, Strepsils Sore Throat and Blocked Nose, Vicks Cough Drops, The manufacturer makes no recommendation regarding use during pregnancy.AU TGA pregnancy category: ExemptUS FDA pregnancy category: Not assigned. (L3). 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.