Pseudoephedrine to stop breastfeeding

The common cold will usually run its course within 7 to 14 days. There are many natural remedies and over the counter products that are compatible with breastfeeding.

Many of the active ingredients in cold and allergy medications are listed below. Decongestant nasal sprays are generally for short-term use days only; consult your health care provider and the package instructions for specific information. Of the preparations available for treatment of allergic symptoms, corticosteroid nasal sprays e.

The plasma levels of these drugs are extremely low, and thus milk levels would be even lower. Anosmia after intranasal zinc gluconate use. Am J Rhinol. Zicam contains small amounts of zinc Zincum Gluconicum — micrograms per squirt; in one study Mossad the daily dosage used was 2. Both pseudoephedrine and phenylephrine are generally considered to be safe for the breastfed baby, but pseudoephedrine may reduce milk supply.

Hale is referring to this study: Aljazaf K, et. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk. Br J Clin Pharmacol. Be very cautious about taking pseudoephedrine on a regular basis, as it has the potential to permanently decrease your milk supply. Monitor your infant for possible drowsiness if you use this type of antihistamine. The non-sedating antihistamines below are generally preferred and are less likely to sedate baby.

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The ingredients of Claritin, Claritin-D, Clarinex, Allegra, Allegra-D, and Zyrtec are generally regarded to be compatible with breastfeeding again — always double-check the active ingredients.

Loratadine Claritin has been studied and the amount of loratadine that passes into breastmilk is extremely low. Claritin-D and Allegra-D have the decongestant pseudoephedrine added see above about possible effect on milk supply. Hale has said that he prefers the non-sedating antihistamines even though they are long-acting over the sedating allergy medications. Milk supply: A common concern is that the sedating antihistamines might lower milk supply but, per Dr.

Thomas Hale, there is no current research supporting this belief — only some anecdotal reports. If you feel that your supply has decreased, it could simply be a byproduct of decreased nursing frequency or dehydration due to your illness. If you feel that a medication is the cause of a sudden drop in milk supply, then stop taking or decrease your use of the medication — if the med is indeed the cause, then supply should increase again soon after you stop taking it.

When using an antihistamine, it can be helpful to step up your fluid intake quite a bit. As with any medication, take it only as needed, and discontinue use as soon as you can. What is Normal? Can I Breastfeed if…? Image credit: Jerry Bunker on flickr. Facebook Pinterest Twitter.A phenethylamine and a diastereomer of ephedrine with sympathomimetic property.

Pseudoephedrine displaces norepinephrine from storage vesicles in presynaptic neurones, thereby releasing norepinephrine into the neuronal synapses where it stimulates primarily alpha-adrenergic receptors. It also has weak direct agonist activity at alpha- and beta- adrenergic receptors.

Receptor stimulation results in vasoconstriction and decreases nasal and sinus congestion.

pseudoephedrine to stop breastfeeding

Although the small amounts of pseudoephedrine in breastmilk are unlikely to harm the nursing infant, it may cause irritability occasionally. A single dose of pseudoephedrine decreases milk production acutely and repeated use seems to interfere with lactation.

Mothers with newborns whose lactation is not yet well established or in mothers who are having difficulties producing sufficient milk should not receive pseudoephedrine. A treatment scheme has been reported for mothers with hypergalactia that uses pseudoephedrine to decrease milk supply. Maternal Levels. A fully breast-fed infant would receive a dose of 4.

No change in blood flow to the breast was detected that could explain the decreased milk production; there was a Oxytocin levels were not measured. Eglash A. Treatment of maternal hypergalactia.

Breastfeed Med. PMID: Pseudoephedrine and triprolidine in plasma and breast milk of nursing mothers. Br J Clin Pharmacol.

Aljazaf K, Hale TW et al. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk. Ito S, Blajchman A et al. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Am J Obstet Gynecol. Drug-induced adverse reactions via breastfeeding: a descriptive study in the French Pharmacovigilance Database.

Eur J Clin Pharmacol. Disclaimer :Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U. MolView — data visualization platform. This website uses cookies. By continuing to browse the site, you are agreeing to our use of cookies Agree.Back to Medicines A to Z. Nasal congestion is caused when blood vessels in the cavities in your nose sinuses become swollen.

You can buy pseudoephedrine from pharmacies and supermarkets. It comes as tablets and a liquid that you swallow. Pseudoephedrine also comes mixed with other medicines to treat the symptoms of coughs, colds and allergies.

You can sometimes give pseudoephedrine to children over 6 years with a stuffy nose, depending on their age and symptoms. Ask a pharmacist for advice. Do not give pseudoephedrine to children under 6 years. This includes cough and cold medicines containing pseudoephedrine. Always check the label.

Pseudoephedrine (including Sudafed)

Pseudoephedrine is not suitable for some people. Tell a pharmacist or doctor if you have:. The instructions will be different depending on the type of treatment you buy and the other medicines it's mixed with.

If you have bought pseudoephedrine or any medicine containing pseudoephedrine from a pharmacy or supermarket, follow the instructions that come with the packet or ask a pharmacist for advice. Adults and children aged 12 to 17 years: take one 60mg tablet or two 5ml spoon 10ml of liquid up to 4 times a day.

Children aged 6 to 11 years: take half a tablet 30mg or one 5ml spoon of liquid up to 4 times a day. You can take pseudoephedrine tablets and liquid with or without food. Always take the tablets with a glass of water. Liquid medicines containing pseudoephedrine come with a plastic syringe or spoon to help you measure out the right dose.

If you do not have a syringe or spoon, ask a pharmacist for one. Do not use a kitchen teaspoon as you will not get the right amount. It can make you restless or your heartbeat fast, and make you feel sick or vomit. You may also have difficulty peeing. Get someone else to drive you or call for an ambulance. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to pseudoephedrine.

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Pseudoephedrine is not recommended in pregnancy because it can reduce the blood flow in the placenta and to the baby. Pseudoephedrine can reduce the amount of milk you make, especially if you have not been breastfeeding for long. If you're taking pseudoephedrine mixed with other medicines, you must check with a pharmacist or doctor whether it's safe to breastfeed. Some medicines and pseudoephedrine interfere with each other and increase the chances of you having side effects.

Before taking any other medicines, check the label to see if they contain aspirin, paracetamol or ibuprofen. There's very little information about taking herbal remedies and supplements with pseudoephedrine.

Tell a doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements. This helps mucus and air flow more freely in the cavities in your nose sinuseshelping you to breathe more easily.

pseudoephedrine to stop breastfeeding

Pseudoephedrine starts to work in 15 to 30 minutes, but you should feel a lot better after 30 to 60 minutes. Pseudoephedrine can be taken for a few days, usually up to 5 to 7 days, for the short-term relief of a stuffy or blocked nose. Pseudoephedrine works by narrowing the blood vessels in your nose, but it also narrows the blood vessels in other parts of your body.At Healthfully, we strive to deliver objective content that is accurate and up-to-date.

Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.

The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. Sudafed, a brand name of pseudoephedrine hydrochloride, is an over-the-counter medication used to remedy sinus or nasal congestion.

Women who are breastfeeding should always consult a health-care professional before using any medication. As with any medication, Sudafed has the potential to affect the breast milk and the breastfeeding baby 2.

Results from a study published in the "British Journal of Clinical Pharmacology" indicate that a single dose of pseudoephedrine significantly reduces milk production. When breastfeeding has been well established, a single dose of Sudafed may not terminally affect the milk supply 2.

A professional lactation consultant can assist a mother in rebuilding a healthy milk supply if the drug seems to stop milk production. Pumping with a breast pump after each feeding, nursing the baby frequently and even the use of some breast milk teas or herbs can give the milk supply a boost following Sudafed use.

Using Sudafed can directly impact the infant. There is a risk that the infant will experience the same effects as the mother. When Sudafed is taken, the mother experiences a decreased sense of congestion due to the reduced inflammation of the nasal passages and sinus cavities.

How this impacts the infant is not exactly known, but the potential for similar, unnecessary, reactions exists. Despite the potential for this to occur, Sudafed is described as generally safe when used infrequently. There is a risk that the infant will be hungry after feeding sessions due to the reduced milk supply.

This can cause fussiness, sleep disruption and even weight loss or failure to gain weight with continued Sudafed use. Sudafed can be used in a manner other than how it is intended, called off-label use, to diminish milk supply. The necessity of drug use to stop lactation is rare, but under health-care provider supervision, Sudafed may be useful in this situation.

Sarah Harding has written stacks of research articles dating back to She has consulted in various settings and taught courses focused on psychology. Her work has been published by ParentDish, Atkins and other clients. Harding holds a Master of Science in psychology from Capella University and is completing several certificates through the Childbirth and Postpartum Professional Association.

Monitor the health of your community here.Click to see full answer Also, what ingredient in Sudafed dries up breast milk? The drug has been detected in the milk of three nursing mothers at 3, 3 and18 months of lactation after ingestion of a single dose of a combined pseudoephedrine HCl 60 mg and triprolidine HCl 2.

Also Know, what drug can dry up breast milk? The simplest and safest way to suppress lactation is to let milk production stop on its own. Suppression of lactation with estrogen or the drug bromocriptine Parlodel is no longer recommended due to possible side effects.

Sudafed does pass into breast milk. According to the American Academy of Pediatrics, it's still likely safe to take Sudafed while breastfeedingthough. The risks to a child who is breastfed are thought to be low. Also, Sudafed may reduce the amount of milk your body makes.

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Generally, the longer you have been nursing, the longer it will take to dry up your milk. Reduce breastfeeding gradually to prevent getting blocked ducts or mastitis. Cutting down gradually is gentler on baby, and mum has time to adjust to hormonal changes too. In the few situations where you might need to stop breastfeeding abruptly, you may decide to use a pump or hand express.

Cold and Allergy Remedies Compatible with Breastfeeding

Diet Peppermint and sage are the most commonly associated with a decrease in breast milk. Other herbs to avoid in large doses include parsley, oregano, jasmine, and yarrow. Instead, try using some herbs that may help increase your supply such as fennel, alfalfa, garlic, and ginger. Some strategies that may reduce discomfort include: Applying cabbage leaves to the breast.

Applying warm compresses to the breasts before feeding, or taking a hot bath.

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Applying cold compresses such as bags of frozen peas after feeding. After pumping, use ice packsgel packs or a package of frozen peas on each breast for 5—15 minutes at a time.Medically reviewed by Drugs. Last updated on May 22, Although the small amounts of pseudoephedrine in breastmilk are unlikely to harm the nursing infant, it may cause irritability occasionally. A single dose of pseudoephedrine decreases milk production acutely and repeated use seems to interfere with lactation.

Mothers with newborns whose lactation is not yet well established or in mothers who are having difficulties producing sufficient milk should not receive pseudoephedrine. A treatment scheme has been reported for mothers with hypergalactia that uses pseudoephedrine to decrease milk supply.

Maternal Levels. A fully breast-fed infant would receive a dose of 4. All adverse reactions in breastfed infants reported in France between January and June were compiled by a French pharmacovigilance center.

Of reports, pseudoephedrine was reported to cause adverse reactions in 4 infants, primarily agitation. No change in blood flow to the breast was detected that could explain the decreased milk production; there was a Oxytocin levels were not measured. Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation.

The U. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. More drug approvals. Skip to Content. Overview Side Effects Dosage Professional Tips Interactions More Pseudoephedrine Levels and Effects while Breastfeeding Summary of Use during Lactation Although the small amounts of pseudoephedrine in breastmilk are unlikely to harm the nursing infant, it may cause irritability occasionally. Drug Levels Maternal Levels.

Relevant published information was not found as of the revision date. Alternate Drugs to Consider Oxymetazoline.

pseudoephedrine to stop breastfeeding

References 1. Breastfeed Med. Pseudoephedrine and triprolidine in plasma and breast milk of nursing mothers. Br J Clin Pharmacol. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk.

Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Am J Obstet Gynecol.Whether to breastfeed or not is a very personal decision.

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If you're a mom-to-be or have just given birth and won't be breastfeedingor if you've been breastfeeding and have decided to stop, you'll have one challenge to deal with: Before your body realizes it no longer needs to produce milk and stops lactating, it's quite likely your breasts will become engorged.

Breast engorgement isn't pleasant. The breasts can become rock hard and very tender to the touch. Usually, these symptoms disappear after a few days without any treatment. If you're in a hurry to get back to normal, there are medications that can dry up breast milk. One of them, bromocriptine sold under the brand names Cycloset and Parlodelcaused a range of side effects ranging from dizziness and nausea to hair loss and heart attack.

Some women even died after taking bromocriptine. Even though the research was published some time ago, using Sudafed when weaning is a popular topic among moms. However, the U. While you do not need a prescription to purchase Sudafed, check with your obstetrician or midwife first to ensure it is appropriate for you. You must ask your pharmacist for Sudafed; it is not sold over the counter, even though it is a nonprescription medication.

Be sure to consult an alternative medicine specialist before you take a supplement or herb. Get diet and wellness tips delivered to your inbox. US National Library of Medicine. Updated April 15, A retrospective drug use evaluation of cabergoline for lactation inhibition at a tertiary care teaching hospital in Qatar. Ther Clin Risk Manag. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk.

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Br J Clin Pharmacol. US Food and Drug Administration. Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. Updated November 24, Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Article Sources. Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

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