Which cold medicines are safe to take while breastfeeding. How to manage cold symptoms without compromising your baby’s health. What are the best remedies for nursing mothers with a cold.

Understanding the Safety of Cold Medicines During Breastfeeding

When you’re a breastfeeding mother, catching a cold can be particularly challenging. The dilemma of whether to take medication or suffer through the symptoms is a common concern. Fortunately, many cold medicines are considered safe for nursing mothers, allowing you to find relief without compromising your baby’s health.

Can cold medicines affect your breast milk? Yes, some ingredients in medications can transfer to breast milk. However, most over-the-counter (OTC) drugs are safe and won’t negatively impact your baby. The primary concern is often the potential effect on milk supply rather than medication transfer.

The Importance of Continuing to Breastfeed While Sick

Is it safe to breastfeed while you’re ill? Absolutely. In fact, it’s highly recommended. Continuing to nurse when you’re under the weather offers several benefits:

• Your breast milk provides protective antibodies that can help your baby fight off the infection
• Maintaining your regular nursing schedule helps prevent a drop in milk supply
• By the time you notice symptoms, your baby has likely already been exposed, so there’s no need to stop breastfeeding

Safe Cold Medicines for Breastfeeding Mothers

The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) confirm that many OTC cold medicines are safe for breastfeeding mothers. Here’s a list of generally safe options:

Decongestants Safe for Nursing Mothers

Dextromethorphan is considered safe for breastfeeding moms and babies. Products containing this ingredient include:

• Robitussin
• Delsym
• Triaminic
• Vicks DayQuil Cough

These medications are unlikely to affect your milk supply and have no reported adverse effects on infants.

Safe Pain Relievers and Fever Reducers

When it comes to managing pain and fever while breastfeeding, certain medications are considered safe:

• Acetaminophen (Tylenol)
• Ibuprofen (Advil, Motrin)

These medications can help alleviate discomfort without posing significant risks to your nursing baby.

Cold Medicines to Avoid While Breastfeeding

While many cold medicines are safe, some should be avoided or used with caution when breastfeeding. Which cold medications should nursing mothers steer clear of?

• Pseudoephedrine: This decongestant may decrease milk supply in some women
• Aspirin: Regular use of aspirin is not recommended due to potential risks to the baby
• Combination cold medicines: These often contain multiple ingredients, some of which may not be safe for breastfeeding

Always consult with your healthcare provider before taking any medication while breastfeeding, especially if you have concerns about specific ingredients or potential side effects.

Natural Cold Remedies Safe for Breastfeeding Mothers

For those who prefer to avoid medications altogether, there are several natural remedies that can help alleviate cold symptoms while breastfeeding:

1. Saline nasal spray or neti pot for congestion relief
2. Warm compresses for sinus pressure
3. Honey for soothing sore throats (never give honey to babies under 1 year old)
4. Steam inhalation to clear nasal passages
5. Increased fluid intake, especially warm liquids like herbal teas or broths

These natural remedies can provide relief without introducing any medications into your system, ensuring complete safety for your nursing baby.

Managing Cold Symptoms While Maintaining Milk Supply

One of the primary concerns for breastfeeding mothers when taking cold medicine is the potential impact on milk supply. How can you manage your symptoms while ensuring your baby continues to receive adequate nutrition?

• Stay hydrated: Drink plenty of water, herbal teas, and clear broths
• Rest as much as possible: Consider co-sleeping to make nighttime feedings easier
• Continue to nurse or pump regularly: This maintains your supply and provides antibodies to your baby
• Use a humidifier: This can help ease congestion and make breathing easier for both you and your baby
• Try breast massage and warm compresses before feeding: This can help with milk flow if you’re feeling congested

By focusing on these strategies, you can help manage your symptoms while supporting your breastfeeding journey.

The Role of Antibodies in Breast Milk During Illness

When a nursing mother falls ill, her body produces antibodies specific to the infection she’s fighting. These antibodies are then passed on to the baby through breast milk. How does this process benefit your baby?

• Provides passive immunity: Your baby receives ready-made antibodies to fight off the specific illness
• Reduces the risk of infection: Even if your baby does get sick, the symptoms are often milder and shorter in duration
• Supports long-term health: The antibodies contribute to your baby’s developing immune system

This natural defense mechanism is one of the many reasons why continuing to breastfeed during illness is beneficial for both mother and baby.

Tips for Taking Cold Medicine While Breastfeeding

If you decide to take cold medicine while breastfeeding, there are several strategies you can employ to minimize any potential risks:

1. Time your doses: Try to take medication right after nursing or just before your baby’s longest sleep stretch
2. Choose single-ingredient products: This allows you to avoid unnecessary medications and makes it easier to track any potential side effects
3. Start with the lowest effective dose: You can always increase if needed, under your doctor’s guidance
4. Monitor your baby: Watch for any changes in feeding patterns, sleep, or behavior
5. Consider pumping and storing milk: If you’re concerned about a particular medication, you can pump and store milk before taking it, then use the stored milk for the next feeding

By following these tips, you can manage your symptoms effectively while minimizing any potential impact on your breastfeeding relationship.

When to Seek Medical Advice for Cold Symptoms

While most colds can be managed at home, there are times when it’s important to consult a healthcare professional. When should a breastfeeding mother seek medical attention for cold symptoms?

• Fever above 100.4°F (38°C) that lasts more than three days
• Difficulty breathing or chest pain
• Symptoms that persist for more than 10 days
• Severe sore throat or swollen glands
• Sinus pain or headache that doesn’t respond to over-the-counter pain relievers
• Any concerns about your baby’s health or feeding patterns

Remember, it’s always better to err on the side of caution when it comes to your health and your baby’s well-being. Don’t hesitate to reach out to your healthcare provider if you have any concerns.

The Importance of Professional Guidance

While this guide provides general information about cold medicines and breastfeeding, it’s crucial to remember that every situation is unique. Your healthcare provider can offer personalized advice based on your specific health history, the severity of your symptoms, and your baby’s needs.

They can also provide up-to-date information on any new research or guidelines regarding medication safety during breastfeeding. Always consult with a healthcare professional before starting any new medication regimen while nursing.

Balancing Self-Care and Baby Care During Illness

Caring for a baby while battling a cold can be physically and emotionally draining. How can breastfeeding mothers balance their own need for rest and recovery with the demands of caring for an infant?

• Accept help: Don’t hesitate to ask family members or friends for assistance with household tasks or baby care
• Prioritize rest: Sleep when your baby sleeps, even if it means letting some chores slide
• Practice skin-to-skin contact: This can be soothing for both you and your baby, and may help with milk production
• Stay nourished: Eat nutritious foods and stay hydrated to support your recovery and milk supply
• Use relaxation techniques: Deep breathing or gentle stretching can help manage stress and promote healing

Remember, taking care of yourself is an essential part of caring for your baby. By prioritizing your health and well-being, you’ll be better equipped to meet your baby’s needs.

The Emotional Aspect of Being Sick While Breastfeeding

It’s common for breastfeeding mothers to feel guilty or anxious about being sick and potentially exposing their baby to illness. However, it’s important to remember that continuing to breastfeed is actually beneficial for your baby. Your breast milk provides vital nutrients and antibodies that can help protect your little one.

If you’re feeling overwhelmed, don’t hesitate to reach out to a lactation consultant or join a breastfeeding support group. Sharing your concerns and experiences with others who understand can be incredibly reassuring and empowering.

Long-Term Considerations for Cold Medicine Use While Breastfeeding

While occasional use of cold medicines is generally considered safe for breastfeeding mothers, what about more frequent or long-term use? Are there any potential risks or considerations to keep in mind?

• Chronic medication use: If you find yourself needing cold medicine frequently, it’s important to discuss this with your healthcare provider. They can help identify any underlying issues and recommend safe, long-term solutions.
• Milk supply monitoring: Some decongestants may affect milk supply if used regularly. Keep an eye on your baby’s weight gain and diaper output if you’re using these medications frequently.
• Alternative treatments: For recurring cold symptoms, your doctor might suggest alternative treatments like allergy management or lifestyle changes that are safe for long-term use while breastfeeding.
• Regular health check-ups: Frequent illnesses might indicate a weakened immune system. Regular check-ups can help ensure you’re in optimal health for breastfeeding.

By staying informed and working closely with your healthcare provider, you can make the best decisions for your health and your baby’s well-being, even when dealing with recurrent cold symptoms.

The Importance of Preventive Measures

While it’s reassuring to know that many cold medicines are safe for breastfeeding mothers, prevention is always the best medicine. How can nursing mothers reduce their risk of catching a cold in the first place?

1. Practice good hand hygiene: Wash your hands frequently with soap and water
2. Boost your immune system: Eat a balanced diet rich in fruits and vegetables
3. Get adequate sleep: Aim for 7-9 hours per night, even if it means napping when your baby sleeps
4. Stay active: Regular, moderate exercise can help boost your immune system
5. Manage stress: High stress levels can weaken your immune system, so find healthy ways to relax
6. Consider vaccinations: Discuss with your doctor about getting flu shots or other relevant vaccinations

By incorporating these preventive measures into your daily routine, you can help reduce the likelihood of catching a cold and needing medication in the first place.

Emerging Research on Cold Medicines and Breastfeeding

The field of lactation medicine is constantly evolving, with new research shedding light on the safety and efficacy of various medications for breastfeeding mothers. What are some recent developments in this area?

• Improved understanding of drug transfer: Researchers are developing more sophisticated methods to measure medication levels in breast milk, providing more accurate safety data.
• Personalized medicine approaches: There’s growing interest in how individual factors like genetics and metabolism might affect medication safety during breastfeeding.
• Natural remedy research: Studies are exploring the effectiveness of various natural remedies for cold symptoms in breastfeeding mothers, offering potential alternatives to traditional medications.
• Long-term outcome studies: Researchers are conducting more long-term studies to understand any potential effects of medication exposure through breast milk on child development.

While these areas of research are promising, it’s important to remember that current guidelines are based on the best available evidence. Always consult with your healthcare provider for the most up-to-date recommendations.

The Role of Pharmacists in Breastfeeding Medicine

Pharmacists can be valuable resources for breastfeeding mothers seeking information about cold medicines. How can pharmacists assist nursing mothers in making informed decisions about medication use?

• Provide information on drug safety: Pharmacists can access databases with up-to-date information on medication safety during breastfeeding.
• Offer alternatives: They can suggest alternative medications or formulations that may be safer for breastfeeding mothers.
• Explain proper usage: Pharmacists can provide guidance on correct dosing and timing of medications to minimize transfer to breast milk.
• Address concerns: They can answer questions and alleviate concerns about potential side effects or interactions.

Don’t hesitate to utilize your pharmacist’s expertise when considering cold medicines while breastfeeding. They can provide valuable insights to complement your doctor’s advice.

Which Cold Medicines Are Safe for Breastfeeding?

Choosing to take cough syrup or a decongestant when you’re sick doesn’t usually qualify as a major decision. You’re feeling unwell, so you take immediate action—no second guessing required. But when you’re breastfeeding, taking any medication can feel like a big deal. Should you skip the pills and keep feeling miserable—or get some relief and give baby a side of Sudafed?

Turns out, the choice of whether to take cold medicine while breastfeeding doesn’t have to be fraught. While some drugs do come with possible side effects, most are considered safe. Read on to learn which cold meds are okay to take when you’re nursing, and which ones you should avoid—plus answers to all your burning questions about breastfeeding when you’re sick.

In this article:
Breastfeeding while sick
Cold medicines that are safe for breastfeeding
Cold medicines to avoid while breastfeeding
Tips for taking cold medicine while breastfeeding
Cold remedies that are safe for breastfeeding

Breastfeeding While Sick

Don’t worry, you aren’t putting baby at risk by nursing when you’re feeling unwell. “Not only is it safe to continue breastfeeding while you’re sick, it’s actually a really good idea to do so,” says [Chrisie Rosenthal], IBCLC, a Los Angeles-based lactation consultant.

It’s understandable that you might worry about possibly transmitting your germs to baby by continuing to nurse. After all, breastfeeding is all about close contact and the sharing of bodily fluids. Here’s the thing: By the time you notice your symptoms coming on, baby has already been exposed. And breastfeeding can actually help them stay healthy—or, at least, get better quicker—since your milk serves up protective antibodies designed to fight off an infection, according to the American Academy of Pediatrics (AAP).

Continuing to breastfeed through a cold or virus also helps ensure that your supply doesn’t take a dip. Remember, milk production is all about supply and demand, and stopping nursing for a day or two could send your body the signal to start making less since baby isn’t eating as much, notes La Leche League.

That’s not to say it’s going to be easy. Catering to the whims of another person’s hunger 24/7 is always a big job—and it’s even harder when you feel like garbage. Drinking plenty of clear fluids like water, tea or chicken broth can help. Being sick makes you prone to dehydration, and a steady stream of liquids can help you feel better and keep up your milk supply, which can drop when you don’t drink enough.

Finally, try to rest when you can. “Bring in support if possible so you can get that extra sleep,” Rosenthal says. Ask a family member or friend to come by for a few hours during the day so you can nap between feedings—or have your partner take over so you can get to bed early.

Cold Medicines That Are Safe For Breastfeeding

If you’re worriedly asking yourself: “What cold medicine can I take while breastfeeding?” rest assured that we’ve got good news. It turns out, you have more options than you probably think. While it’s always a good idea to discuss the risks and benefits of taking any medication with your doctor, ultimately, the majority of over-the-counter drugs are safe to take, according to the AAP and the Centers for Disease Control and Prevention (CDC).

Wondering if the ingredients in a medication can be transferred through your breast milk? The short answer is yes. But most won’t have a negative impact on your little one, notes the CDC. “Milk supply is actually a bigger concern than transfer of medication to baby,” says Rebekah Diamond, MD, an assistant professor of pediatrics at Columbia University Irving Medical Center in New York, and the author of Parent Like a Pediatrician. That’s because medications designed to dry up mucus, like some decongestants and cough medicines, can sometimes also have a drying effect throughout the rest of your body, she adds.

But even then, it’s not like taking a dose or two of a decongestant or cough suppressant is going to completely turn off your milk production. “I’ve never seen them have an immediate, dramatic effect,” says Rosenthal. “I’d be concerned if someone was using those medications for long periods. But with a one-time use, it’s not like your milk is going to be gone tomorrow. ” (And if it does taper down a bit, there are ways to bring it back up.)

So which cold meds get the green light? According to the National Drugs and Lactation Database (LactMed), these OTC options are generally considered safe for breastfeeding moms and their babies:

Safe decongestants for breastfeeding moms

• Dextromethorphan. This cold medicine is considered safe for breastfeeding moms and babies. Options like Robitussin, Delsym, Triaminic and Vicks DayQuil Cough are unlikely to affect your supply and have no reported infant side effects.
• Pseudoephedrine. Another cold medicine safe for breastfeeding moms and their little ones is pseudoephedrine, the active ingredient in Sudafed and Allegra D. It’s true that these medications can cause a dip in milk production, but they’re unlikely to cause a major supply problem—unless you use them long-term. They might make baby a little cranky though; one study found that 20 percent of babies whose mothers took pseudoephedrine became irritable.
• Oxymetazoline. Thinking of taking Afrin or Nasacort? No research has been conducted on oxymetazoline and breastfeeding, but it’s likely that only a tiny amount will be transferred to your infant, since it’s administered as a nasal spray. It’s recommended over pseudoephedrine because it’s less likely to affect your supply.
• Phenylephrine. Suphedrine or other medications with the active ingredient phenylephrine are unlikely to pose a risk to baby. But since there’s no research specific to breastfeeding, it might not be your first choice.
• Guaifenesin. If you have Mucinex, Robitussin, Tussin or Vicks DayQuil on hand, know that there’s no breastfeeding-specific research on the active ingredient Guaifenesin, but it’s unlikely to pose any harm to infants, especially those over 2 months. Again, this probably shouldn’t be your first choice, but it’s generally considered acceptable for occasional use.

Safe pain relievers for breastfeeding moms

• Ibuprofen. Advil or Motrin are the best options for symptoms like fever or a headache, since infants can tolerate higher doses, and much lower levels end up in breast milk.
• Acetaminophen. Tylenol is a good choice, since it’s unlikely to cause side effects in babies. (There’s a reason they give this to new moms in the hospital!)
• Naproxen sodium. Aleve is generally considered safe, but not as preferred as ibuprofen or acetaminophen, since it stays in your system (and baby’s) for longer.

Safe antihistamines for breastfeeding moms

• Loratadine. Options like Claritin or Alavert might make your supply dip a bit, but they’re unlikely to cause side effects in babies.
• Fexofenadine. Same story as loratadine: Allegra Allergy—or other options with the active ingredient fexofenadine—might affect your supply, but they won’t affect your little one.
• Diphenhydramine. Benadryl is safe for breastfed babies, and the occasional dose probably won’t affect your supply. But using it regularly might lead to decreased production. You and baby might feel drowsy too.

Cold Medicines to Avoid While Breastfeeding

A handful of cold medicines come with more risks than benefits for breastfeeding moms and babies. That’s not to say they’re 100 percent off limits: “There’s no such thing as ‘always safe’ and ‘never safe.’ It depends on the situation,” says Diamond. But if you’re considering taking one of these, it’s crucial to talk about the pros and cons with your doctor first:

• Codeine. The active ingredient in Tuzistra, Demi-Cof, Dex-Tuss and Tussirex can accumulate in an infant’s system when a breastfeeding mom takes a normal dose. This can potentially cause dangerous side effects like trouble breathing or a slow heart rate, notes the AAP.
• Hydrocodone. High levels of hydrocodone—found in Hysingla and Zohydro ER—is transferred to babies through breast milk, so the AAP recommends using these options with caution. Aspirin. Doses above 162 mg per day can cause high levels of aspirin to accumulate in baby’s system. (Lower doses may be safe.) Aspirin can also cause rashes or bleeding problems in babies, according to the AAP

Tips For Taking Cold Medicine While Breastfeeding

Do you need to pump and dump? When’s the best time to dose? If you opt to take an over-the-counter cold medicine while breastfeeding, keep these tips in mind:

• See if a nasal spray will help. If you’re mainly dealing with stuffiness, try a nasal spray like Afrin or Nasacon to see if that helps first, Rosenthal recommends. Less of the medication will transfer to your milk, compared to an oral product, which means your supply is less likely to be affected.
• Take the medication after nursing if you can, but don’t stress. Sure, dosing right after a breastfeeding session may mean that less of the medication is transferred to baby by the time they’re ready to nurse again. But that’s not necessarily the case, since some meds are metabolized slower than others. Bottom line? “Trying to figure out the timing is way too complicated and not necessary to worry about,” Diamond says.
• Don’t worry about pumping and dumping. The practice is totally outdated, says Rosenthal. Remember, if you’re taking a medication, you and your doctor should already have discussed whether it’s safe for you and baby.
• Add pumping sessions if you notice your supply dropping. Rosenthal recommends pumping for 10 minutes after nursing, if it seems like a medication is having a negative impact on your supply. But, if your milk supply seems fine, don’t worry about doing it preventively. “Oversupply is as big of an issue as undersupply, so don’t overstimulate if you don’t need it,” she says.
• Avoid combo meds. Medications that combat multiple symptoms (like cough suppressants that also help you sleep) contain multiple active ingredients, which makes it harder to keep track of what you’re taking.
• Avoid long-acting medications. They typically have higher doses, so they may be more likely to affect your supply. “You always want to take the dose that’s just enough to be effective to keep side effects lower,” says Rosenthal.
• Don’t feel guilty. There’s nothing wrong with taking an approved cold medicine while breastfeeding to get the relief you need. “It’s really, really okay to take care of yourself,” says Diamond.

Cold Remedies That Are Safe For Breastfeeding

Don’t want to take a cold medicine while breastfeeding—or want to see if you can curb symptoms before popping a pill? There are plenty of natural ways to manage your symptoms too. Whether you opt to take a cold medicine or not, these home remedies recommended by the Mayo Clinic can help you find relief:

• Drink plenty of liquids. Water, tea or broth will help you stay hydrated and work to break up mucus. Steer clear of coffee and alcohol, which will only dry you out more.
• Take it easy. Even if you can’t take the two-hour nap you’re dreaming about, you don’t have to run errands or take baby to music class. Try to just chill. (Easier said than done, we know!)
• Gargle salt water. Dissolve 1/4 to 1/2 teaspoon of salt in warm water and swish it around your throat. It can help with scratchiness.
• Sip hot tea with honey. The combo is another satisfying throat soother.
• Run a humidifier. It adds moisture into the air, which can help relieve congestion.

Taking a safe cold medicine while breastfeeding can give you relief and help you function better—so that you can take care of baby. Talk to your doctor if you have any concerns about your supply or baby’s exposure to certain active ingredients.

About the experts:

Rebekah Diamond, MD, is an assistant professor of pediatrics at Columbia University Irving Medical Center in New York, and author of Parent Like a Pediatrician. She earned her medical degree from the Mount Sinai School of Medicine in New York.

Chrisie Rosenthal, IBCLC, is a Los Angeles-based lactation consultant and manager at The Lactation Network.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Plus, from The Bump:

Is CBD Safe for Breastfeeding Moms? What You Need to Know

Are There Foods to Avoid While Breastfeeding?

What to Expect at Each Stage of Breastfeeding

Which Cold Medicines Are Safe for Breastfeeding?

Choosing to take cough syrup or a decongestant when you’re sick doesn’t usually qualify as a major decision. You’re feeling unwell, so you take immediate action—no second guessing required. But when you’re breastfeeding, taking any medication can feel like a big deal. Should you skip the pills and keep feeling miserable—or get some relief and give baby a side of Sudafed?

Turns out, the choice of whether to take cold medicine while breastfeeding doesn’t have to be fraught. While some drugs do come with possible side effects, most are considered safe. Read on to learn which cold meds are okay to take when you’re nursing, and which ones you should avoid—plus answers to all your burning questions about breastfeeding when you’re sick.

In this article:
Breastfeeding while sick
Cold medicines that are safe for breastfeeding
Cold medicines to avoid while breastfeeding
Tips for taking cold medicine while breastfeeding
Cold remedies that are safe for breastfeeding

Breastfeeding While Sick

Don’t worry, you aren’t putting baby at risk by nursing when you’re feeling unwell. “Not only is it safe to continue breastfeeding while you’re sick, it’s actually a really good idea to do so,” says [Chrisie Rosenthal], IBCLC, a Los Angeles-based lactation consultant.

It’s understandable that you might worry about possibly transmitting your germs to baby by continuing to nurse. After all, breastfeeding is all about close contact and the sharing of bodily fluids. Here’s the thing: By the time you notice your symptoms coming on, baby has already been exposed. And breastfeeding can actually help them stay healthy—or, at least, get better quicker—since your milk serves up protective antibodies designed to fight off an infection, according to the American Academy of Pediatrics (AAP).

Continuing to breastfeed through a cold or virus also helps ensure that your supply doesn’t take a dip. Remember, milk production is all about supply and demand, and stopping nursing for a day or two could send your body the signal to start making less since baby isn’t eating as much, notes La Leche League.

That’s not to say it’s going to be easy. Catering to the whims of another person’s hunger 24/7 is always a big job—and it’s even harder when you feel like garbage. Drinking plenty of clear fluids like water, tea or chicken broth can help. Being sick makes you prone to dehydration, and a steady stream of liquids can help you feel better and keep up your milk supply, which can drop when you don’t drink enough.

Finally, try to rest when you can. “Bring in support if possible so you can get that extra sleep,” Rosenthal says. Ask a family member or friend to come by for a few hours during the day so you can nap between feedings—or have your partner take over so you can get to bed early.

Cold Medicines That Are Safe For Breastfeeding

If you’re worriedly asking yourself: “What cold medicine can I take while breastfeeding?” rest assured that we’ve got good news. It turns out, you have more options than you probably think. While it’s always a good idea to discuss the risks and benefits of taking any medication with your doctor, ultimately, the majority of over-the-counter drugs are safe to take, according to the AAP and the Centers for Disease Control and Prevention (CDC).

Wondering if the ingredients in a medication can be transferred through your breast milk? The short answer is yes. But most won’t have a negative impact on your little one, notes the CDC. “Milk supply is actually a bigger concern than transfer of medication to baby,” says Rebekah Diamond, MD, an assistant professor of pediatrics at Columbia University Irving Medical Center in New York, and the author of Parent Like a Pediatrician. That’s because medications designed to dry up mucus, like some decongestants and cough medicines, can sometimes also have a drying effect throughout the rest of your body, she adds.

But even then, it’s not like taking a dose or two of a decongestant or cough suppressant is going to completely turn off your milk production. “I’ve never seen them have an immediate, dramatic effect,” says Rosenthal. “I’d be concerned if someone was using those medications for long periods. But with a one-time use, it’s not like your milk is going to be gone tomorrow. ” (And if it does taper down a bit, there are ways to bring it back up.)

So which cold meds get the green light? According to the National Drugs and Lactation Database (LactMed), these OTC options are generally considered safe for breastfeeding moms and their babies:

Safe decongestants for breastfeeding moms

• Dextromethorphan. This cold medicine is considered safe for breastfeeding moms and babies. Options like Robitussin, Delsym, Triaminic and Vicks DayQuil Cough are unlikely to affect your supply and have no reported infant side effects.
• Pseudoephedrine. Another cold medicine safe for breastfeeding moms and their little ones is pseudoephedrine, the active ingredient in Sudafed and Allegra D. It’s true that these medications can cause a dip in milk production, but they’re unlikely to cause a major supply problem—unless you use them long-term. They might make baby a little cranky though; one study found that 20 percent of babies whose mothers took pseudoephedrine became irritable.
• Oxymetazoline. Thinking of taking Afrin or Nasacort? No research has been conducted on oxymetazoline and breastfeeding, but it’s likely that only a tiny amount will be transferred to your infant, since it’s administered as a nasal spray. It’s recommended over pseudoephedrine because it’s less likely to affect your supply.
• Phenylephrine. Suphedrine or other medications with the active ingredient phenylephrine are unlikely to pose a risk to baby. But since there’s no research specific to breastfeeding, it might not be your first choice.
• Guaifenesin. If you have Mucinex, Robitussin, Tussin or Vicks DayQuil on hand, know that there’s no breastfeeding-specific research on the active ingredient Guaifenesin, but it’s unlikely to pose any harm to infants, especially those over 2 months. Again, this probably shouldn’t be your first choice, but it’s generally considered acceptable for occasional use.

Safe pain relievers for breastfeeding moms

• Ibuprofen. Advil or Motrin are the best options for symptoms like fever or a headache, since infants can tolerate higher doses, and much lower levels end up in breast milk.
• Acetaminophen. Tylenol is a good choice, since it’s unlikely to cause side effects in babies. (There’s a reason they give this to new moms in the hospital!)
• Naproxen sodium. Aleve is generally considered safe, but not as preferred as ibuprofen or acetaminophen, since it stays in your system (and baby’s) for longer.

Safe antihistamines for breastfeeding moms

• Loratadine. Options like Claritin or Alavert might make your supply dip a bit, but they’re unlikely to cause side effects in babies.
• Fexofenadine. Same story as loratadine: Allegra Allergy—or other options with the active ingredient fexofenadine—might affect your supply, but they won’t affect your little one.
• Diphenhydramine. Benadryl is safe for breastfed babies, and the occasional dose probably won’t affect your supply. But using it regularly might lead to decreased production. You and baby might feel drowsy too.

Cold Medicines to Avoid While Breastfeeding

A handful of cold medicines come with more risks than benefits for breastfeeding moms and babies. That’s not to say they’re 100 percent off limits: “There’s no such thing as ‘always safe’ and ‘never safe.’ It depends on the situation,” says Diamond. But if you’re considering taking one of these, it’s crucial to talk about the pros and cons with your doctor first:

• Codeine. The active ingredient in Tuzistra, Demi-Cof, Dex-Tuss and Tussirex can accumulate in an infant’s system when a breastfeeding mom takes a normal dose. This can potentially cause dangerous side effects like trouble breathing or a slow heart rate, notes the AAP.
• Hydrocodone. High levels of hydrocodone—found in Hysingla and Zohydro ER—is transferred to babies through breast milk, so the AAP recommends using these options with caution. Aspirin. Doses above 162 mg per day can cause high levels of aspirin to accumulate in baby’s system. (Lower doses may be safe.) Aspirin can also cause rashes or bleeding problems in babies, according to the AAP

Tips For Taking Cold Medicine While Breastfeeding

Do you need to pump and dump? When’s the best time to dose? If you opt to take an over-the-counter cold medicine while breastfeeding, keep these tips in mind:

• See if a nasal spray will help. If you’re mainly dealing with stuffiness, try a nasal spray like Afrin or Nasacon to see if that helps first, Rosenthal recommends. Less of the medication will transfer to your milk, compared to an oral product, which means your supply is less likely to be affected.
• Take the medication after nursing if you can, but don’t stress. Sure, dosing right after a breastfeeding session may mean that less of the medication is transferred to baby by the time they’re ready to nurse again. But that’s not necessarily the case, since some meds are metabolized slower than others. Bottom line? “Trying to figure out the timing is way too complicated and not necessary to worry about,” Diamond says.
• Don’t worry about pumping and dumping. The practice is totally outdated, says Rosenthal. Remember, if you’re taking a medication, you and your doctor should already have discussed whether it’s safe for you and baby.
• Add pumping sessions if you notice your supply dropping. Rosenthal recommends pumping for 10 minutes after nursing, if it seems like a medication is having a negative impact on your supply. But, if your milk supply seems fine, don’t worry about doing it preventively. “Oversupply is as big of an issue as undersupply, so don’t overstimulate if you don’t need it,” she says.
• Avoid combo meds. Medications that combat multiple symptoms (like cough suppressants that also help you sleep) contain multiple active ingredients, which makes it harder to keep track of what you’re taking.
• Avoid long-acting medications. They typically have higher doses, so they may be more likely to affect your supply. “You always want to take the dose that’s just enough to be effective to keep side effects lower,” says Rosenthal.
• Don’t feel guilty. There’s nothing wrong with taking an approved cold medicine while breastfeeding to get the relief you need. “It’s really, really okay to take care of yourself,” says Diamond.

Cold Remedies That Are Safe For Breastfeeding

Don’t want to take a cold medicine while breastfeeding—or want to see if you can curb symptoms before popping a pill? There are plenty of natural ways to manage your symptoms too. Whether you opt to take a cold medicine or not, these home remedies recommended by the Mayo Clinic can help you find relief:

• Drink plenty of liquids. Water, tea or broth will help you stay hydrated and work to break up mucus. Steer clear of coffee and alcohol, which will only dry you out more.
• Take it easy. Even if you can’t take the two-hour nap you’re dreaming about, you don’t have to run errands or take baby to music class. Try to just chill. (Easier said than done, we know!)
• Gargle salt water. Dissolve 1/4 to 1/2 teaspoon of salt in warm water and swish it around your throat. It can help with scratchiness.
• Sip hot tea with honey. The combo is another satisfying throat soother.
• Run a humidifier. It adds moisture into the air, which can help relieve congestion.

Taking a safe cold medicine while breastfeeding can give you relief and help you function better—so that you can take care of baby. Talk to your doctor if you have any concerns about your supply or baby’s exposure to certain active ingredients.

About the experts:

Rebekah Diamond, MD, is an assistant professor of pediatrics at Columbia University Irving Medical Center in New York, and author of Parent Like a Pediatrician. She earned her medical degree from the Mount Sinai School of Medicine in New York.

Chrisie Rosenthal, IBCLC, is a Los Angeles-based lactation consultant and manager at The Lactation Network.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Plus, from The Bump:

Is CBD Safe for Breastfeeding Moms? What You Need to Know

Are There Foods to Avoid While Breastfeeding?

What to Expect at Each Stage of Breastfeeding

Cold medicine for nursing mothers: choosing the right remedy

Published: October 20, 2018

The common cold is a common phenomenon familiar to everyone. Many people experience acute respiratory infections, most often in winter and off-season. But a viral infection in a nursing mother is a special case. Anxiety for the baby joins the poor health. To recover faster, you need to see a doctor as soon as the first symptoms appear:

• runny nose,
• sore throat,
• elevated body temperature,
• weaknesses,
• chills, etc.

Some people think that a cold is a trifle that will go away on its own in time. This position is unacceptable, especially for a nursing mother. During lactation, a woman should take care not only of herself, but also of the health of the child. If you do not start to fight the infection correctly in time, you can easily infect the baby. Then one problem, and even what, will become more. It must also be remembered that many drugs should not be taken while breastfeeding. Medicines that have entered the body of the crumbs along with milk can lead to intestinal colic or allergic reactions. Therefore, when choosing medicines for colds, nursing mothers should consult with a specialist.

Article content

Breastfeeding: stop or not?

This question worries everyone without exception. Doctors say: a mother with a cold should not transfer her baby to artificial feeding. From the first days of illness, the female body begins to produce antibodies. Babies get them with their mother’s milk. This is the main factor in protecting the child from infection. In addition, the cessation of lactation often leads to blockage of the duct of the mammary gland. And lactostasis causes additional discomfort to the exhausted mother.

To protect your baby from infection, you must follow a few simple rules:

• wear a protective bandage,
• change mask every two hours,
• wash hands thoroughly with soap,
• carry out wet cleaning,
• regularly ventilate the room,
• walk with the child in the fresh air.

If the mother’s health worsens, you can ask for help from relatives and friends. Grandparents will be happy to sit and take a walk with the baby.

What can help you cope with a cold?

Breastfeeding mothers are wary of medicines. Many women prefer to be treated with folk remedies on the advice of the adult generation and acquaintances. Warming, inhalation, rinsing, decoctions and infusions seem to be more harmless than drugs from a pharmacy. To relieve symptoms a little, you can:

• drink berry fruit drinks, kissels, hot milk with honey,
• gargle with soda-saline solution,
• conduct steam inhalation,
• warm the sinuses with warm eggs.

Turning to folk remedies is a concomitant, but not the main treatment. These methods are not suitable for combating the cause of the disease, but only reduce the symptoms for a while. Cold medicine for nursing mothers can only be prescribed by an experienced specialist. Doctors often recommend Derinat. This drug of complex action solves several problems at once:

• fights viruses, bacteria and fungi,
• restores the mucous membranes of the throat and nose,
• improves the functioning of the immune system,
• reduces the risk of developing complications after a cold.

Derinat spray can be used to treat sore throat while breastfeeding. Taking the drug must be agreed with the attending physician. Be healthy and don’t get sick!

Derinat Products

• Drops
• Spray
• Bottle

Useful articles:

“Medicines for lactating” – articles on the site Vapteke.ru

Through breast milk, the child receives a large amount of vitamins and microelements necessary for his growth, physical and mental development. Breastfeeding helps to build the baby’s immunity, protecting his body from infection. But what if mom gets sick? Is it acceptable to take medication in this case? What medicines can be taken by a nursing mother so as not to harm the health of the child?

Antivirals

Authorized antivirals for breastfeeding women:

• Viferon
• Grippferon
• Inosine pranobex
• Lamivudine
• Laferobion

Homeopathic antivirals:

• Anaferon
• Aflubin
• Oscillococcinum
• Engystol

Antihistamines

Allergy can be manifested by a runny nose, redness of the eyes, watery eyes. What medicines for allergies can a nursing mother? In such cases, the doctor may prescribe the following antihistamines for nursing:

1. Piperazine derivatives that have a minimal sedative effect:

• Allertec
• Letizen
• Cetirizine
• Cetrin

2. Drugs that practically do not pass into breast milk:

• Claritin
• Clarotadine
• Loratadine
• Loridin

3. Preparations based on fexofenadine:

• Allerfex
• Dinox
• Telfast
• Feksadin
• Fexofast

4. Levocytirizine products:

• Glenset
• Zenaro
• Ksizal
• Elzet

Medicines for poisoning

What medicines can a nursing mother take in case of poisoning? Treatment tactics will be as follows:

1. Sorbent intake:

• Activated or white carbon
• Smecta
• Enterosgel
• Polysorb

2. Replenish fluid and minerals with Regidron.

Yoghurt

Thrush

Thrush is a frequent companion of women during hormonal changes. Medicines for thrush for nursing mothers:

1. Tablets:

• Fluconazole
• Miconazole
• Diflucan

2. Candles:

• Hexicon
• Gino-Pevaril
• Neopenotran
• Pimafucin
• Terzhinan

Pain medications

Nursing pain medication:

1. Paracetamol:

• Acetaminophen
• Panadol
• Efferalgan

2. Ibuprofen:

• Nurofen
• Ibuprom
• Ibufen

3. Ketanov:

• Ketarolac
• Ketalgin

4. Diclofenac:

• Voltaren
• Ortofen
• Diclak

Preparations for the common cold

Runny nose is the main symptom of SARS, the first sign of a cold. In this case, the following medicines can be used for a nursing woman:

Aqualor

2. Oil-based drops soften and moisturize irritated mucous membranes:

• Pinosol
• Eucacept
• Olive, eucalyptus, peach, pine oil

3. Vasoconstrictor drops relieve swelling, make breathing easier. They must be used immediately after feeding. Breastfeeding women are allowed to use:

• Indanazoline
• Sanorin
• Naphazoline

4. Runny nose caused by allergies can be treated with the following remedies:

• Sanorin-Analergin
• Rinatek
• Nazawal

5. Homeopathic remedies:

• Rinaldix
• EDAS-131
• Euphorbium

6. Topical antibiotics should only be used when prescribed by a doctor if other remedies fail:

• Isofra
• Bioparox

Cough medicines

What cough medicines do doctors prescribe for nursing mothers? In such cases, predominantly safe drugs are prescribed that are allowed for children:

• Ambroxol in the form of syrup or tablets
• ACC during lactation is acceptable for admission, you only need to buy tablets without flavors and dyes
• Gedelix
• Doctor Mom
• Coldrex Broncho (syrup) does not contain harmful additives and dyes
• Licorice root
• Lazolvan (tablets, syrup) promotes sputum discharge from the respiratory tract
• Mukaltin – tablets on a natural basis, which effectively dilute sputum
• Prospan syrup

Elevated body temperature

If a nursing mother has an elevated temperature, it is allowed to take paracetamol and ibuprofen preparations according to the instructions. It is best to drink regular paracetamol and ibuprofen in the form of tablets, since all kinds of syrups contain dyes and flavors that can cause allergies in the baby.

Medicines for sore throats for nursing

The following medicines can be used for sore throats:

1. Sprays and aerosols:

• Ingalipt
• Miramistin
• Geksoral
• Yoks

2. Lozenges:

• Laripront
• Lizobakt
• Sebidin
• Septefril
• Faringosept

3. Rinses:

• Chamomile
• Furacilin – tablets for dissolution in water
• Chlorhexidine

If your sore throat is a symptom of a sore throat, your doctor will prescribe an antibiotic. The advisability of suspending breastfeeding for the period of antibiotic treatment should be consulted with a specialist. During lactation prescribed:

1. Macrolides:

• Azithromycin
• Sumamed
• Roxithromycin

2. Penicillins:

• Amoxicillin
• Ampiox
• Oxacillin

3. Cephalosporins:

• Cefazolin
• Cefalexin

Cystitis

Treatment of cystitis always involves taking antibiotics:

• Amoxiclav
• Augumentin
• Zinnat
• Monural
• Erythromycin

Herbal medicines:

• Kanefron
• Phytolysin

Hemorrhoids

What medications for hemorrhoids can a nursing mother take? Treatment of hemorrhoids should be comprehensive. The following drugs are allowed during lactation:

1. Laxatives:

• Dufalac
• Mucofalk
• Forlax

2. Phlebotropic drugs:

• Venoruton
• Venza
• Detralex

3. Candles:

• Anuzol
• Posterized
• Natalsid

4.