Can you take doxylamine succinate while breastfeeding




















Histamine H1 receptor participation in the control of prolactin secretion in postpartum. J Endocrinol Invest. PMID: 3. The effect of histamine and H1 and H2 receptors on prolactin and luteinizing hormone release in humans: sex differences and the role of stress. J Clin Endocrinol Metab. PMID: So, the overall effects on your child would likely be small.

However, you should check with your doctor before using any medication that contains phenylephrine. Decongestants such as phenylephrine may also decrease how much breast milk your body makes.

You should watch your milk supply and drink extra fluids as needed to help boost your milk production. The active ingredients in Nyquil are generally safe.

However, the liquid forms of Nyquil also contain alcohol as an inactive ingredient. This is because alcohol can pass through breast milk. When a drug passes into your breast milk, it can cause side effects in your child when you feed them. Your child can experience too much weight gain, changes in sleep patterns, and hormone problems from alcohol that passes through your breast milk.

If you have cold or flu symptoms while breastfeeding, ask your doctor these questions:. Have questions about pseudoephedrine and phenylephrine? We'll tell you how these decongestants are alike and different. Experts say there a number of ways to reduce children's screen time as the COVID pandemic subsides. They suggest outside activities and timers. Toxic masculinity has proven consequences.

Common trade names: Sudafed, Claritin-D. Phenylephrine L3 : Decongestant. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants.

It is used to dry up secretions. Sedation is an unwanted side effect when using it as an allergy medication, but can be an advantage to help with sleep.

Doxylamine L3 : This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. There are no good studies about how much of this drug gets into breast milk.

In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. If you are taking a sedating medication like diphenhydramine, be sure to have support in caring for your infant. Use caution with this medication. Common trade name: Unisom. Melatonin L3 : Melatonin is a normal hormone secreted by the pineal gland in the human brain, mostly at night.

It may either induce a sleep-like pattern in humans, or be the result of sleep; the evidence is not clear. It is definitely passed into human milk and some experts believe it is responsible for entraining the newborn brain to reset its circadian clock to that of the mother by communicating the time of day to the newborn.

The effect of orally administered melatonin on newborns is unknown, but no adverse reactions have been reported so far. Nasal Saline Irrigation L1 : Using salt water to irrigate the nose and sinuses is a practice dating back thousands of years. In modern pharmacies, saline is available in nasal sprays and nasal rinses, as well as mineral packets for home reconstitution. Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis.

Oxymetazoline L3 : Nasal Decongestant. This decongestant comes in several formulations that last between 4 and 12 hours. 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. For this reason, oxymetazoline is probably a better choice than oral systemic decongestants such as pseudoephedrine during breastfeeding.

Oxymetazoline should only be used briefly, no more than 3 days, to avoid rebound congestion. Common trade name: Afrin. Triamcinolone L3 : Nasal Steroid. Triamcinolone may be used for longer periods of time without causing rebound congestion.

There is virtually no risk to a breastfeeding infant when the mother uses this product nasally. Oral and topical forms by prescription only deserve more caution in their use. Common trade name: Kenalog shot, Nasacort. Fluticasone L3 : Nasal Steroid. A typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma. With limited oral and systemic bioavailability, it is not likely that milk levels will be clinically relevant, even with rather high doses.

No effects have been reported in breastfeeding infants. Common Trade names: Flonase. Mometasone L3 : Nasal Steroid. Primarily intended for intranasal and topical use. It is considered a medium-potency 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. Zinc nutritional supplement L2. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. However, doses of zinc in cold remedies can be in excess of what is safe. 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.

Doses of commonly marketed zinc supplements frequently range from mg taken every hours. Total daily zinc consumption can become easily excessive with these products. Larger doses or more prolonged use may cause drowsiness and other effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as pseudoephedrine or before lactation is well established.

Antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women. The prolactin level in a mother with established lactation may not affect her ability to breastfeed. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication.

Am J Obstet Gynecol.



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