If you get a medication and you are told it isn't compatible with nursing, first ask the with kellymom.com or with a pharmacist who knows about breastfeeding.
Dr. the aspirin there isn't a lot of info on. If you want some specific info, let me know, I'll try to send you the link to his info. As far as the diazepam goes, from what Thomas Hale said, you can nurse as long as you don't feel sedated. Hale states that he doesn't think there is much risk to the infant, but there is no sure answer. Now I would take the least amount of it as possible. Otherwise the amount of aspirin that gets in the milk is low, so once again, if it's only for a few days or even a week, I myself would nurse and watch for any signs of issues in the baby.
Cough & sore throat meds. Sore throat sprays or lozenges are generally considered safe, as are cough drops. Avoid eating excessive amounts of cough drops containing menthol. Many forms of Robitussin, Delsym and Benylin are considered compatible with breastfeeding.
Image credit: Jerry Bunker on flickr.
Nasal sprays are generally considered compatible with breastfeeding.
Aleve (Naproxen) is also AAP-approved for nursing mothers, but (per Hale) should be used with caution due to its long half-life and its effect on baby’s cardiovascular system, kidneys and GI tract; short-term, infrequent or occasional use is not necessarily incompatible with breastfeeding.
Pseudoephedrine & milk supply: Thomas Hale Ph. D., a renowned breastfeeding pharmacologist ( Breastfeeding Pharmacology ), notes that “breastfeeding mothers with poor or marginal milk production should be exceedingly cautious in using pseudoephedrine” and that “it is apparent that mothers in late-stage lactation may be more sensitive to pseudoephedrine and have greater loss in milk production” ( Medications and Mother’s Milk, 2012 edition).
Although the risk is probably low, it is also discouraged in nursing mothers because of the potential risk of Reye’s syndrome and bleeding.
Many more medications are compatible with breastfeeding than with Kellymom and BabyCenter also have listings of medications and.
Kellymom and BabyCenter also have listings of medications and lactation categories. Most of the time, it is reassuring for mothers to learn that the medication is compatible with breastfeeding (as most are!). If you have questions about a medication you are taking or need to take, many La Leche League Leaders and most lactation consultants have copies of Medications and Mothers’ Milk and can read you the section about the medication.
The main reason for the difference is that in pregnancy, moms and babies share almost everything in their bloodstreams via the placenta.
Academy of Breastfeeding Medicine Clinical Protocol #15: Analgesia Some references regarding anesthesia (for mom) and breastfeeding.
Wits B, Glosten B, Faure EA, et al. 1997 Sep;85(3):600-6. Postcesarean analgesia with both epidural morphine and intravenous patient-controlled analgesia: neurobehavioral outcomes among nursing neonates. Anesth Analg.
2003;55(1):41-5. Sener EB, Guldogus F, Karakaya D, Baris S, Kocamanoglu S, Tur A. Comparison of neonatal effects of epidural and general anesthesia for cesarean section. Gynecol Obstet Invest.
Anesthesia in breast feeding. Schneider P, Reinhold P. From the abstract: “Thus it will be possible to anesthetize a breast-feeding mother with minimal risks for the child without giving up the advantages of mother milk.
According to breast feeding resource Kellymom.com, even though many pain medications are compatible with breast feeding, they can still.
Hale rates it category L2, meaning it is relatively safe for lactation, as limited studies show no adverse side effects in infants and evidence of risk is remote. It is an anti-inflammatory drug given immediay following the cesarean and used in conjunction with a narcotic. The American Academy of Pediatrics approves of its use in breast-feeding mothers. Ketorolac is administered through injection usually in four doses about six hours apart.
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