While using Piriton We suggest monitoring child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to dosage. Score calculated using the DrLact safety Version 1.
Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data. First generation antihistaminic and alchylamine drug, with sedative effect. Its active isomer is Dexchlorfeniramine. Likely inhibition of lactation within the first weeks post delivery because anti-prolactin effect.. Short-term and low dose 2 mg one or twice-day treatment is compatible with breastfeeding.
Be aware of somnolence in the child. For long-term treatment an alternative drug should be preferred. Compounds in association with expectorants, corticoids and cough relief medicines are available.
Avoid drug associations especially while breastfeeding. Follow-up for sedation and feeding ability of the infant. Bed-sharing is not recommended for mothers who are taking this medication. Small 2 to 4 mg , occasional doses of chlorpheniramine are acceptable during breastfeeding.
Larger doses or more prolonged use might cause effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as spseudoephedrine or before lactation is well established. Single bedtime doses after the last feeding of the day may be adequate for many women and will minimize any effects of the drug.
The nonsedating antihistamines are preferred alternatives, though. None of the reactions required medical attention. In this study, no side effects were reported among 5 infants exposed to chlorpheniramine in breastmilk. It is taken three times a day for one week then the supply should be reassessed. If the supply is still low it may be worth continuing for another week.
It is not appropriate if the baby is poorly positioned at the breast or is not feeding frequently enough to stimulate the milk supply. In concerns were raised about the safety of domperidone and the mothers to whom it should not be prescribed. More information can be found on the domperidone factsheet.
These are drugs used to thin the blood after a clot or thrombosis. They do not pose a problem in breastfeeding. See the Information Sheet on Anticoagulants and breastfeeding which can be downloaded. I take levothyroxine regularly. Should I stop taking the drug? If thyroid levels are too low, a decrease in prolactin levels is produced and consequently a low milk supply.
It is important to ensure up to date thyroid levels have been measured and dose adjusted if necessary. As a drug, it is safe to take during breastfeeding because it is replacing sub-optimal too low levels produced by the body. Progesterone may sometimes cause temporary lower supply but increased frequency of feeding will restore the level.
If you are concerned about taking the morning after pill, you may consider how frequently you are feeding? Is it exclusive? The risk of ovulating is low if you are feeding frequently and with no other supplements in the early months. You also need to consider how vital it is for you that you do not become pregnant before deciding whether or not you wish to take emergency contraception. It can be purchased through your local community pharmacist, may be supplied free of charge from pharmacies in some areas and is available from A and E Departments at your local hospital or Family Planning Clinics.
See the information sheet on Emergency Hormonal Contraception which can be downloaded from the website. I have badly cracked nipples; my midwife has suggested moist wound healing. With my last baby I was told to keep my nipples dry. Whilst many mothers prefer to take as few medicines as possible whilst they are breastfeeding, allergies may need to be treated urgently.
Most of the drugs to treat allergies are available to buy over the counter but the leaflets may say that they are not suitable to take whilst you are breastfeeding. This does not necessarily mean that they are dangerous, merely that the drug company has not undertaken trials itself and has chosen not to recommend its use in this situation.
See information sheet on Patient Information Leaflets on www. Some people have chronic allergies to things like dust mite or cat fur. Steroid nasal sprays can be very effected with virtually no passage into milk as they only act locally. Jones Other products are designed to block the passage of pollen into the nose thus preventing the reaction e.
These will not pass into breastmilk. Most multiple pharmacies make their own brands of these drugs.
Many are both available as paediatric syrups to be given to children over 2 years. Short courses of sedating antihistamines e. Eye drops also act only locally and can be used during lactation e. Jones E.
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