When breastfeeding, certain cold medicines are considered safe to take, while others should be avoided due to potential effects on milk supply or infant side effects.
Safe Cold Medicines While Breastfeeding
- Dextromethorphan : A common cough suppressant found in Robitussin, Delsym, Triaminic, and Vicks DayQuil Cough. It is unlikely to affect milk supply or cause infant side effects, though watch for drowsiness or poor feeding in the baby
- Acetaminophen (Tylenol) and Ibuprofen (Advil, Motrin) : These pain relievers and fever reducers are safe at normal adult doses and transfer minimally into breast milk
- Nasal sprays containing oxymetazoline, triamcinolone, or fluticasone (e.g., Afrin, Flonase, Nasacort): These are safer alternatives to oral decongestants and have minimal transfer to breast milk
- Second-generation antihistamines such as loratadine (Claritin) and cetirizine (Zyrtec) : Generally safe in small doses, though some may slightly reduce milk supply if combined with decongestants
- Guaifenesin : An expectorant that thins mucus and is unlikely to impact breast milk supply
Medicines to Use with Caution or Avoid
- Pseudoephedrine (Sudafed) and phenylephrine : Oral decongestants that can significantly reduce milk supply and may cause irritability in infants; best avoided or used short-term only if necessary
- First-generation antihistamines like diphenhydramine (Benadryl) and sedating cough medicines such as NyQuil : These can cause sedation in babies and are not recommended
- Codeine, hydrocodone, and other opioids : Should be avoided if possible due to risks of serious side effects in infants
Additional Recommendations
- Use cold medicines sparingly and only when needed.
- Non-medication remedies such as rest, hydration, warm fluids, honey lemon, and ginger can help relieve symptoms safely.
- Always consult your healthcare provider or a breastfeeding specialist before starting any new medication to ensure safety for you and your baby
In summary, safe options for cold relief during breastfeeding include acetaminophen, ibuprofen, dextromethorphan-containing cough medicines, certain nasal sprays, and some second-generation antihistamines. Avoid oral decongestants like pseudoephedrine due to their impact on milk supply and potential infant irritability.
