What kind of allergy meds can i take while breastfeeding

CAS Registry Number

79794-75-5

Substance Name

Loratadine

Drug Class

Breast Feeding

Lactation

Antihistamines

Nonsedating Antihistamines


istrative Information

LactMed Record Number

163

Disclaimer

Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your specific situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.


General

  1. Garlic eaten raw, cooked, or taken as a supplement can assist. Raw is always best, though it’s hardest to get down.
  2. Echinacea is generally recognized to be safe for nursing moms.
  3. Rest. Drink lots of water and take boiling baths. Run a humidifier.
  4. Take in additional vitamin C from foods, juices or in supplement form.
  5. Homeopathic remedies, are considered safe for nursing moms.
  6. OMT is a extremely tender form of osteopathic manipulation, which can enhance the immune system, and assist hold the fluids draining from the head and neck so bacteria and viruses are less likely to be capable to grow. This can assist to reduce or even prevent chronic ear and respiratory infections.

    OMT has been shown to own a dramatic effect on fluid in the ears, and works well on any type of upper respiratory infection.


Further information

Always consult your healthcare provider to ensure the information displayed on this sheet applies to your personal circumstances.

Medical Disclaimer

The common freezing will generally run its course within 7 to 14 days. There are numerous natural remedies and over the counter products that are compatible with breastfeeding.

Image credit: Jerry Bunker on flickr


Head congestion

  • Use a saline nasal spray
  • Steam treatments:
    1. Boil a pot of water, remove from the stove and (optional) add a few drops of essential oils (for example: eucalyptus, sage and balsam).

      What helpful of allergy meds can i take while breastfeeding

      Drape a bath towel over your head and breathe deeply for 5 minutes. Do this 2 or 3x a day until symptoms subside.

    2. Put two inches of apple cider vinegar in a pan and heat until it begins to steam. Inhale the vapor. If the vapor is too strong, add a little water. Repeat as needed.
  • Essential Oils: Put a drop or two of either eucalyptus or peppermint essential oil on a cotton ball or handkerchief and hold near the nose while breathing deeply.
    1. Drink fenugreek tea to relieve head and chest congestion and cough.
    2. Cayenne pepper: Sprinkle it on your food, or put a quarter teaspoon in a glass of water and drink.
    3. A couple of cautions: Do not use the oil in the nose – it can cause swelling.

      What helpful of allergy meds can i take while breastfeeding

      Do not use peppermint oil or menthol (one of the main components in peppermint oil) or camphor on or near the breast where baby might ingest it, and do not apply directly on the skin of a baby or young kid. There own been cases where the direct application of menthol or camphor products (for example, Vicks VapoRubâ„¢) to baby’s skin resulted in severe breathing difficulties or liver problems (see info on colds and congestion in baby).

    4. What To Do When You Own Sinus Pain by Allison Ishman


    Loratadine Levels and Effects while Breastfeeding

    Effects on Lactation and Breastmilk

    Antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women.[5][6] However, suckling-induced prolactin secretion is not affected by antihistamine pretreatment of postpartum mothers.[5] Whether lower oral doses of antihistamines own the same effect on serum prolactin or whether the effects on prolactin own any consequences on breastfeeding success own not been studied.

    The prolactin level in a mom with established lactation may not affect her ability to breastfeed.

    One mom out of 51 mothers who took loratadine while nursing reported that she had decreased milk production after taking loratadine 10 mg daily for less than one week at 4 months postpartum.[3]

    Effects in Breastfed Infants

    A survey of 51 mothers who took loratadine during breastfeeding between 1999 and 2001 was conducted by a teratogen information service.

    Most of the infants were over 2 months ancient and loratadine was generally taken for one week or less. Two mothers reported minor sedation in their infants, one at 3 days of age and one at 3 months of age. Both mothers were taking a dose of 10 mg daily.

    What helpful of allergy meds can i take while breastfeeding

    Weight acquire and psychomotor development were similar to infants in a control group of breastfed infants unexposed to medications.[3] An extension of the study that compared the results of this study (plus one additional patient) to that of a control group of 88 mothers who took a drug known to be safe while breastfeeding. No differences in sedation or any other side effects (p=0.606) in the baby were found between mothers who took loratadine during breastfeeding and those of the control group.[4]

    Summary of Use during Lactation

    Because of its lack of sedation and low milk levels, maternal use of loratadine would not be expected to cause any adverse effects in breastfed infants.

    Loratadine might own a negative effect on lactation, especially in combination with a sympathomimetic agent such as pseudoephedrine. The British Society for Allergy and Clinical Immunology recommends loratadine at its lowest dose as a preferred choice if an antihistamine is required during breastfeeding.[1]

    Drug Levels

    After a single oral dose of 40 mg of loratadine in 6 women, average peak milk levels of 29.2 (range 20.4 to 39) mcg/L occurred at two hours after the dose. In addition, average desloratadine peak milk levels of 16 (range 9 to 29.6) mcg/L occurred at 5.3 hours after the dose.

    The entire quantity excreted in milk over 48 hours was 11.7 mcg of loratadine and its metabolite. However, the dose istered was four times greater than the usual dose of the drug, so a entire dose of about 3 mcg would be expected with a 10 mg dose. The calculated average and maximum expected doses of loratadine plus desloratadine in milk were 0.46 and 1.1% and of the maternal weight-adjusted dose, respectively, after the 40 mg dose.[2]

    Alternate Drugs to Consider

    Desloratadine, Fexofenadine

    References

    1. Powell RJ, Du Toit GL, Siddique N et al.

    What helpful of allergy meds can i take while breastfeeding

    BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin Exp Allergy. 2007;37:631-50. PMID: 17456211

    2. Hilbert J, Radwanski E, Affine MB et al. Excretion of loratadine in human breast milk. J Clin Pharmacol. 1988;28:234-9. PMID: 2966185

    3.

    What helpful of allergy meds can i take while breastfeeding

    Messinis IE, Souvatzoglou A, Fais N et al. Histamine H1 receptor participation in the control of prolactin secretion in postpartum. J Endocrinol Invest. 1985;8:143-6. PMID: 3928731

    4. Merlob P, Stahl B. Prospective follow-up of adverse reactions in breast-fed infants exposed to loratadine treatment (1999-2001). BELTIS Newsl. 2002;Number 10:43-51.

    5. Merlob P.

    What helpful of allergy meds can i take while breastfeeding

    Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal loratadine treatment (1999-2002). Unpublished manuscript.

    6. Pontiroli AE, De Castro e Silva E, Mazzoleni F et al. The effect of histamine and H1 and H2 receptors on prolactin and luteinizing hormone release in humans: sex differences and the role of stress.

    What helpful of allergy meds can i take while breastfeeding

    J Clin Endocrinol Metab. 1981;52:924-8. PMID: 7228996



    Loratadine use while Breastfeeding

    Drugs containing Loratadine: Claritin, Claritin-D, Alavert, Claritin-D 24 Hour, Allergy Relief Tablets, Loratadine-D 24 Hour, Wal-itin, Claritin 24 Hour Allergy, Claritin-D 12 Hour, Alavert D-12 Hour Allergy and Sinus, Show every 31 »Claritin Reditabs, Tavist ND, AllerClear D-24 Hour, Allergy Relief D12, Allergy & Congestion Relief, Leader Allergy Relief D-24, Loratadine-D 12 Hour, Clear-Atadine-D, Loratadine Reditab, Children's Claritin Allergy, Bactimicina Allergy, Clear-Atadine Children's, Dimetapp Children's ND Non-Drowsy Allergy, Claritin Hives Relief, Clear-Atadine, ohm Allergy Relief, Assist I Own Allergies, Vicks QlearQuil Every Day & Every Night 24 Hour Allergy Relief, Children's Allergy Relief 24 Hour, Allergy Relief 24 Hour, Allergy Relief D 24 Hour

    Medically reviewed by Drugs.com.

    Final updated on Jul 13, 2019.


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