What medicine can i take for allergies while breastfeeding

Allergy and hay fever: Antihistamines that don’t make you sleepy are safe. Nasal sprays and eye drops are safe. Antihistamines that make you sleepy may cause your baby to be sleepy too. Avoid fexofenadine and cetirizine.

Antibiotics: Most antibiotics to fight infections are safe, but take your doctor’s advice. Metronidazole can make your milk taste bitter.

Antidepressants: Some antidepressants are safe.

What medicine can i take for allergies while breastfeeding

Discuss with your doctor.

Asthma medicines: Most preventers and relievers are safe. It is also extremely significant that you do not stop your asthma medicines while you are breastfeeding.

Colds and flu: You can use steam inhalations, saline nasal sprays and decongestant nasal sprays. Avoid medicines containing pseudoephedrine.

Coughs: Coughs generally go away without treatment. If you do desire to take cough mixture, enquire your pharmacist which one is suitable.

What medicine can i take for allergies while breastfeeding

Avoid medicines containing pseudoephedrine.

Oral contraceptives (the pill): The progesterone-only ‘minipill’ is best. Combined oral contraceptive pills may affect your milk supply.

Painkillers: Ibuprofen and paracetamol are safe. Avoid aspirin.

Worm treatments: Most worm treatments are safe.

Sore throat: Lozenges and gargles are safe.

What medicine can i take for allergies while breastfeeding

Avoid medicines containing iodine.


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]

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]

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. 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]

Alternate Drugs to Consider

Desloratadine, Fexofenadine

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]

References

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

What medicine can i take for allergies while breastfeeding

1988;28:234-9. PMID: 2966185

3. 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.

What medicine can i take for allergies while breastfeeding

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 Unpublished manuscript.

6.

What medicine can i take for allergies while breastfeeding

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


What medicines are dangerous to take during breastfeeding?

Sometimes mothers are advised to stop breastfeeding while they are taking some medicines in case they harm the baby.

Examples of medicines that are not suitable while you are breastfeeding include:

Herbal medicines and teas should not be considered safe while you are breastfeeding.


Loratadine Identification

CAS Registry Number

79794-75-5

Substance Name

Loratadine

Drug Class

Breast Feeding

Lactation

Antihistamines

Nonsedating Antihistamines



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.


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.

What medicine can i take for allergies while breastfeeding

The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.


Further information

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

Medical Disclaimer

Medicines and breastfeeding safety

Most medicines are safe to take while you are breastfeeding because they do not pass into your breast milk.

What medicine can i take for allergies while breastfeeding

Even if the medicine does enter your milk, it is generally in such a little quantity that it will not affect your baby.

However, some medicines can give your baby diarrhoea or vomiting, or make your baby unusually sleepy or irritable. Other medicines can also make you produce more or less milk than normal.

The quantity of medicine that enters your breast milk and the effect on the baby depend on the age and health of your baby, the type of medicine, how much you take, and when you take it.

Before your doctor prescribes a medication for you, make certain he or she knows that you are breastfeeding.

Breastfeeding mothers rarely own to stop breastfeeding because they are taking medicines.

However, it is significant you get advice from your doctor or pharmacist. They will weigh up the risks and benefits of taking the medicine against any risks for the baby.

You should take special care if your baby was premature, is ill, or is taking medicines themselves.


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