What medicine to take for allergies while breastfeeding

Substance Name

Loratadine

CAS Registry Number

79794-75-5

Drug Class

Breast Feeding

Lactation

Antihistamines

Nonsedating Antihistamines


Hay fever remedies

When you seek advice from your pharmacist, GP or health visitor they will take into account factors such as:

  1. how mild or severe your symptoms are – if your symptoms are mild, you may be capable to manage without treatment
  2. how effective the medicine is 
  3. how much of the medicine passes to your baby through your breast milk

If you take hay fever medicine while you’re breastfeeding, you should take the lowest possible dose for the shortest possible time, unless your healthcare professional gives you other advice.

Try topical treatments first.

These are medicines that you don’t need to swallow such as nasal sprays and eyedrops.

Corticosteroid nasal sprays assist to unblock your nose and sinuses.

What medicine to take for allergies while breastfeeding

They’re unlikely to pass into your breast milk and only in low amounts.

Sodium cromoglicate eyedrops relieve the redness, itchiness and watering of your eyes. It’s unlikely that sodium cromoglicate passes into your breast milk.

Loratadine or cetirizine are the antihistamine tablets recommended if you’re breastfeeding. They can own diverse brand names, so speak to your pharmacist for advice. These are non-drowsy antihistamines – you should avoid using antihistamines that make you drowsy (sedating) as they can affect your baby if used for more than a short time.

What to Know

  1. Know the signs and symptoms of food allergy or intolerance reactions in breastfed infants
  2. Learn which foods are the most common allergens
  3. How to manage your food intake to assist alleviate your baby’s symptoms

Breastmilk is incredible – it offers a finish form of nutrition for infants, and offers a range of benefits for health, growth, immunity and development.

The nutrients in your breastmilk come directly from what’s circulating in your blood, meaning that whatever nutrients you absorb from the food you eat are passed along to your baby. While being truly allergic or reacting to something in mom’s milk is rare in babies, a little percentage of mothers do notice a difference in their babies’ symptoms or behavior after eating certain foods.

So what counts as a food related reaction? The most common signs of food allergy or intolerance in breastfed infants are eczema (a scaly, red skin rash) and bloody stool (with no other signs of illness). You might also see hives, wheezing, nasal congestion, vomiting or diarrhea.

If you notice any of these symptoms, an elimination diet can assist both to diagnose and treat a potential food allergy.

This means removing potential allergens from your diet one at a time for 2-4 weeks each while you continue breastfeeding and watching to see if your baby’s symptoms subside. Yes, you can continue breastfeeding, despite the symptoms, if your baby continues to grow and put on weight.

If you pinpoint the offending food, avoid it for at least 6 months, or until your baby is 9-12 months ancient (whichever comes later). At that point, you may be capable to reintroduce the food to your diet because most kids will grow out of the allergy.

Which foods might be causing the reaction?

The most common food allergens are cow’s milk, soy, corn and eggs. In fact, in a study of about 100 infants with suspected food allergy, dairy products caused 65% of cases. Peanuts, tree nuts, wheat, and chocolate are also frequent allergy culprits.

We recommend consulting your pediatrician to discuss any concerns regarding possible food allergies. While you can likely manage most food allergies in your breastfed baby by changing your diet, there are some cases in which using a hypoallergenic formula may be required.

You can also benefit from a Registered Dietitian’s care while following an elimination diet.

What medicine to take for allergies while breastfeeding

Foods love milk, soy, and corn can hide in every sorts of pesky places, and a Registered Dietitian can assist to ensure that you’ve indeed removed every potential offenders from your plate. He or she can also assess your intake and make recommendations to assist prevent you from becoming deficient in any nutrients now that you’ve changed your usual diet. And the Happy Mama Mentors can assist you meet your breastfeeding goals while keeping both you and baby happy and healthy.

You may own heard that eating foods that make you gassy will also cause gastrointestinal distress for your baby, or that eating foods love onion, garlic and cruciferous vegetables will cause colic.

While there is no significant data to support such an association, there are some little studies indicating that moms did notice certain foods made their babies fussier than usual.

A few mothers notice minor reactions to other foods in their diet. Some babies weep, fuss, or even nurse more often after their mom has eaten spicy or “gassy” foods (such as cabbage). These reactions differ from allergies in that they cause less-serious symptoms (no rashes or abnormal breathing) and almost always final less than twenty-four hours.

If your baby reacts negatively every time you eat a certain type of food and you discover this troubling, you can just avoid that specific food temporarily.

If these symptoms continue on a daily basis and final for endless periods, they may indicate colic rather than food sensitivity. Talk with your pediatrician about this possibility, if eliminating various foods has no effect on your child’s symptoms.

A final note: While more research is needed, some studies own indicated that breastfeeding exclusively for at least four months may assist to reduce the risk and severity of food allergies, even in families with a history of them (1,2). So if your little one does show an intolerance or allergy early, know that it may resolve on its own before they turn one and that continued breastfeeding may assist to protect them against allergies later on.


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.


Loratadine Levels and Effects while Breastfeeding

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.

What medicine to take for allergies while breastfeeding

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.

What medicine to take for allergies while breastfeeding

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

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]

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. 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.

5.

What medicine to take for allergies while breastfeeding

Merlob P. 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. J Clin Endocrinol Metab. 1981;52:924-8.

What medicine to take for allergies while breastfeeding

PMID: 7228996


What to Do

Keep a food and symptom journal

We know it’s hard to discover time to eat in those first few months, let alone record below what made it into your mouth, but tracking your intake alongside your baby’s symptoms is a excellent way to shed light on any possible reactions.

Just remember that foods we eat remain in our bodies for endless periods of time. So while a journal can be helpful to pinpoint the onset of symptoms when you first eat the offending food, know that your baby’s symptoms can persist for several days or even 2 weeks, even if you don’t eat that specific food again.

Try an elimination diet

If you notice an adverse reaction in your baby after you eat certain foods, attempt removing that food from your diet and watch for improvement.

Start with cow’s milk, the most frequent cause of allergic reaction in breastfed babies.

Remember, it takes time for your body to be completely free of the offending food, so make certain you’ve removed every sources of the food for at least two weeks.

Contact your pediatrician

Bring your baby in for a checkup.

What medicine to take for allergies while breastfeeding

You’ll desire to law out any other causes for her symptoms, check her growth and weight acquire, and make certain she’s not losing excessive blood if she’s experiencing bloody stool. Your doctor can also discuss the possibility of confirming the presence of an allergy with a skin prick test.

If your kid is diagnosed with a food allergy, remember to enquire about reintroducing the food later. Most kids will grow out of food allergies, sometimes by their first birthday.

Seek support

Changing your diet can be hard.

Happy Family Mentors are here to make suggestions for changes you can make while still maintaining adequate intake of every the nutrients you and your baby need. She can also assist you discover hidden sources of allergens in processed foods, and propose nutritious alternatives to the foods you’ve had to give up (for now).

For more on this topic, check out the following articles:

Sources



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Loratadine use while Breastfeeding

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Medically reviewed by Drugs.com.

What medicine to take for allergies while breastfeeding

Final updated on Jul 13, 2019.


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