What to take for seasonal allergies while breastfeeding

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. 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.

What to take for seasonal allergies while breastfeeding

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.

What to take for seasonal allergies while breastfeeding

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.

Yes, there are allergy medications that are safe to take while you’re breastfeeding.

Just be careful, because over-the-counter allergy medications are often combined with other drugs in one liquid or pill. To limit your baby’s exposure, it’s best to avoid products that tackle more than one symptom at once or that own more than one athletic ingredient listed.

Antihistamines, which alleviate allergies, are generally considered safe. But hold in mind that so-called first-generation antihistamines such as diphenhydramine (Benadryl) and chlorpheniramine (Chlor-Trimeton) can potentially cause sedation in your baby (just as they can in you), while the second- and third-generation medications such as loratadine (Claritin) and fexofenadine (Allegra) are less likely to.

Your pediatrician may own a preference as to which one you attempt first.

Learn more about the safety of commonly used medications during breastfeeding.

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Carl Weiner, M.D.

Carl Philip Weiner is chairman and a professor of obstetrics and gynecology at the University of Kansas School of Medicine.

Photo: Creation Hill via Pexels

Editor’s note: Any medical advice presented here is expressly the views of the author and Red Tricycle cannot verify any claims made.

Please consult with your healthcare provider about what works best for you.

April showers MAY bring flowers, but along with those beautiful blooming flowers comes allergy season for many! As a South Florida native, where the pollination period is longer and stronger than the relax of the U.S., I own found there are some appropriate ways to get relief during this time of year. If you are a nursing mom who suffers from allergies, here are a few things to hold in mind while combating allergy season.

Medicinal Myths for Mothers
“Many mothers are inappropriately advised to discontinue breastfeeding or avoid taking essential medications because of fears of adverse effects on their infants,” according to a study by the Academy of American Pediatric (AAP).

This may be an overly cautious approach given that only a little proportion of medications are contraindicated in breastfeeding mothers or associated with adverse effects on their infants. However, it is significant to not only take into consideration harmful side effects, but also how these medications may impact things love milk production, as some antihistamines might. So, your first step before heading to your local pharmacy and taking any further action should be to contact your physician or baby’s pediatrician for additional information on which allergy medications are recommended and which are the few to definitely stay away from as a nursing mother.

If it turns out that you need to stay away from your normal allergy medicine, there are several over-the-counter options available for allergy sufferers that won’t hurt you, your baby, or require you to stop nursing.

For example, saline nasal spray is generally considered to be a safe product for breastfeeding women. Either way, consulting with a doctor is how you can make better, well-informed decisions about your breastfeeding health this Spring and beyond!

Educate Yourself
It may seem silly, but another way to outsmart allergies is by quickly checking the day’s pollen count on any weather app already installed on your smartphone.

What to take for seasonal allergies while breastfeeding

I know what you’re thinking, but prevention is key for those mothers who may own asthma, eczema, or other hereditary conditions. If you’re willing to do the additional credit, quickly research the plants in your surroundings as you’ll discover which ones produce more pollen than others.

These tips will greatly minimize your exposure to pollen-related allergy symptoms love sneezing, wheezing, trouble sleeping and congestion– every of which are not enjoyment to experience while breastfeeding or keeping a strict pumping schedule.

This post originally appeared on Imalac.


Rachael Sablotsky Kish

Rachael Sablotsky Kish is the Co-Founder and Chief Operating Officer of Imalac, a med-tech company which created Nurture, a hands-free breast massage system for nursing mothers that uses an attachable massage component to replicate hands-on pumping.Kish is a Certified Lactation Counselor (CLC), educating and training women on breastfeeding.

MORE FROM Rachael:
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Breastfeeding typically does not cause allergies or food sensitivities in babies.

And though research suggests that exclusive breastfeeding may assist delay or prevent some types of allergies (which has garnered the interest of numerous parents, particularly since the incidence of food allergies has risen dramatically in the past few decades), allergy risk is influenced by a mixture of genetic and environmental variables. Breastfeeding is just one part of the puzzle.

Antibodies in Breast Milk

Breast milk contains five antibodies: Immunoglobulins A, D, G, M, and the aforementioned IgE. Each serves its own function to assist the body stay healthy and avoid allergies.

While more research is still needed, some evidence suggests that passing these antibodies to a baby via breast milk may assist reduce or prevent some types of allergies (particularly in babies with a family history), although it may own no significant effect on others.

What Antibodies in Breast Milk Do

Can Allergens Be Passed Through Breast Milk?

It is rare for a breastfeeding kid to experience an allergic response to something passed through a mother’s milk.

The most likely suspect, when this does happen, is a response to cow’s milk in a mother’s diet. While only trace amounts of proteins from cow’s milk are passed to the kid through breast milk, in rare cases, it may trigger an allergic response in the breastfeeding child.

  1. Incessant crying
  2. Unwillingness to feed
  3. Extreme paleness
  4. Hives
  5. Acute diaper rash
  6. Poor sleep patterns
  7. Eczema
  8. Vomiting
  9. Chronic diarrhea
  10. Colic
  11. Colitis

A cow's milk allergy developing from exposure through a mother's breast milk is relatively rare, however, occurring in less than 1 percent of breastfed babies.

If your kid does experience any of the above symptoms, contact your doctor correct away.

July to September 2018— reviewed. A literature search was conducted in July2018to identify evidence-based guidelines, UK policy, systematic reviews, and key randomized controlled trials published since the final revision of this topic. The topic has undergoneminor restructuring.

What to take for seasonal allergies while breastfeeding

The Scenarios own been merged into one Scenario, and recommendations in the Management section own been updated in line with current literature. The section on Prescribing information has been updated and expanded.

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Previous changes

Previous changes

January 2018— minor update. The section on the adverse effects of non-sedating antihistamines has been updated to reflect changes to the manufacturer's Summary of Product Characteristics (SPC).

May2017 —minor update.

Information regarding the expected increased risk of systemic adverseeffects after co-treatment with CYP3A inhibitors, including cobicistat-containing products has been added to reflect an update to the manufacturer's Summary of Product Characteristics (SPC).

October 2015 —minor update.

What to take for seasonal allergies while breastfeeding

The licensing information on mometasone (Nasonex®) has been amended in line with the manufacturer's Summary of Product Characteristics (SPC); it is now licensed for use in people from the age of 3 years (previously from 6 years onwards) and for the treatment of nasal polyps in adults 18 years of age and older.

June 2015 —minor update. Information on the choice of intranasal corticosteroids has been updated to include the licensed ages.

In addition, flunisolide has been removed as an option because it has been discontinued by the manufacturer.

June 2014 —minor update. Typographical errorscorrected, and the topic summary was reformatted.

November 2012 —reviewed. A literature search was conducted in September 2012 to identify evidence-based guidelines, UK policy, systematic reviews, and key randomized controlled trials published since the final revision of this topic.

No major changes to clinical recommendations own been made.

September 2012— minor update. Ephedrine 0.5% nasal drops are no longer licensed for use in children younger than 12 years of age. Text and prescriptions own been updated.

June 2012— minor update. Typographical error corrected.

January 2011— topic structure revised to ensure consistency across CKStopics. No changes to clinical recommendations own been made.

August 2009— minor update.

Xylometazoline 0.05% nasal drops (Otrivine Kid Nasal Drops®) are no longer licensed for use in children between 2 and 5years of age. They can be prescribed for children who are 6years of age and over. Issued in August 2009.

May 2009— minor formatting correction. Issued in June 2009.

October 2007 to January 2008— converted from CKSguidance to CKStopic structure. The evidence-base has been reviewed in detail, and recommendations are more clearly justified and transparently linked to the supporting evidence.

The previous system of classifying a person with allergic rhinitis by the persistence and severity of their symptoms to determine management has been modified. Management is now divided into whether or not a person with symptoms of allergic rhinitis is presently on treatment, and this is reflected in the scenarios offered.

July 2006— minor update. Levocabastine products discontinued and prescriptions removed. Issued in July 2006.

April 2006— minor update. Montelukast now licensed for symptomatic relief of seasonal allergic rhinitis in people with asthma in whom montelukast is indicated. Text and prescriptions updated to reflect this.

Issued in May 2006.

January 2006— minor update. Black triangle removed from desloratadine. Issued in February 2006.

October 2005— minor technical update. Issued in November 2005.

July 2005— updated to include sodium cromoglicate eye drops for use in pregnancy. Issued in July 2005.

December 2004— rewritten.

What to take for seasonal allergies while breastfeeding

Validated in March 2005 and issued in April 2005.

December 2001— rewritten, replacing the previous topicAllergic rhinitis/hay fever. Validated in March 2002 and issued in April 2002.

September 1998— written.

Allergies in Children

Babies and children can experience the finish range of allergic conditions, such as allergic rhinitis (hay fever), skin allergies (most common in kids 0 to 4), food allergies, eczema, asthma, and more.

Allergic reactions can be the result of immunologic changes in immunoglobulin E (IgE), an antibody formed by the immune system.

They can also be non-IgE mediated, instead involving mast cells and basophils. Babies may come into the world predisposed to allergies, but they may not actually own reactions until they've had repeated exposure to an allergen. In some cases, an allergy might not become obvious until later in life.

What the Research Shows

Allergy studies are challenging to execute on account of numerous factors — food introduction, genetic factors, and maternal diet being the most significant. But most studies authenticate that exclusive breastfeeding (even as little as one month) can lessen how often some allergies occur.

Evidence also suggests that exclusive breastfeeding during the first four months may offer protection against certain types of allergic diseases including cow's milk allergy and atopic dermatitis.

Other notable findings suggest:

  1. Breastfeeding may "boost" a baby's immune response. In one mouse study, for example, researchers found that a mother's milk contains complexes of food proteins that are then combined with her antibodies. This combination is then passed to the breastfeeding baby through breast milk.

    The infant's immune system then takes up these protein-antibody complexes, which triggers the baby's immune system to produce cells that assist protect against allergic reactions. A similar process may also take put in human mothers and children, although further research is needed.

  2. Breastfed infants may be less likely to develop eczema. Exclusive breastfeeding or breastfeeding and supplementing with a hydrolyzed baby formula has been shown to reduce the risk of eczema.
  3. Breastfeeding may not reduce the risk of asthma. In a large-scale study published in the Journal of Allergy and Clinical Immunology, researchers looked at data from over 330,000 British adults. Based on self-reported information, the results suggested that breastfeeding as a kid did not frolic a role in preventing asthma and hay fever later in life.
  4. Avoidance diets do not prevent allergies. In the past, breastfeeding women were sometimes cautioned to avoid consuming foods that were commonly associated with food allergies including peanuts, eggs, milk, soy, wheat, nuts, and shellfish.

    More recent research has shown no association between maternal exclusion diets and the prevention of allergies.

Position of the American Academy of Pediatrics

"The AAP recommends exclusive breastfeeding for about six months, with continuation of breastfeeding for one year or longer as mutually desired by mom and infant." Standard cow's milk-based formula is a first-choice alternative.