Health Education

Breastfeeding and Medications

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This is a list of common medications that may be taken, in their standard recommended doses, while breastfeeding. This list does not include more uncommon medications, such as for heart and seizure conditions. Please contact us, or your own health care provider, if you need to take something which is not addressed on this list.

Pain Relief/Fever

  • Acetaminophen (Tylenol)
  • Ibuprofen (Motrin, Advil)
  • Indomethacin (Indocin)
  • Ketorolac (Toradol)
  • Lidocaine
  • Naproxen (Aleve, Anaprox)

Antibiotics

  • Acyclovir (Zovirax)
  • Amoxicillin
  • Ampicillin
  • Augmentin
  • Azithromycin (Zithromax)
  • Cefadroxil (Duracef)
  • Cefprozil (Cefzil)
  • Ceftriaxone (Rocephin)
  • Cephalexin (Keflex)
  • Clarithromycin (Biaxin)
  • Clindamycin (Cleocin)
  • Penicillin

Antifungals

  • Fluconazole (Diflucan)
  • Nystatin
  • Topical Antifungals
    • Monistat, Lotrimin, etc.

Topical Antibiotic Ointments

  • Antifungal Creams and suppositories
    • Monistat, Lotrimin, etc.
  • Topical Antibiotic Ointments

Antidepressants

Please discuss with your provider

Respiratory/Allergies/Antihistamines

  • Albuterol (oral and inhaled)
  • Allegra
  • Claritin (Loratadine)
  • Cromolyn Sodium (Intal, Nasalcrom)
  • Corticosteroids – Inhaled or Intranasal (Azmacort, Nasacort, Rhinocort, Aerobid, Nasalide, Flonase, Flovent, Veramyst)
  • Diphenhydramine (Benadryl)
  • Prednisone
  • Saline Nasal Spray
  • Terbutaline
  • Topical eye drops (Opcon, Patanol/Pataday, Zatidor)
  • Zyrtec (Cetirizine)

Cough Preparations

  • Dextromethorphan
  • Guaifenesin

Stomach, Constipation, etc.

  • Bisacodyl (Dulcolax)
  • Cimetidine (Tagamet)
  • Docusate (Colace)
  • Famotidine (Pepcid)
  • Kaopectate
  • Loperamide — active ingredient in items such as: Immodium, Maalox Antidiarrheal, KaoPectate II
  • Milk of Magnesia, Epsom Salts
  • Nizatidine (Axid)
  • Ranitidine (Zantac)

Common medications that may decrease your milk supply:

  • Combination Oral Contraceptive Pills
  • Depo-provera
  • Pseudoephedrine (Sudafed)
  • Mini-pills (progesterone only pills)

*While progesterone only contraceptive has a lower chance of decreasing your milk supply than estrogen and progesterone combined contraceptive, it is still best to make sure you have a well-established milk supply before considering contraceptives. Some women do notice a decrease in their milk supply with a progesterone only contraceptive.

Common items to avoid:

  • Accutane
  • Aspirin
  • Brompheniramine
  • Dimetapp/Dimetane
  • Doxycycline
  • Ephedrine/Ma Huang
  • Pepto-Bismol
  • Tavist (Clemastine)

It is okay to receive a flu vaccine while breastfeeding. And don't forget to take your prenatal vitamins!