topical menthol while breastfeeding
Our advanced topical formula provides relief for athletes after the toughest training sessions, and/or for individuals dealing with everyday muscle and joint pain. If you have high blood sugar (diabetes), check labels closely. is an herb that has been shown to have significant antitussive effects when taken as an oral supplement.6 Although it is likely safe to take while breastfeeding, there have been no significant studies showing the effects of Echinacea consumption on breastfeeding infants or milk production. Almost any drug that's present in the blood will transfer into breast milk to some extent. In fact, consuming certain plants, herbs, and medications can decrease your supply. 1. Medically reviewed by Drugs.com. Zinc can be used topically or ingested, and is usually not harmful when breastfeeding an older infant. When prolactin levels are reduced in a breastfeeding parent, milk supply typically reduces with it. 5. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. They may be in the form of a lotion, cream, ointment or gel. Diclofenac sodium topical solution is a nonsteroidal anti-inflammatory drug (NSAID) indicated for the treatment of signs and symptoms of osteoarthritis of the knee (s). If you are taking a sedating medication, be sure to have support in caring for your infant. Herb which is widely used by many cultures. Breastfeeding and medications - Whats safe, Naproxen sodium (Aleve, Anaprox DS, others) short-term use only, Miconazole (Monistat 3, Monistat 7, others) apply minimal amount, Clotrimazole (Mycelex, Lotrimin AF) apply minimal amount, Penicillins, such as amoxicillin and ampicillin, Medications containing pseudoephedrine (Sudafed, Zyrtec D) use with caution because pseudoephedrine can decrease milk supply, Progestin-only contraceptives, also known as the minipill, Combination contraceptives containing estrogen and progestin discuss this option with your provider, Docusate (Colace, Phillips' Stool Softener, others). These can include sleepiness, rashes, diarrhea or fussiness. This decongestant comes in several formulations that last between 4 and 12 hours. In general, if the mother is lethargic she should wait to breastfeed until she is alert, at which point codeine levels would be lower. Chasteberry has also traditionally been used to help breastfeeding parents who are experiencing engorgement or any other type of painful swelling of the breast. However, generally, avoiding or limiting the ingestion of things known to reduce breast milk production is a good place to start. Briggs GG, et al. The MommyMeds app provides up-to-date knowledge on various medications for the safe use of breastfeeding mothers. It's also recommended to wait at least two hours after drinking before nursing. Many over-the-counter treatments for vaginal yeast are safe to use while nursing, since little of the medicine is absorbed into the body. So, you don't need to avoid each of these herbs altogether, just be mindful of dishes that contain large amounts. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Common trade names: Tesselon Perles, Codeine prescription required (L3): Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. Cookies help us improve your website experience. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. There are exceptions, though. Apr 2013;13(2):229-235. 92: Use of Psychiatric Medications During Pregnancy and Lactation. For example, if you need a cough suppressant, don't buy one that also includes a decongestant. It is always a good idea to look into any medication you are considering using and weighting the risks and benefits before use. However, doses of zinc in cold remedies can be in excess of what is safe. However, medications used in the two days after childbirth transfer at very low levels to your infant. There are no formal studies proving whether or not these herbs impact breast milk supply or the exact quantity needed for each herb to have a negative impact on breastfeeding. Pseudoephedrine commonly appears in combination products. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. If you do get a prescription painkiller, talk with your doctor about any that contain codeine -- in very rare cases, it can cause life-threatening and even fatal reactions in nursing infants. Do not exceed 3.2 grams/day. There are no good studies of oxymetazoline safety during breastfeeding, however, very little of it is expected to reach the milk because it is locally administered and poorly absorbed. If a medicine is commonly prescribed for infants, it's probably safe to take while nursing, because the amount the baby will get through breast milk is much less than a typical dose. Please feel free to reach out to him directly if you have any inquiries or want to connect! Current allergy and asthma reports. Cough Medications Considered Safe While Breastfeeding. Keep in mind that this isn't a full list of safe medications. Oxymetazoline (L3): Nasal Decongestant. The safest NSAID to take while nursing is ibuprofen (sold as Advil and Motrin) because the amount transferred to your baby is very low. Menthol 3.0% Topical Analgesic. Common names: methylprednisolone (Medrol dose pack, SoluMedrol), prednison, prednisolone, budesonide (Pulmicort), triamcinolone (Kenalog), Zinc nutritional supplement (L2). These include frequent breastfeeding or pumping, using proper breastfeeding techniques, and eating certain foods, called galactagogues, that may boost breast milk production. Due to this potential for severe toxicity at relatively low doses, this medication should be avoided in lactation. Menthol/zinc oxide topical is a combination medication used for the temporary relief of pain and itching associated with diaper rash, fecal, and urinary incontinence, feeding tube, wound drainage, and minor cuts, scrapes, and burns. Temporarily relieves pain associated with itching, sore throat. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. Cough medicines work to suppress coughs or to loosen chest congestion so you can get rid of mucus more easily when you cough. Infants , Do not exceed 1 gram/day. Common trade names: Halls, Ricola, Ludens, Vicks, (L2): This is an expectorant used to loosen respiratory tract secretions. Common trade names of combination products: Cheratussin AC, Tuzistra XR, Robitussin AC, Vanacof, Tylenol #3, Tylenol #4. Some lactating people are able to recover quickly from this decrease, usually within 24 to 48 hours. Then, you can read about specific drugs below! (L3). 11951200., doi:10.1016/j.phymed.2015.10.001. In infants exposed to doxylamine, there are reports of sedation, apnea, and paradoxical CNS stimulation. (L2): Numbing Agent. It is considered a medium-potency steroid. Do not exceed 1 gram/day. Pregnancy categories A, B, C, D, and X are being phased out. If so, how many days will the effects last. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. Pregnancy Eating: What's Safe, What's Not, Pseudoephedrine, methergine, and bromocriptine, Breastfeeding Guide for the Whole First Year, 5 Best Lactation Cookie Recipes for Boosting Milk Production, I Tried Lactation Cookies to Boost My Breast Milk Production, Breastfeeding Diet: The Best Nutrition For Nursing Parents, Why There's No Need to Dilute Pumped Milk After Drinking, Foods to Avoid While Breastfeeding And Ones That Are Safe, 17 Ways to Soothe Your Baby's Upset Stomach, Can You Take Tylenol While Breastfeeding? AU Exempt: Medications exempted from pregnancy classification are not absolutely safe for use in pregnancy in all circumstances. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Dextromethorphan (L3): This is an antitussive drug that appears to work by elevating the cough threshold in the brain. Winter brings more than a chilly breeze; it comes with pesky coughs, runny noses, sore throats, congestion, colds, or even the flu. That way you won't be nursing when the medicine is at its peak in your bloodstream. When breastfeeding, there is an extra person to worry about when choosing medicine. You might think that pain relievers in cream or ointment form would be safe to use, but some can prove toxic to your baby. See. Common trade names: Aller-Chlor, C.P.M., Chlor-Phen, Chlor-Trimeton Allergy, Teldrin HBP. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. A very low amount of menthol is transferred into breastmilk. doi:10.1371/journal.pone.0199493, 3.Findlay, Jw, et al. To help clear up stuffiness without medicine, take a long, steamy shower, a saline nose spray, use a humidifier, or make your own steam tent by putting a bowl of hot water on a table and leaning over it with a towel held over your head and around the bowl. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below).Common trade names: Sudafed, Claritin-D. (L3): Decongestant. Common side effects of menthol/zinc oxide topical include local irritation and local hypersensitivity reaction. The medicine in a spray is less likely to be absorbed into your system than something you swallow, though it's still unclear how much of the ingredients in a spray will make it into your breast milk. Walsh P, Rothenberg SJ, Bang H. Safety of ibuprofen in infants younger than six months: A retrospective cohort study. Honey should never be consumed by infants. Support our research on breastfeeding medication by downloading the app today. Surprisingly, aspirin is an ingredient in such innocuous products as Alka-Seltzer. Medicines for constipation fall into two categories -- stool softeners and laxatives. Fluticasone (L3): Nasal Steroid. Most lozenges with menthol are safe for nursing moms because very little makes it into the milk supply. The poor efficacy of expectorants in general would suggest that they do not provide enough justification for use in breastfeeding mothers. There is a problem with information submitted for this request. According to a study in 2014, honey was more efficacious in treating cough symptoms in children than placebo and diphenhydramine, but was less efficacious than dextromethorphan. Don't use extra-strength or sustained-release medicines -- they remain in your bloodstream and milk supply much longer than medicine you need to take frequently. Know how medications can affect your breast milk and which drugs are safe to take. Do not use this medicine (menthol lozenges) for longer than you were told by your doctor. If you are taking a sedating medication, be sure to have support in caring for your infant. Menthol is a naturally-occurring chemical that comes from the peppermint plant. Most cough drops are considered safe while breastfeeding. Antitussive Effect of a Fixed Combination of Justicia Adhatoda, Echinacea Purpurea and Eleutherococcus Senticosus Extracts in Patients with Acute Upper Respiratory Tract Infection: A Comparative, Randomized, Double-Blind, Placebo-Controlled Study. Phytomedicine, vol. The manufacturer makes no recommendation regarding use during lactation. However, not all herbs are . -If used on the nipples, use after nursing and wipe off before the next . Common Trade Names: Advil, Nuprin, Motrin. This means that it turns on pain sensors in the skin, which then makes them less sensitive to other pain signals. Breast milk is the perfect food for babies. It is not known whether enough aspirin passes to your baby through breast milk for Reye's syndrome to be a risk, but it's best to avoid it. Some infants can be sensitive to even small amounts in their GI tract, causing diarrhea. In fact, in some traditions, it is used to boost breast milk supply. This content does not have an English version. Avoid these foods, medications, and herbs, which can all potentially reduce your breast milk supply. Due to its low oral absorption after application, maternal blood concentrations are probably too low to produce any significant clinical effects in the breastfed infant. They have given each medication a rating from Safest (L1) to Hazardous (L5). Antihistamines are easily expressed in breast milk, and can cause sedation, fussiness, excessive crying, and sleep disturbances in your baby. Additionally, after a night of heavy drinking, you may notice that your milk supply rapidly declines. Thomas Hale and Kaytlin Krutsch have performed extensive research on the effects of medications in mothers milk. If you need to stop breastfeeding only temporarily, use a double electric breast pump to keep up your milk supply until you're able to breastfeed again. 3.Findlay, Jw, et al. Many medications and supplements carry risk during pregnancy and for those breastfeeding. Is topical menthol safe while breastfeeding? (asprin, ibuprofen, naproxen, or others) have 3 or more alcoholic drinks every day while using this product take (apply) more or for longer time than directed . Studies have shown sinus and nasal rinsing to be highly effective in relieving symptoms of chronic rhinosinusitis. Dextromethorphan is a cough suppressant and guaifenesin is the ingredient in cough medicine that loosens mucus in the chest. Milk transfer is expected to be low-moderate based on the medication size. Although no longer available over the counter, drugs containing codeine are used to treat pain and cough. For instance, sage is a popular herb used around Thanksgiving, lots of parsley is found in dishes like tabbouleh, and peppermint is often found in teas, gums, and candies. Aspirin should not be the first choice for pain relief in breastfeeding mothers. If your supply has dropped, and you realize you've taken one of the medications listed here, ask your doctor if you can switch to an alternative treatment for your medical issue. If age appropriate, probiotics or yogurt with live cultures can be used to minimize GI upset (for you too mom!). Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk.5 Common trade names: Airborne, Emergen-C, Cenolate, Celin, Cemill. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Always check with your doctor before you take anything -- whether the medicine you're taking is from a prescription, an over-the-counter medicine you picked up at the drugstore, or an herbal remedy. Benzonatate is a very dangerous product when taken directly by a child. Some cough medicines also contain alcohol, which you may want to avoid while breastfeeding. Short-term use (<2 weeks) of naproxen postpartum, or infrequent or occasional use should be compatible with breastfeeding. Nasal Steroid. It does not suppress coughing. Common trade name: Kenalog shot, Nasacort.1. Do not exceed 4 grams/day. It is the safest of the antitussives and unlikely to transfer into milk. There is no accepted standard for what is too much, but the recommended daily allowance of zinc from all sources (including food) is 12 mg per day in a lactating woman. Common trade names: Cepacol. Doses used for respiratory infections do not require any interruption to breastfeeding. Common trade names: Halls, Ricola, Ludens, Vicks, Guaifenesin (L2): This is an expectorant used to loosen respiratory tract secretions. They are considered safe for nursing moms, though if your baby's stools are runnier than usual, you might want to try natural remedies instead of an OTC medicine. Please check each of the links below, where breastfeeding (lactation) information is available. It is used to dry up secretions. Benzocaine cough drops or lozenges (with or without menthol) are an excellent choice for cough relief in breastfeeding mothers. Common trade names: Robitussin, Mucinex. They contain simethicone, which is sometimes given to infants. Australian Drug Evaluation Committee "Prescribing medicines in pregnancy: an Australian categorisation of risk of drug use in pregnancy. Still, a few medications aren't safe to take while breastfeeding. It is definitely passed into human milk and some experts believe it is responsible for entraining the newborn brain to reset its circadian clock to that of the mother by communicating the time of day to the newborn. Watch breastfed infants for drowsiness or poor feeding. Common Trade Names: Advil, Nuprin, Motrin. Accessed June 26, 2018. Drug therapy and breastfeeding. In addition, this drug is given directly to babies at much higher doses than this. It is excreted into breast milk in low levels. Common trade names: DM, Benylin, Delsym, Robitussin DM. Common trade name: Kenalog shot, Nasacort. Look for the ingredients calcium carbonate or magnesium hydroxide. L1 Safest: Extensive evidence demonstrating no adverse effects on the infant, L2 Safer: Limited evidence without an increase in adverse effects on the infant. Most cough drops are considered safe while breastfeeding. Naproxen (L3): Naproxen is less well studied than the other drugs in the same class. Newborns . Metronidazole is an antimicrobial that has been used to treat infections. These include. (L1): Acetaminophen is compatible with breastfeeding as only small amounts are secreted into breast milk. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Also ask about the timing. Acetaminophen is commonly included in combination products. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. If you can't reach your doctor, ask the pharmacist at your drugstore. . That's because you produce a limited volume of breast milk during this time. Triamcinolone may be used for longer periods of time without causing rebound congestion. Benzonatate prescription required (Avoid when possible, L4): Non-narcotic cough suppressant. This is another sedating antihistamine, similar to diphenhydramine, which is more commonly used for its sedative properties. Can breastfeeding mothers use tiger balm. Benzocaine (L2): Numbing Agent. There are no good studies about how much of this drug gets into breast milk. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. 4. Pseudoephedrine is an adrenergic compound used as a nasal decongestant. With your health care provider's input, consider this list of medications found to be safe during breastfeeding. Can You Drink Alcohol While Breastfeeding? Try our 1-page flyer. Looking for a quick list of safe medications while breastfeeding? Topical application of zinc oxide (like sunscreen) is not absorbed, and is safe when breastfeeding. This includes your doctors, nurses, pharmacists, and dentists. However, note that some cultural traditions also use them to increase breast milk production. Zinc salts for cold treatment can have possible negative effects on breastfeeding infants during the first weeks of life. While there have been scattered cases of respiratory depression in breastfeeding infants, it is likely safe to consume in moderate amounts (<150 mg per day) while breastfeeding. Acetaminophen is commonly included in combination products. There are no adequate and well controlled studies in breastfeeding women. L5 Hazardous: Significant and documented risk to the infant. Because aspirin is often found in other medications, check the label of any over-the counter medicine you take. 22, no. Further studies need to be considered in adults, however. Common names: penicillins, cephalosporins, azithromycin, Steroids prescription only (typically L2): Short term courses of oral or injectable steroids are unlikely to affect breastfed infants. Zinc absorption in women during pregnancy and lactation: a longitudinal study. Phenylephrine is a decongestant that is commonly added to cold mixtures and nasal sprays for use in colds, flu, and congestion. Our e-newsletter will keep you up-to-date on the latest health information. 901906., doi:10.1111/j.1365-2125.1984.tb02562.x. For example, Advil Cold and Sinus contains ibuprofen to help alleviate a sinus headache, but it also contains pseudoephedrine, which you may not want to take if you're nursing. Common Trade Name: Tylenol. A typical steroid primarily used intranasally for allergic rhinitis and via inhalation for asthma. Thus, excessive zinc supplementation in breastfeeding mothers should be avoided for the first month postpartum. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. Check the label to see what the "active ingredient" is -- it may not be what you think. Leong C, ed. Even high levels of maternal consumption resulted in only slightly increased levels in breastmilk. Hale's Medications & Mothers' Milk, 2021: A Manual of Lactational Pharmacology. This is the first OTC steroid nasal spray to be marketed in the United States. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. The decision to use aspirin should be undertaken with physician guidance. It's probably best to avoid consuming large amounts of peppermint or menthol cough drops. 2. According to the Centers for Disease Control and Prevention, while the safest route is to abstain, moderate alcohol consumption (up to four ounces of wine, one ounce of hard liquor, or eight ounces of beer per day) is unlikely to have any appreciable negative impact on your infant, your milk supply, or your infant's ability to nurse. Make sure to avoid alcohol containing products however. An excellent alternative would be a nasal decongestant like oxymetazoline (Afrin-L3 discussed below). When you're taking medication, watch your baby for any changes in eating or sleeping habits, fussiness, or a rash. Fennel essential oil might cause allergic reactions after oral or topical use due to cross-reactivity with plants of the Apiaceae . For this reason, these herbs are often used for weaning. It is extremely unlikely mometasone would be excreted in human milk in clinically relevant levels following topical or intranasal administration.There were no reported health concerns via milk.Common Trade names: Nasonex. Mometasone (L3): Nasal Steroid. Topical antifungal cream and pessaries containing clotrimazole, miconazole and nystatin are safe to use while breastfeeding. There are no adequate and well controlled studies in breastfeeding women. Increased breastfeeding, supplementation with lactogenic medications, herbs, or foods, and possibly additional pumping will help you build up your milk production again. Comments: -There are no data on the excretion of topical menthol into human milk; oral consumption of menthol caused measurable quantities in human milk. Be sure to tell your pharmacist about all the medicine or herbs you're taking, not just the one you have a question about. Medicines to treat gas and bloating, such as Gas-X, Maalox, Mylanta, and others, are safe to take while breastfeeding. It relieves pain when applied to the skin. With regard to usage during breastfeeding, the manufacturer gives no recommendations. It is used to dry up secretions. Adverse effects to infants from breastfeeding are unlikely due to low relative dose and first-pass metabolism. It's not clear how much of these ingredients makes it into breast milk, so ask your doctor if you're considering using cough medicine. What is metronidazole? 10-04-2012, 08:36 AM. Benzocaine topical has an average rating of 6.6 out of 10 from a total of 37 ratings on Drugs.com. All rights reserved. (Note that peppermint contains high levels of menthol, which is a chemical found in various types of mint.). Only minimal amounts of Menthol would be transferred into breast milk. (L1). There are no good studies about how much of this drug gets into breast milk. Accessed June 26, 2018. There are minimal pharmacokinetic data on this product, and no data on transfer to human milk. Each medication will vary in how strong the . Although aspirin is secreted into breast milk in small quantities, it has the potential to cause bleeding problems in infants and increases the risk of Reye syndrome (liver damage associated with using aspirin to treat certain viral illnesses in children). Nonsteroidal anti-inflammatories (NSAIDs) include all oral OTC pain relievers except Tylenol. Dextromethorphan is the most commonly used over the counter cough suppressant. Look for products containing miconazole (Monistat) or clotrimazole (GyneLotrimin). However, menthol is derived from peppermint oil, which may reduce milk supply in some women. Naproxen is less well studied than the other drugs in the same class. Phenol topical has an average rating of 5.1 out of 10 from a total of 42 ratings on Drugs.com. (L3): Nasal Steroid. For many years, health care providers, other lactation experts, and various cultural traditions recommended that breastfeeding parents enjoy a beer before nursing to help with the milk ejection reflex (called letdown), offer relaxation, boost milk supply, and improve milk quality. There are no adequate and well-controlled studies or case reports in breastfeeding women. It is also the main component in many sleep aids, including nighttime versions of cold medications, as well as motion sickness pills. L4 Possibly Hazardous: Positive evidence or expert opinion of risk to the infant or milk production. Levels in milk have not been reported, but experiments have shown that it has poor oral absorption in infants. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. There is some anecdotal evidence that diphenhydramine can suppress milk production, but this pattern is not supported by the medical literature. Diphenhydramine is an antihistamine that is often used in cough, cold, sinus, and allergy formulations. (L3). (L3): Decongestant. For a sour stomach or heartburn, Tums and Rolaids are safe to use. The U.S. Centers for Disease Control and Prevention (CDC) recommends kaolin-pectin products (such as Kaopectate) or loperamide products (such as Imodium) for nursing mothers with diarrhea. Yes. A major factor to keep baby healthy is by taking care of mom. Read the label carefully to find out what symptoms the medicine treats, and ask the pharmacist if you have any questions. Pregnancy Common trade names: Neofrin, Neosynephrine, Vicks Sinex Nasal. Primarily intended for intranasal and topical use. *Some combination headache or menstrual relief medicines that contain aspirin or acetaminophen, like Excedrin or Midol, contain caffeine. Both types of medicines contain ingredients that are not well absorbed by the body, so are unlikely to make it into your breast milk. There is no accepted standard for what is too much, but the recommended daily allowance of zinc from all sources (including food) is 12 mg per day in a lactating woman.
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