safe medications while breastfeeding

When determining what medications are safe to use while breastfeeding, we look at two factors. One, will the medication have an adverse effect on the baby if it passes through the breast milk? And two, might the medication dry up the mother’s breast milk?
 
If the medication will have no effect on the baby or breast milk production, it’s “safe.” If the medication may have an effect on breast milk over time, we suggest that it is “safe for limited use,” meaning you should not take it regularly for more than a few days at a time. Simply take these medications as recommended on the label—do not exceed the maximum daily dose. Contact your pediatrician or pharmacist if you have additional questions.

Allergies (seasonal)
Safe: Actifed, Benadryl (plain), Claritin
Safe for limited use: Sudafed (occasional, acute use)

Colds and congestion:
Safe: saline nasal spray, Benadryl (plain)
Safe for limited use: Chlor-Trimeton (chlorpheniramine), Dextromethorphan, Guaifenesin, Sudafed (occasional, acute use)

Constipation

Safe: Benefiber, Citrucel, Colace, Dulcolax, Fibercon, Metamucil

Diarrhea
Safe: Kaopectate, Imodium AD

Heartburn and indigestion
Safe: Maalox (simethicone), Mylanta (simethicone), Pepcid AC (famotidine), Tums (calcium carbonate; daily allowance while breastfeeding is 1,200 mg), Zantac 75 (ranitidine)
Safe for limited use: Mylanta II

Hemorrhoids
Safe: Anusol HC, Dibucaine (Xylocaine), Preparation H, Proctofoam, Tucks pads

Headache

Safe: Advil or Motrin (ibuprofen), Tylenol (acetaminophen), Tylenol Extra Strength

Insomnia
Safe for limited use: Advil PM, Tylenol PM, Simply Sleep

Itching/rash
Safe: Benadryl Lotion, Hydrocortisone Cream (1%)

Nausea
Safe: Emetrol, Acupuncture wrist bands

Sore throat
Safe for limited use: Cepacol, Chloraseptic Spray, salt water gargle

Yeast infection
Safe: Gyne-Lotrimin, Monistat