Breastfeeding and Medications: Do’s & Don’ts [A Must Read]

Being sick is never fun; being sick while breastfeeding can be downright miserable. Although most medications are safe to use while breastfeeding, moms often worry about the effect they can have on their child and fear having to “pump and dump,” or stop nursing entirely. Whether it’s the need to medicate for something as simple as a common cold or something more complicated, it’s wise to familiarize yourself with the do’s and don’ts of medication while breastfeeding.

Do’s 

• Always let your health care provider know you’re nursing and how old your baby is when being prescribed medicine or buying medication over-the-counter (OTC). Infants younger than six months, and those that nurse frequently and rely solely on breastmilk for nutrition, are more likely to be affected by foreign substances in breastmilk. 

• Whenever possible, take your medication right after breastfeeding so your body has time to metabolize the medicine before your baby’s next feeding session. 

• Keep a list of over-the-counter (OTC) medications that are proven to be safe (and those that have not) while breastfeeding in a handy place to check if necessary. It might also be a good idea to keep some in your house or in your purse, so you don’t find yourself in a difficult spot at an inconvenient moment. 

• If you know in advance you’ll need to take a medication that requires you stop nursing, pump and freeze breastmilk in advance so you can stockpile enough to keep feeding your baby as long as possible while taking your medication. 

• If you have a doubt, call the InfantRisk Center helpline (1-806-352-2519) or check the LactaMed database (they have a convenient app) before taking a new medication. 

Don’ts

• Avoid unnecessary supplements while breastfeeding, including high doses of vitamins and herbal dietary supplements like herbal teas which are not regulated by the US Food and Drug Administration (FDA), unless cleared by your health care provider. 

• Unless instructed to do so by your general practitioner, don’t stop breastfeeding while taking medication. This could result in engorged breasts, which La Leche Leage GB says can lead to blocked ducts and mastitis. Some babies also have a hard time going back to breastfeeding after being weaned suddenly, even as a temporary solution. 

• Don’t let yourself get run down. If you’re sick or tired, your milk production might slow down, which would affect your baby more than the amount of medicine that transfers to breastmilk from most medications. Take care of yourself and stay healthy. 

• Don’t hesitate to call your pediatrician’s office if you notice any adverse symptoms in your baby, such as increased irritability, fussiness or sleepiness, that you think might be linked to a medication you’re taking. 

As always, when it comes to your health and that of your baby, always call your doctor’s office if you have any questions. 

Breastfeeding and Medications: Sources

Journal of American Academy of Pediatrics
Mayo Clinic: Breastfeeding and Medications: What’s Safe
Mumsnet: Medicines to Avoid When Breastfeeding
InfantRisk Center
LactaMed Database
Consumer Labs: Supplements and Vitamins to Avoid When Breastfeeding