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What nasal sprays are safe while breastfeeding?

Understanding Safe Nasal Sprays While Breastfeeding
Breastfeeding mothers often face the challenge of managing nasal congestion due to colds or allergies while ensuring the safety of their infants. The good news is that several nasal sprays are considered safe for use during breastfeeding, allowing mothers to find relief without compromising their baby’s health.
Saline Nasal Sprays: The Go-To Option
Saline nasal sprays are widely recommended as the safest option for breastfeeding mothers. These sprays consist of a simple salt-and-water solution that helps to moisturize nasal passages, clear mucus, and alleviate congestion without introducing any medication into the system. Saline sprays are available over-the-counter and are effective for relieving symptoms associated with colds and allergies.
Corticosteroid Nasal Sprays
Another category of nasal sprays that can be safely used while breastfeeding includes corticosteroid sprays, such as fluticasone. Research indicates that the amount of fluticasone absorbed into the bloodstream and subsequently excreted into breast milk is minimal, making it unlikely to affect a breastfeeding infant. Experts generally consider inhaled and nasal corticosteroids acceptable for use during lactation.
Decongestant Nasal Sprays
While some decongestant nasal sprays, like Afrin, may provide quick relief from nasal congestion, they should be used with caution. These sprays can lead to rebound congestion if used for more than a few days. Although they are not contraindicated, it’s advisable for breastfeeding mothers to consult with a healthcare provider before using them to ensure they are appropriate for their specific situation.
Oral Decongestants and Their Implications
In addition to nasal sprays, oral decongestants such as pseudoephedrine and phenylephrine are often considered safe for breastfeeding mothers. These medications can help alleviate nasal congestion caused by colds and allergies, but it’s essential to monitor any potential side effects in both the mother and the infant.
Conclusion
For breastfeeding mothers dealing with nasal congestion, saline nasal sprays are the safest and most effective choice. Corticosteroid sprays like fluticasone can also be used with minimal risk. While some decongestant sprays and oral medications are available, they should be approached with caution and ideally discussed with a healthcare professional. By prioritizing safety and consulting with medical experts, mothers can effectively manage their symptoms while ensuring the well-being of their infants.

What nasal sprays are safe during pregnancy?

Decongestant sprays (oxymetazoline, Afrin®, Sinex®).
These are generally considered safe during pregnancy, but using them for longer than a few days can cause a rebound effect.

Can I use Flonase while breastfeeding?

Flonase and Nasacort (available over the counter or by prescription) are both steroid nasal sprays that can help with sinus pressure and congestion. They are considered safe for supply and baby, but may take several days to a week to fully work.

Will Flonase dry up breast milk?

Flonase and Nasacort are nasal sprays that can help with sinus pressure and congestion. They are considered safe for breastmilk and babies but may take days or weeks to work. Tylenol (acetaminophen) is safe for babies and milk supply and may help mild to moderate pain or headaches.

Can I take anything for nasal congestion while breastfeeding?

It is recommended that breastfeeding women AVOID decongestant tablets, powders or drinks. Decongestant nasal sprays containing xylometazoline, oxymetazoline are effective in relieving nasal congestion but do not produce wakefulness nor reduce milk supply.

What is the best decongestant to stop breastfeeding?

Take Sudafed.
Pseudoephedrine, or Sudafed, is a common over-the-counter decongestant. Research shows the Sudafed causes a noticeable decrease in milk production. Like birth control, Sudafed should only be used to suppress lactation under the supervision of a doctor.

What is the most safe antihistamine while breastfeeding?

Cold and allergy meds that are safe while breastfeeding include: Cetirizine (Zyrtec) and loratadine (Claritin) are the recommended antihistamines when breastfeeding. Other antihistamines are also considered safe but do not have as much research to support this. These include Allegra and Xyzal.

What nasal sprays can breastfeeding moms take?

Corticosteroid nasal sprays containing beclomethasone and budesonide are considered safe to use during breastfeeding. Decongestant nasal sprays containing oxymetazoline, xylometazoline or tramazoline may be used if corticosteroid and antihistamine nasal sprays have not relieved the symptoms.

Is Flonase OK while breastfeeding?

Flonase and Nasacort (available over the counter or by prescription) are both steroid nasal sprays that can help with sinus pressure and congestion. They are considered safe for supply and baby, but may take several days to a week to fully work.

Can I use Vicks Sinex nasal spray while breastfeeding?

Oxymetazoline has not been well-studied for use while breastfeeding. Since oxymetazoline is sprayed into the nose or rubbed onto skin, it is thought that very little of the medication passes into breastmilk. Be sure to talk to your healthcare provider about all your breastfeeding questions.

Why is Zyrtec not recommended while breastfeeding?

However, caution is advised for cetirizine use while breastfeeding due to the theoretical risk of CNS depression based on limited human data and risk of decreased milk production.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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