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What pain medication is safe while breastfeeding?

Understanding Safe Pain Medications While Breastfeeding
Navigating the world of pain relief can be particularly challenging for breastfeeding mothers. The need for effective pain management must be balanced with the safety of the infant, as many medications can pass into breast milk. Fortunately, there are several options that are generally considered safe for nursing mothers.
Recommended Pain Relievers
Acetaminophen (Paracetamol) and Ibuprofen are two of the most commonly recommended over-the-counter pain relievers for breastfeeding mothers. Both medications are known to transfer into breast milk in very low amounts, making them suitable choices for managing pain. Mothers can typically take these medications up to the daily maximum dose, but it is advisable to use the lowest effective dose for the shortest duration necessary.
Opioid Pain Medications
In cases where stronger pain relief is required, certain opioid medications may be used cautiously. Dihydrocodeine is considered a safer option compared to codeine, although it is still important to use it at the lowest effective dose and for the shortest time possible to minimize any potential effects on the infant. Additionally, low doses of oxycodone or hydrocodone can be safe for short-term use while breastfeeding, but mothers are advised to avoid codeine due to its higher risk of adverse effects.
Important Considerations
While many pain medications are deemed safe, it is crucial for breastfeeding mothers to consult with healthcare providers before starting any new medication. This is especially important if the pain reliever is combined with other medications, as interactions could pose risks. Monitoring the infant for any unusual symptoms is also recommended when a mother is taking medication.
Conclusion
In summary, breastfeeding mothers have access to a variety of pain relief options, including acetaminophen and ibuprofen, which are both safe and effective. For more severe pain, certain opioids can be used under medical guidance. As always, the key is to prioritize the health and safety of both mother and child by seeking professional advice and using medications judiciously.

How long does 5mg of oxycodone stay in breastmilk?

Conclusions: Oxycodone is concentrated in human breast milk up to 72-h post-partum. Breastfed infants may receive > 10% of a therapeutic infant dose. However, maternal oxycodone intake up to 72-h post-CS poses only minimal risk to the breast-feeding infant as low volumes of breast milk are ingested during this period.

What are unsafe drugs in breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

What medications cannot be given while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

  • codeine phosphate.
  • decongestants that come as tablets, liquids or powders that you swallow.
  • some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
  • aspirin for pain relief.

What painkillers can I take while breastfeeding for tooth pain?

Paracetamol is a first-choice painkiller during breastfeeding. It passes into breast milk in very small amounts. The amount of paracetamol your baby gets is far less than what they would get from a dose of paracetamol given to them directly.

What is the safest pain reliever during pregnancy?

Paracetamol is the painkiller of choice for use in pregnancy and its use does not require medical supervision. It is not uncommon for women to have used other types of painkiller early in pregnancy before finding out they are pregnant.

What are the safest opioids for breastfeeding mothers?

The most effective medications are methadone and buprenorphine, and they’re safe to take while nursing your baby.

Is it safe to take hydrocodone while breastfeeding?

Standard dosages of hydrocodone for postpartum pain can be considered safe during breastfeeding. When administered in combination with acetaminophen or ibuprofen, hydrocodone is an effective postpartum and postoperative oral opioid analgesic. The use of hydrocodone in nursing mothers is common.

What painkillers are safe while breastfeeding?

Most over-the-counter (also called OTC) medicine, like pain relievers and cold medicine, are OK to take when you’re breastfeeding. For example, OTC pain relievers like ibuprofen (Advil®) or acetaminophen (Tylenol®) are safe to use when breastfeeding.

Which painkiller is safe for feeding mother?

You can take paracetamol and ibuprofen together during breastfeeding if needed, up to their maximum daily doses.

Can I take oxycodone while breastfeeding?

Oxycodone and breastfeeding
Although only small amounts of oxycodone pass into breast milk, it may still cause side effects in your baby such as breathing problems, being very sleepy, or difficulty feeding. Because of this potential risk, your doctor may recommend a different painkiller while you’re breastfeeding.

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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