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Which muscle relaxant is safe in breastfeeding?

Muscle Relaxants and Breastfeeding: A Safe Choice
When it comes to managing muscle spasms or discomfort during breastfeeding, safety is paramount. Many mothers may wonder which muscle relaxants are safe to use while nursing, given the potential impact on both the mother and the infant.
Understanding Muscle Relaxants
Muscle relaxants are medications used to relieve muscle tension and alleviate pain. They are typically classified into two categories: central acting and peripheral acting. Central acting relaxants, such as cyclobenzaprine and carisoprodol, work on the brain and spinal cord, while peripheral acting relaxants, such as dantrolene, target muscle tissue directly.
Safety in Breastfeeding
The most commonly recommended muscle relaxant for breastfeeding mothers is methocarbamol. Research suggests that methocarbamol has minimal transfer into breast milk and is considered safe for nursing mothers. The American Academy of Pediatrics categorizes it as a Lactation Risk Category L2, meaning it is usually safe to use during breastfeeding.
Other Considerations
While methocarbamol is often highlighted for its safety, other medications might also be prescribed depending on individual circumstances. For example, baclofen is sometimes used, but its safety profile in breastfeeding is less clear, and it may cause sedation in infants. Therefore, healthcare providers often recommend caution with its use.
Mothers should also avoid central acting muscle relaxants like diazepam or carisoprodol, as these can lead to adverse effects in breastfeeding infants due to their sedative properties.
Consulting Healthcare Providers
Before starting any medication, including muscle relaxants, breastfeeding mothers should consult their healthcare providers. This ensures that they receive tailored advice that considers their specific health needs and the potential effects on their child.
Conclusion
In summary, methocarbamol stands out as a safe option for muscle relaxation during breastfeeding. However, the importance of consulting with a healthcare professional cannot be overstated, as they can provide personalized guidance and ensure the well-being of both mother and child. Always prioritize safety and informed choices when it comes to medication during this critical time.

What can I take for muscle pain while breastfeeding?

Paracetamol is the first choice pain medication during breastfeeding. While it appears in breast milk, the amount is too small to cause harm to your baby. Sometimes paracetamol alone may not control your pain. In this case a non- steroidal anti-inflammatory (NSAID), for example ibuprofen, can also be taken.

Can breastfeeding moms take muscle relaxers?

Summary of Use during Lactation
Amounts of cyclobenzaprine in milk appear to be very small and two infants apparently tolerated the drug in milk well. If cyclobenzaprine is required by the mother, it is not a reason to discontinue breastfeeding.

What can I take for back spasms while breastfeeding?

If greater pain relief is required, tramadol, Oramorph or dihydrocodeine are all breastfeeding compatible options. Tramadol reaches low levels in babies but can make mum very sleepy. Watch the baby for signs of drowsiness too.

Which antispasmodic is safe in breastfeeding?

Hyoscine butylbromide, propantheline or peppermint oil are preferred choices during breastfeeding. Recommendations apply to full term and healthy infants.

What kind of relaxer is safe during pregnancy?

Chemical products designed to straighten or relax hair are generally considered to be safe to use during pregnancy. However, you should avoid products that contain substances called endocrine-disrupting chemicals (EDCs) and products that release formaldehyde when they’re heated.

Can I take muscle relaxers while nursing?

Summary of Use during Lactation
If cyclobenzaprine is required by the mother, it is not a reason to discontinue breastfeeding. Monitor the infant for (drowsiness, adequate weight gain, and developmental milestones), especially in neonates and preterm infants and when using combinations of sedating drugs.

Can I breastfeed while taking muscle relaxers?

Summary of Use during Lactation
Amounts of cyclobenzaprine in milk appear to be very small and two infants apparently tolerated the drug in milk well. If cyclobenzaprine is required by the mother, it is not a reason to discontinue breastfeeding.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Antineoplastics Leukopenia, bone marrow suppression
Gold salts Rash, nephritis, haematological abnormalities
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring

Can you get a relaxer while breastfeeding?

Information about having hair treatments while breastfeeding is limited. However, the Organization of Teratology Information Specialists states that it is highly unlikely that a significant amount of the chemicals used would enter the breastmilk because very little enters the mother’s bloodstream.

Can you take muscle relaxers in nursing?

Yes, you can take Flexeril while breastfeeding, but it’s important to do so under the guidance of your healthcare provider. Flexeril is a muscle relaxant commonly used to relieve skeletal muscle spasms and associated pain.

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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