Safe Medications for Breastfeeding Moms: What You Need to Know - Pediatrics

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Medication issues during breastfeeding?


Hello, Doctor.
I currently have a five-month-old baby and I am breastfeeding.
I have a cold and would like to understand if the following medications are safe to take while breastfeeding and if they will affect my baby, or how long after taking the medication I should wait before breastfeeding:
1.
Fucole paran tablet (active ingredient: Acetaminophen)
2.
Bisco tablets 8mg (active ingredient: Bromhexine HCl)
3.
Medicon tablets 15 (active ingredient: Dextromethorphan HBr)
4.
Noflagma tablets 9 (active ingredient: Lysozyme)
Thank you for your assistance.

Shan Shan, 30~39 year old female. Ask Date: 2022/04/23

Dr. Xiao Kaiwen reply Pediatrics


After verification, it has been confirmed that only the second expectorant currently lacks data to determine whether it is secreted into human breast milk, thus it should be used more cautiously.
The other three medications are relatively safe for breastfeeding.

Reply Date: 2022/04/23

More Info


When it comes to breastfeeding and medication, it's essential to understand which medications are safe to take while nursing and how they may affect your baby. Here’s a breakdown of the medications you mentioned, along with general guidelines for breastfeeding mothers.

1. Fucole Paran Tablets (Acetaminophen): Acetaminophen is generally considered safe for use during breastfeeding. It is a common pain reliever and fever reducer. Studies have shown that only a small amount of acetaminophen passes into breast milk, and it is unlikely to harm a nursing infant. You can take this medication as needed, but it's always best to use the lowest effective dose for the shortest duration necessary.

2. Bisco Tablets (Bromhexine HCl): Bromhexine is a mucolytic agent that helps to break down mucus in the airways. While there is limited data on the effects of bromhexine during breastfeeding, it is generally considered to be safe. The amount that passes into breast milk is minimal, and it is not expected to have adverse effects on a breastfeeding infant. However, if you notice any unusual symptoms in your baby, consult your pediatrician.

3. Medicon Tablets (Dextromethorphan HBr): Dextromethorphan is a common cough suppressant. It is also considered safe for breastfeeding mothers. Like bromhexine, only a small amount is excreted in breast milk, and it is unlikely to affect your baby. However, as with any medication, it is advisable to monitor your baby for any unusual reactions.

4. Noflagma Tablets (Lysozyme): Lysozyme is an enzyme that has antibacterial properties and is sometimes used in medications to help with throat irritation. There is limited information available regarding the safety of lysozyme during breastfeeding, but it is generally considered safe. The enzyme is naturally present in human milk, which suggests that it is compatible with breastfeeding.


General Guidelines for Taking Medications While Breastfeeding:
- Consult Your Healthcare Provider: Always discuss any medications you plan to take with your healthcare provider, especially if you are breastfeeding. They can provide personalized advice based on your health history and the specific medications.

- Timing of Medication: If you are concerned about the timing of medication and breastfeeding, a common recommendation is to take the medication right after breastfeeding. This way, the concentration of the drug in your milk will be lower when your baby feeds next.

- Monitor Your Baby: After taking any new medication, keep an eye on your baby for any signs of adverse reactions, such as unusual fussiness, changes in feeding patterns, or any other concerning symptoms.

- Use the Lowest Effective Dose: When taking any medication, use the lowest effective dose for the shortest duration necessary to minimize any potential risks.

- Stay Informed: Resources like the LactMed database can provide up-to-date information on the safety of various medications during breastfeeding.

In conclusion, the medications you listed are generally considered safe for breastfeeding mothers, but it is always prudent to consult with your healthcare provider before starting any new medication. Your health and your baby's health are paramount, and ensuring that you have the right information will help you make informed decisions.

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