Breastfeeding Safety: Can You Take Cold Medications? - Pediatrics

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Medication Issues During Breastfeeding


Hello, doctor.
May I ask if the following medications for a cold are safe to use while breastfeeding: 1.
Amoxicillin 2.
Pcloninc Tab 3.
Fencain 4.
Fexofenadine 5.
Pseudoephedrine 6.
Noscapine 7.
Tricolinc 8.
Sudlicon-G Tab 9.
Codeine Tab? If they are not suitable, how long should I wait after stopping the medication before breastfeeding? Thank you.

Amber, 30~39 year old female. Ask Date: 2023/12/26

Dr. Xiao Kaiwen reply Pediatrics


Only a very small number of medications, such as immunosuppressants, radioactive drugs, cytotoxic drugs, narcotics, and alcohol, are contraindicated for breastfeeding mothers.
The vast majority of legal medications are safe for breastfeeding infants, so there is no need for excessive concern.
If you are worried, you can time your medication and breastfeeding sessions to minimize exposure.
This means breastfeeding or expressing milk before taking the medication, and then taking the medication immediately afterward.
By the time you breastfeed again, the concentration of the supplement in your milk will be relatively low, reducing its impact on the infant.

Reply Date: 2023/12/26

More Info


When it comes to breastfeeding while taking cold medications, it’s essential to consider the safety of both the mother and the infant. The medications you mentioned include a mix of antibiotics, antihistamines, and cough suppressants, each with different implications for breastfeeding.

1. Amoxicillin: This is a commonly prescribed antibiotic that is generally considered safe for breastfeeding mothers. It passes into breast milk in small amounts, but it is unlikely to harm a breastfeeding infant. The American Academy of Pediatrics classifies it as compatible with breastfeeding.

2. Pcloninc Tab: There is limited information available regarding this medication. If it contains a known antihistamine or sedative, it may not be advisable to use while breastfeeding, as these can cause drowsiness in infants. It’s best to consult with a healthcare provider for specific guidance.

3. Fencain: This medication is not widely recognized, and its safety during breastfeeding is unclear. If it is an antihistamine or has sedative properties, it may be best to avoid it while nursing.

4. Fexofenadine: This is a second-generation antihistamine that is considered safe for breastfeeding. It has minimal sedative effects and is unlikely to affect the infant adversely.

5. Pseudoephrine: This decongestant can reduce milk supply in some women, so it should be used with caution. If you notice a decrease in milk production, consider discussing alternatives with your healthcare provider.

6. Noscapine: This is a cough suppressant that is generally considered safe for breastfeeding. However, it is always wise to monitor the infant for any unusual reactions.

7. Tricolinc: Similar to Pcloninc, there is limited information available. If it contains a sedative or antihistamine, it may not be advisable to use while breastfeeding.

8. Sudlicon-G Tab: This medication is often used for cold symptoms but may contain ingredients that are not recommended during breastfeeding. It’s crucial to check the specific components of this medication.

9. Codcpinc Tab: If this medication contains codeine or similar opioids, it is contraindicated during breastfeeding due to the risk of serious side effects in infants, including respiratory depression.

In summary, while some of the medications you listed are considered safe for breastfeeding, others may pose risks. It is crucial to consult with your healthcare provider to evaluate the specific medications you are taking. They can provide personalized advice based on your health status and the needs of your infant.

If you need to stop breastfeeding due to medication use, it is generally recommended to wait at least 4-6 hours after taking a dose before breastfeeding again, especially for medications that may cause sedation or other side effects. However, this can vary based on the specific medication, so always follow your healthcare provider's guidance.

In conclusion, while many medications can be safely taken while breastfeeding, it is essential to approach this with caution and seek professional advice. Your healthcare provider can help you weigh the benefits of treatment against any potential risks to your infant. Always prioritize open communication with your healthcare team to ensure the best outcomes for both you and your baby.

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