Can Nursing Mothers Take Pain Relievers? Expert Advice - Obstetrics and Gynecology

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Can medication be taken during breastfeeding?


Dr.
Huang: My child is over 20 days old and has been exclusively breastfed.
Recently, I have been experiencing headaches.
I would like to ask if it is safe to buy pain relievers from the pharmacy, and whether this would affect my child.
Thank you.

vivian, 30~39 year old female. Ask Date: 2006/07/16

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello: Most medications can permeate into breast milk, but since these are only temporary analgesics, as long as you avoid the times when the drug concentration is high, there should be no issues with breast milk after the medication is metabolized.
Sincerely, Dr.
Huang Chien-Hsun, Obstetrics and Gynecology.

Reply Date: 2006/07/16

More Info


When it comes to nursing mothers taking pain relievers, it is essential to consider both the safety of the medication and its potential effects on the breastfeeding infant. Many mothers experience headaches, postpartum discomfort, or other pains after childbirth, and it is understandable to seek relief. However, the choice of medication must be made carefully.

First and foremost, many common pain relievers are considered safe for nursing mothers. For instance, acetaminophen (Tylenol) is generally regarded as safe and is often recommended for pain relief during breastfeeding. It has a low risk of passing into breast milk and is unlikely to harm the nursing infant when taken in recommended doses. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) are also considered safe for breastfeeding mothers. These medications can help alleviate pain and inflammation without posing significant risks to the infant.

However, there are certain pain relievers that should be avoided. Aspirin, for example, is not recommended for nursing mothers due to the risk of Reye's syndrome, a rare but serious condition that can affect children. Additionally, some prescription pain medications, especially those containing opioids, may not be suitable for breastfeeding mothers as they can pass into breast milk and potentially cause respiratory depression or sedation in the infant.

Before taking any medication, nursing mothers should consult with their healthcare provider or a pharmacist. They can provide personalized advice based on the mother's medical history, the specific pain reliever in question, and the age and health of the infant. It is also crucial to follow the recommended dosages and avoid combining multiple medications without professional guidance.

In addition to medication, nursing mothers can explore non-pharmacological methods for managing pain. Techniques such as rest, hydration, applying heat or cold packs, and practicing relaxation exercises can be effective in alleviating discomfort without the need for medication.

Lastly, if a nursing mother finds that she frequently requires pain relief, it may be worth discussing the underlying causes of her pain with a healthcare professional. Persistent headaches or other pain could indicate a need for further evaluation and treatment.

In summary, nursing mothers can take certain pain relievers, such as acetaminophen and ibuprofen, with caution and under the guidance of a healthcare provider. It is essential to avoid medications that pose risks to the infant and to consider alternative pain management strategies. Always prioritize open communication with healthcare professionals to ensure the safety and well-being of both mother and child.

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