Breastfeeding and Medications
This is a list of common medications that may be taken, in their standard recommended doses, while breastfeeding. This list does not include more uncommon medications, such as for heart and seizure conditions. Please contact us, or your own health care provider, if you need to take something which is not addressed on this list.
Pain Relief/ Fever
Acetaminophen (Tylenol)
Codeine Allegra
Ibuprofen (Motrin, Advil)
Indomethacin (Indocin)
Ketorolac (Toradol)
Lidocaine
Naproxen (Aleve, Anaprox)
Propoxyphene (Darvocet/Darvon)
Antibiotics, Antifungals, etc.
Acyclovir (Zovirax)
Amoxicillin
Ampicillin
Antifungal Creams and Suppositories
(Monistat, Lotrimin, etc.)
Augmentin
Azithromycin (Zithromax)
Cefadroxil (Duracef)
Cefprozil (Cefzil)
Ceftriaxone (Rocephin)
Cephalexin (Keflex)
Clarithromycin (Biaxin)
Clindamycin (Cleocin)
Fluconazole (Diflucan)
Penicillin
Sulfisoxazole (Gantrisin)
Tetracycline
Topical Antibiotic Ointments
Antidepressants
Please discuss with your provider
Respiratory/Allergies/Antihistamines
Albuterol (oral and inhaled)
Allegra
Claritin (Loratadine)
Cromolyn Sodium (Intal, Nasalcrom)
Corticosteroids – Inhaled or Intranasal
(Azmacort, Nasacort, Rhinocort, Aerobid, Nasalide
Flonase, Flovent, Veramyst)
Diphenhydramine (Benadryl)
Prednisone
Saline Nasal Spray
Terbutaline
Topical eye drops (Opcon, Patanol/Pataday, Zatidor)
Zyrtec (Cetirizine)
Cough Preparations:
Dextromethorphan
Guaifenesin
Stomach, Constipation, etc.
Bisacodyl (Dulcolax)
Cimetidine (Tagamet)
Docusate (Colace)
Famotidine (Pepcid)
Kaopectate
Loperamide – active ingredient in items such as:
Immodium, Maalox Antidiarrheal, KaoPectate II
Milk of Magnesia, Epsom Salts
Nizatidine (Axid)
Ranitidine (Zantac)
Common medications that may decrease your milk supply*
- Combination Oral Contraceptive Pills
- Depo-provera
- Pseudoephedrine (Sudafed)
- Mini-pills (progesterone only pills)
*While progesterone only contraceptive has a lower chance of decreasing your milk supply than estrogen and progesterone combined contraceptive, it is still best to make sure you have a well established milk supply before considering contraceptives. Some women do notice a decrease in their milk supply with a progesterone only contraceptive.
Common Items To Avoid
- Accutane
- Aspirin
- Brompheniramine
- Dimetapp/Dimetane
- Doxycycline
- Ephedrine/Ma Huang
- Pepto-Bismol
- Tavist (Clemastine)
It is OK to receive a flu vaccine while breastfeeding.
Don't forget to take your prenatal vitamins!