Lorna C. Aliperti, APRN, IBCLC
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Home » Lactation Information » Cold and Allergy Medicine

Cold and Allergy Medicine

Information from A Medication Guide for Breastfeeding Moms by Thomas Hale, Ph.D.

Probably Safe Brands:

  • Claritin
  • Allegra
  • Alka Seltzer Plus cold and sinus tablets
  • Cheracol D Cough formula syrup
  • Cheracol Plus liquid
  • Robitussin cough and congestion formula liquid
  • Robitussin sugar free cough liquid
  • Robitussin DM liquid
  • Tylenol sinus severe congestion tablets
  • Vicks 44 E cough & chest congestion relief

Probably Safe Ingredients:

  • Ibuprofen
  • Acetaminophen
  • Phenylephrine
  • Guafenesin
  • Dextromethorphan
  • Loratidine
  • Fexofenadine

Ingredients that can have Undesirable Side Effects:

  • Pseudoephedrine, while safe for infants, lowers prolactin levels and thus can reduce milk supply
  • Diphenhydramine—observe for infant sedation and there are reports of reduced milk supply

Unsafe Brands:

  • Primatene tablets
  • Prometh VC with codeine cough syrup
  • Tavist allergy/sinus/headache tablets

Unsafe Ingredients:

  • Ephedrine
  • Promethazine and codeine together
  • Clemastine
  • Lorna was a godsend. Michael was losing weight and no one at the hospital was able to help him to latch on. She got him started breastfeeding and then showed me how to do it myself. He’s now gaining an ounce a day. Marlene Ferguson