There is no medical reason for breastfeeding women to avoid using ibuprofen. In fact, the discomfort of being in pain can make it difficult for them to bond with the baby. However, those who prefer trialing natural remedies initially can try one or more of the following:. Self-care is also helpful for minimizing pain, especially for people who are sleep-deprived and feeding a newborn.
Breastfeeding women should drink plenty of water as dehydration can make muscle pain worse and decrease milk production. It can also help to sleep whenever possible, even if this involves asking for help from a partner or family member. Sleep is often lacking for the parents in that first week, and this can compound the experience of discomfort. If medication and natural remedies do not help with pain, a doctor should be able to offer advice on other options. Research on the safety of ibuprofen during breastfeeding typically considers standard rather than large doses.
It is essential that breastfeeding women take only the recommended dosage or the lowest amount that provides relief. If the pain is intense enough to warrant larger doses, it is best to speak to a doctor. Over-the-counter OTC ibuprofen is usually available in to milligram mg tablets. It is vital to read the label and not exceed the recommended daily maximum dosage. A review of studies found no documented risks associated with exposing a baby to small quantities of ibuprofen through breast milk.
A small study found that the amount of ibuprofen in breast milk decreased both over time and alongside the natural decrease in protein. Therefore, the longer a woman breastfeeds, the less ibuprofen may be present in her breast milk. However, even during this period, there is no evidence that occasional use of ibuprofen can harm the baby. Many breastfeeding women receive conflicting advice about medication from friends, family, other parents, and even doctors.
It is easy to feel overwhelmed or to decide that the safest strategy is to avoid all medication. The American Academy of Pediatrics AAP recommend breastfeeding for at least a year and do not specify an upper time limit. Aspirin isn't normally recommended for use while you're breastfeeding. This is because small amounts of aspirin may pass into your milk.
When given to children under 16, aspirin has been associated with a very rare but serious condition called Reye's Syndrome. NHS guidance is to consider a pain-relieving medicine that contains paracetamol or ibuprofen instead. Ibuprofen is generally considered suitable to take while breastfeeding, as long as you don't have any conditions that mean ibuprofen is unsuitable for you. While small amounts of ibuprofen may be present in your milk, it's unlikely to harm your baby.
As with paracetamol, if your baby was born prematurely, has low birth-weight, has a medical condition, or if you have any concerns, you can talk to your GP or pharmacist before taking ibuprofen. Some medical conditions — for example, if you have a stomach ulcer, or if you've had an unpleasant reaction to Non-Steroidal Anti-Inflammatory Drugs NSAIDs in the past — mean you should not take ibuprofen. Always read the label carefully, or ask your pharmacist for advice. If you've given your baby a dose of ibuprofen-containing medicine, talk to your pharmacist before taking an ibuprofen-containing medicine yourself.
Diclofenac is available from your pharmacist as a gel or medicated plaster that is applied directly to the skin. These should only be used in breastfeeding after discussing with your doctor as small amounts of diclofenac may be present in your milk. They shouldn't be used on the breast and should be used in small amounts for the smallest possible time. Codeine is available from your pharmacist in combination with other ingredients such as paracetamol.
These medicines may not be suitable for use when breastfeeding, even if the ingredient they are combined with is considered suitable, as codeine in your milk may cause breathing difficulties for your baby. You shouldn't take codeine while breastfeeding unless you have been advised to by your GP. Pain relief medicines containing paracetamol and ibuprofen are generally considered suitable for use while breastfeeding, as long as you don't have any conditions that mean these medicines are unsuitable for you.
You can visit our paracetamol and ibuprofen pages for more information, or ask your pharmacist. Pain relief medicines containing aspirin, codeine and diclofenac are not suitable for use while breastfeeding without discussing with your doctor first. This item has been successfully added to your list. Find out more about international delivery Country specific sites Boots has products available in other retail outlets in a number of countries, select from the country-specific sites below to find out more:.
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There is less information on the transfer of the newer Cox 2 anti-inflammatories which are used for patients who are at risk from gastric bleeding. Codeine preparations — should not be prescribed or purchased for use by a breastfeeding mother codeine phosphate or paracetamol milligrammes plus codeine 8milligrammes or 30milligrammes per tablet. Co-dydramol paracetamol and dihydrocodeine is the preferred weak opioid for pain in the breastfeeding woman The metabolism of dihydrocodeine is not affected by individual metabolic capacity as the analgesic effect is produced by the parent drug compared to codeine which is a pro drug.
Dihydrocodeine 30milligrammes is preferred over codeine as it has a cleaner metabolism. Tramadol is a new type of drug which resembles morphine but is said to be less addictive. It is a stronger pain killer. Small amounts of Tramadol are secreted into breastmilk. One study of 75 women showed no adverse effects in breastfed infants whose mothers had taken it. As with other opioid analgesics it is necessary to observe the baby for drowsiness and feeding difficulties and should not be given to any baby with breathing problems.
Mothers may be ultra-rapid metabolisers of tramadol as well as codeine. If any side effects are noted in the baby the drug should be discontinued and medical advice sought immediately. It should be used in the lowest dose for the minimum time necessary. Opioid analgesics e.
If they are used for any significant length of time, the baby should be observed for sedation. Opioids all have a potential for misuse and addiction. If a mother requires this level of pain relief she may not feel well enough to breastfeed and means of maintaining her milk supply should be considered.
However, individual wishes should always be borne in mind and she should not be discouraged in breastfeeding as normal.
The lowest effective dose, for the shortest period is recommended. Paracetamol and Ibuprofen form the basis for safe analgesics for breastfeeding mothers. Stronger drugs are available but should be taken with caution and babies observed for drowsiness. OTC Over the counter Preparations Individual ingredients need to be checked as there are many products available.
If essential, and only where there is no alternative, it should be at the lowest effective dose, for the shortest possible duration and the mother made aware that she should cease the drug and seek medical advice, if she notices side effects in her baby such as: Breathing Problems Lethargy Poor Feeding Drowsiness Bradycardia slow heart beat If adverse effects develop in breastfeeding infants the possibility of toxicity should be considered, regardless of maternal dose Madadi , UKMI Dihydrocodeine Co-dydramol paracetamol and dihydrocodeine is the preferred weak opioid for pain in the breastfeeding woman The metabolism of dihydrocodeine is not affected by individual metabolic capacity as the analgesic effect is produced by the parent drug compared to codeine which is a pro drug.
Tramadol Tramadol is a new type of drug which resembles morphine but is said to be less addictive. Pharmacogenetics of morphine poisoning in a breastfed neonate of a codeine-prescribed mother. Lancet Aug 19; Guides for maternal codeine use during breastfeeding. Can Fam Physician.
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