What medications while breastfeeding?
Even breast-feeding no one is immune, unfortunately, quite against ailments and diseases. But which drugs can be taken if one is really needed careful consideration? Here you get advice from a pharmacist.
What can we take in case of emergency?
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"Ask your doctor or pharmacist" - this well-known slogan should be observed in breast-feeding, if you are not sure if a drug is safe or not. Basically during lactation the same as in pregnancy: "You should of course take as little medication as possible and always consider whether it needs to be real," advises pharmacist Ingrid Hecht-Hatzig, head of the working group "Drugs in breast milk" at work Freier Still groups (AFS). If it's for now but times no other way, because the head is booming too badly or stomach rebels in common, you should of course choose medications that are considered safe.
Ingrid Hecht-Hatzig are the following tips to get what drugs for the most common health complaints in everyday life for nursing mothers in question:
- To cough: Acetylcysteine (e.g., in "ACC acutely") Or Ambroxol (e.g. Mucosolvan).
- Sore throat: Chlorhexetidin (e.g. Hexoral), but only for a short time. (Can be mixed by the pharmacist) also a three percent H2O2 solution for gargling is helpful and allows, as well as homeopathic remedies (for example, Meditonsin).
- Stomach discomfort: Acid binders such as calcium carbonate and magnesium carbonate, as well as herbal agents (e.g. Iberogast). "Here, however, the important thing is to keep a careful diet, the stomach is usually all by itself back in order"Says Hecht-Hatzis.
- Diarrhea: "Again, you really need not do anything except keep diet and drinking enough mineral water"Advises the pharmacist. But you can also take supportive supplements that contain intestinal bacteria, thus helping to make the intestinal flora back into shape (for example, Perenterol).
- Constipation: Unpopular, but still effective and free of side effects: The good old enema. And: "Drink plenty of fluids and eat enough fiber"Said Ingrid Hecht-Hatzis. If it's no other way to help suppositories (eg Dulcolax).
- A headache: Here the painkillers can (Aktren z. B.) used paracetamol (eg ben-u-ron) and ibuprofen.
- Hay fever, asthma, eczema: What many women do not know: "Still allowed to use cortisone base in acute breathing difficulties asthma sprays", The AFS consultant. "Cortisone ointments are allowed for a short time for eczema flare-ups. Hay fever sprays and eye drops containing cromoglycinic acid (e.g. Vividrin) can be used, but also preparations with dimetindene (Fenistil) or cetirizine (Zurtec)."
Pain medication during pregnancy and lactation?
Ask your doctor or pharmacist!
"In the mentioned drugs should not be overly irritate them if the drug is referred to only limited recommendable in the package insert as in breastfeeding. Even with these regarded as largely harmless means the company must secure legally in this way"Says the pharmacist.
But there are of course numerous drugs that are off-limits during lactation, or where a weaning is required if they have to be taken. Prohibitions include Cytostatic (inhibit cell proliferation), immunosuppressants (suppress best. Immune reactions), Radioactive isotopes (such as J 131, is in studies of thyroid used), and drugs that suppress cell growth.
But many other substances are shown to be harmful or cause side effects for the baby that make them incompatible with breastfeeding. In more severe disease should therefore always discuss with the doctor what to do. In almost all groups of substances, there is prohibited, restricted possible and largely harmless drugs in relation to breastfeeding. Therefore, a physician should always look for alternatives first also before he advises the mother to weaning.