Decongestants Amp Breastfeeding Low Milk Supply

4 Replies
angelbebe - August 28

So, my milk supply had dried up significantly before I realized that I think it was from the two sudafed tablets I took. After about 3 days my milk supply was back to normal. Has anyone had this experience? The reason I took the tablets was because I was flying and I have a hard time with pressure and my ears. I always take a decongestant before I fly. I am flying tomorrow again, but I guess I shouldn't take one this time??


kellens mom - August 28

I was just at the dr. office for allergy questions. He said "NO" to sudifed unless it is absolutely necessary to feel comfortable. Why? Because it will affect milk supply. Instead, he has me on Flonase which is a nasal steroid(?). You are correct in your a__sessment. Avoid the sudifed...unless you have milk to spare.


Laurabb4 - August 29

My doctor said the same thing. I have allergies. I use eye drops and nasal spray.


JJ5235 - August 29

If you only took 2 tablets of sudafed then I seriously doubt it caused the drop in your supply. Prolonged use of sudafed will damage your supply. Check out this link (leave in the last dash take all others out). But I will cut and paste what it says "Decongestants Mom's use of many forms of Sudafed, Dimetapp and Actifed are considered to be safe for the b___stfed baby, but always check the active ingredients, as there are many versions of these medications. Sudafed (pseudoephedrine, a decongestant) and Actifed (pseudoephedrine plus triprolidine, an antihistamine) are reported safe for baby, and both pseudoephedrine and triprolidine are approved by the AAP for use in nursing moms and pa__s into b___stmilk in minimal amounts. Milk supply: Pseudoephedrine (Sudafed) may reduce milk supply. Thomas Hale Ph. D., a renowned b___stfeeding pharmacologist (Breastfeeding Pharmacology), has recently said that he recommends using caution with Sudafed or any product containing pseudoephedrine: "Preliminary studies from our laboratories suggest that in some mothers, a significant reduction in milk volume and prolactin levels may result following exposure to pseudoephedrine. While the amount of pseudoephedrine in milk is not clinically relevant, the reduction in milk supply is concerning." (Medications' and Mothers' Milk by Thomas Hale, PhD, 2002 edition, p. 605.) Dr. Hale was speaking of this study, which is now complete: Aljazaf K, et. al. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via b___stmilk. Br J Clin Pharmacol. 2003 Jul;56(1):18-24. If you do take pseudoephedrine and notice a drop in milk supply (many moms do not, but recent research shows that it can decrease milk supply by as much as 30%), simply stop the medication and take measures to increase milk supply - the problem should resolve fairly quickly. Be very cautious about taking pseudoephedrine on a regular basis, as it has the potential to permanently decrease your milk supply. Regular use of pseudoephedrine (120 mg/day) has been used to decrease milk production in moms with overproduction, where the usual methods to regulate milk production were not working.


tera123 - September 26

Plenty of water, healthy nursing tea and continuous nursing helped with my low milk supply.



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