seasonal allergies breastfeeding

Seasonal alleriges, breastfeeding, and antihistamines?

I started to suffer from my seasonal allergies. I always taken Zyrtec, an antihistamine. I was told I can not do now because I am breastfeeding. What can I do? I called the MD … the nurse told me to call …. OB has not returned my calls. Does anyone know what I can take?

Personally I found that breastfeeding reduced my need for drugs against allergies, I found some articles supporting what I can dig them up. Another thing that helps me is garlic. But to your question most drugs are safe for breastfeeding if you really need. That is to say that the very small amount of drug that appears in the milk is safer than the known risks formula. Zyrtec is not approved for nursing mothers by the AAP, but Hale said he is one of the safest, the pharmacist is makes it the best choice for someone who knows about the safety of drugs during breastfeeding, although not everyone is unique. But they tend to have access to much more information than most doctors. Http: / / www.kellymom.com / health / meds / cold-remedy.html Antihistamines # Mom's use of Benadryl and Chlor-Trimeton are generally regarded as compatible with breastfeeding, but always check active ingredients. Watch your child for possible drowsiness if you use an antihistamine. The non-sedating antihistamines (below) are generally preferred and are less likely to calm baby. The ingredients of Claritin-D Claritin, Allegra, Allegra-D, Actifed (pseudoephedrine, a decongestant more triprolidine) and Seldane was approved by the AAP for use by nursing mothers. Loratadine (Claritin) has been studied and amount of loratadine that passes into breast milk is extremely low. Claritin-D and Allegra-D added pseudoephedrine (which is AAP approved, but see above about the possible effect on milk supply). Dr. Hale has said he prefers the nonsedating antihistamines (even if they are long-acting) over the drugs against allergy sedative. Zyrtec is also generally considered compatible with breastfeeding. It is commonly used by nursing mothers, although its concentrations in milk are not known. Hale rates Zyrtec in the lactation risk category L2 (SAFER). CLARINEX (desloratadine): Desloratadine is another name for descarboethoxyloratadine, which is the main metabolite (breakdown product) Claritin (loratadine). By one study (Hilbert J, Radwanski E, Affrime MB et al. Excretion of loratadine in human breast milk. J Clin Pharmacol.1988 :28:234-9), 0.019% of the descarboethoxyloratadine was transferred into breast milk. Since Claritin (and therefore its active metabolites, too) is considered safe for nursing mothers (it's AAP approved, in fact), Clarinex should not be a problem either. milk supply: A common concern is that antihistamines could reduce the supply of milk, but, by Dr. Thomas Hale, there is no current research to support this belief. If you feel that your offer decreased, it could simply be a side effect of reducing the frequency of nursing or dehydration because of your illness. If you feel that drug causes a sudden drop in milk production, then stop taking (or reduce your consumption of) the medication – if the med indeed the cause, then supply should increase again soon after you stop taking it. When using an antihistamine, it may be useful to increase your fluid intake a bit. As with any medication, take it only when needed, and stop using it whenever you can. Name antihistamines AAP approved? * Lactation Risk Category ** Brompheniramine not considered L3 (moderately safe) Chlorpheniramine (Chlor-Trimeton) not seen L3 (moderately safe) cetirizine (Zyrtec) not reviewed L2 (SAFER) Dexbrompheniramine maleate with D-isoéphédrine yes not seen diphenhydramine (Benadryl) not reviewed L2 (SAFER) Doxylamine not reviewed L4 (possibly hazardous) of fexofenadine (Allegra) yes L3 (moderately safe) loratadine (Claritin) yes L2 (SAFER) Terfenadine (Seldane) yes no review Triprolidine (Actidil, Actifed) yes L1 (safest) * In the policy statement of the AAP transfer of drugs and other products chemicals in human milk, revised in September 2001. ** Per Medications 'and Mothers' Milk by Thomas Hale, PhD (2002 edition) http://www.kellymom.com/newman/14more_more_bf_myths.html # 3 3. Doctors know a lot about breastfeeding. Not true! Obviously there are exceptions. However, very few doctors trained in North America or Western Europe learned anything at all about breastfeeding in medical school. Even fewer learned about the practical aspects of helping mothers start breastfeeding and helping them maintain breastfeeding. After school medicine, most physicians obtain information regarding infant feeding comes from representatives of the business formula or advertisements. 4. Pediatricians, at least, know a lot about breastfeeding. Not true! Obviously, there are exceptions. However, in their post-medical school (residency), most pediatricians learned nothing formally about breastfeeding, and what they picked up in passing was often wrong. For many trainees in pediatrics, breastfeeding is considered a "barrier to medical care quality "of hospitalized babies. Http: / / www.kellymom.com/newman/09a-drugs_and_bf.html years, too many women have been wrong to stop breastfeeding. The decision about continuing breastfeeding when the mother takes a drug, for example, is much more involved that if the baby will get any in the milk. We must also consider the risks of not breastfeeding, for mother, baby and family, and society. And there are many risks of not breastfeeding, so the question boils down to: Does the addition of a small amount of drug in mother's milk make breastfeeding more hazardous than formula feeding? The answer is almost never. Breastfeeding with a low dose of medication in milk is almost always safer. In other words, being careful to continue to breastfeed, do not stop. Remember that stopping breastfeeding for one weeks may cause a permanent weaning since the baby in May and then not take the breast again. On the other hand, should take into consideration that some babies may refuse to take the bottle completely, so that the tips off is not only unfair, but often impractical as well. More of this it is easy to advise the mother to express breast milk the baby is not breastfeeding, but this is not always easy in practice and the mother May end up painfully engorged. [...] Most drugs are safe if: * They are commonly prescribed for infants. The amount the baby would pass through the milk is much less than he would get if given directly. * They are considered safe during pregnancy. This is not always true, since during pregnancy the mother's body helps the baby get rid of drugs. Thus, it is theoretically possible that the accumulation toxic drug might occur during breastfeeding when it would not during pregnancy (although this is probably rare). However, if the concern is for the baby become purely and simply exposed to a drug, such as an antidepressant, then the baby is exposed to much more drug at a more sensitive during pregnancy than during breastfeeding. Recent studies on withdrawal symptoms in newborns exposed to antidepressants type SSRIs during pregnancy appear to implicate breastfeeding as if this type of problem requires a mother not to breastfeed. (A good example of how breastfeeding is blamed for everything.) In fact, you can not prevent these withdrawal symptoms in children by breastfeeding, because the baby gets so little in the milk .. * They are not absorbed in the stomach or intestines. These include many but not all, drugs administered by injection. As gentamicin (and other drugs in this class of antibiotics), heparin, interferon, anesthetics Local omperazole. * They are not excreted in milk. Some drugs are simply too big to enter the milk. Examples are heparin, interferon, insulin, infliximab (Remicade ®), etanercept (Enbrel). Http: / / toxnet.nlm.nih.gov / cgi-bin / sis / search / f?. / Temp / ~ RClWJ2: 1 ontents use during breastfeeding: The occasional small doses of cetirizine are probably acceptable during breastfeeding. Higher doses or a more prolonged effects May cause drowsiness and other infant or decrease milk production, particularly in combination with sympathomimetic or before lactation is well established. The British Society for Allergy and Clinical Immunology recommends cetirizine at its lowest dose, as a better choice if an antihistamine is required during lactation. [1] The drug levels: maternal levels. Relevant published information was not been found after the review date. Levels child. Relevant published information was not found at the review date. Effects on breastfed infants: There are no reports of infants breast-feeding during treatment with cetirizine. In a telephone follow-up study, mothers were irritability and colic symptoms in 10% of infants exposed to various antihistamines and drowsiness was reported in 1.6% of infants. None of these reactions require medical attention. [2] Possible effects on lactation: Antihistamines at relatively high doses administered by injection can reduce the basal serum prolactin in breastfeeding women and not women postpartum early. [3] [4] However, breastfeeding induced prolactin secretion is not affected by antihistamine pretreatment of post-partum mothers. [3] Whether lower doses of oral cetirizine has the same effect on serum prolactin or the prolactin effects have consequences on the success breastfeeding has not been studied. The level of prolactin in a mother with established lactation may not affect the ability to breastfeed. [...] Drugs alternative to consider: Desloratadine, Fexofenadine, Loratadine