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Breastfeeding
Medication Guide

Over-The-Counter Medication Guide for Breastfeeding Mothers: What’s Safe?

Breastfeeding mothers often have questions about navigating the world of over-the-counter (OTC) medications. The over-the-counter medication guide is a tool to help provide OTC medication suggestions as you search for medicines that won't affect your breast milk and are safe for your baby. 

Below is a list of OTC medications that are safe for breastfeeding mothers. Please always remember to follow the directions on the package for adult dosage and use. If you are taking prescription medication, talk to your healthcare provider. Most prescription medications are safe, and the benefits of taking them for a chronic condition often outweigh the risk. Still, every medication is different, and it’s best to consult your doctor.

While it’s safe to consume alcohol in moderation while breastfeeding, it’s important to remember the amount of alcohol that gets into breastmilk is about the same as the amount in the blood of the person drinking. It takes about 2 to 2.5 hours for each standard drink to clear from breastmilk. Drinking water, taking caffeine, or exercising does not help your body get rid of alcohol faster.


If you have any further questions about a medication, be sure to ask your nurse or OB-GYN doctor.

Download our Breastfeeding Medication Guide below for an easy reference!

This list does not include all OTC medications safe to take while breastfeeding, but the most common. Ask your nurse or OB-GYN doctor if you have any questions about a medication.

Problem Over-the-Counter Medications
Mild Headaches/Aches & Pains

Tylenol (Acetaminophen) 325 mg
Extra Strength Tylenol (Acetaminophen) 500 mg
Ibuprofen
Icy Hot

Nasal Congestion/Cough Due to a Cold, Sinusitis

Afrin Nasal Spray (for 3 days only)
Humidifier
Mucinex (Guaifenesin)
Neti Pot
Saline Nasal Spray
Plain Robitussin, 
Vicks VapoRub
Emergen-C Original, 1 per day 
Airborne (not for daily use),
Plain Claritin, Zyrtec
NO PSEUDOEPHEDRINE or PHENYLEPHRINE (Sudafed, Zyrtec D) as these may impact milk supply

Allergies Flonase
Nasacort
Short Term-Afrin (for 3 days only)
Benadryl (may cause drowsiness)
Claritin (plain - no “D”)
Zyrtec (plain - no “D”)
Heartburn and Indigestion Tums
Mylanta
Maalox
Pepcid (as directed)
NO PEPTO-BISMOL
Nausea

Ginger tablets 250-500 mg 2-3 times daily.
Vitamin B6 25mg tablet 3-4 times per day (up to 200 mg/day).  
Unisom (Doxylamine 25 mg tablet) ½ tablet (12.5 mg) 2 times/day or full tablet at bedtime, may cause 
drowsiness.

Sore throat

Lozenges
Tylenol
Throat sprays 

Constipation

MiraLAX
Colace Stool Softener
Milk of Magnesia
Metamucil

Diarrhea

Imodium, Lomotil

Gas Gas-X (Simethicone)
Insomnia Warm Bath
Warm Milk
Vitamin B6 (50 mg)
Benadryl (25 mg)
Tylenol PM
Unisom, 1 Tablet (25 mg) at bedtime
Vaginal yeast  7-day Monistat treatment

 

 

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