Back to Posts

Safe Medications While Breastfeeding

If you are breastfeeding and you need to take medication, you might have questions about the possible impact both on your milk production and your baby. Here’s what you need to know about which over-the-counter and prescription medications are safe to take.

Please note this is not an exhaustive list. Items with an * may cause decreased milk production.

Over-the-Counter Medications

Acne:

  • Benzoyl Peroxide
  • Salicylic Acid

Allergies / Anti-histamines

  • Afrin
  • Allegra*
  • Benadryl*
  • Claritin*
  • Flonase
  • Nasacort
  • Plain Saline
  • Zyrtec*

Antifungals

  • Lotrimin
  • Miconazole 3 or 7 (Monistat)

Cold/Nasal Congestion and Cough

  • Emergen-C
  • Ocean Nasal Spray
  • Sudafed*
  • Throat Lozenges

Constipation

  • Citrucel
  • Colace (Docusate Sodium)
  • Metamucil or Wafer
  • Milk of Magnesia
  • MiraLAX
  • Senna-S
  • Senokot

Diarrhea / Gas

  • Imodium
  • Simethicone

Heartburn

  • Famotidine (Pepcid)
  • Maalox
  • Mylanta
  • Omeprazole (Prilosec)
  • Ranitidine (Zantac)
  • TUMS

Hemorrhoids

  • Anusol HC or Plain
  • Preparation H
  • TUCKS Pads

Pain

  • Acetaminophen (Tylenol)
  • Ibuprofen (Advil, Motrin)

Skin

  • Aveeno Oatmeal Bath
  • Calamine
  • Hydrocortisone 1% cream

Prescription Medications

Antidepressants / Antianxiety

  • Escitalopram (Lexapro)
  • Imipramine
  • Nortriptyline
  • Paxil (Paroxetine)
  • Sertraline (Zoloft)
  • Trazodone

Antifungals

  • Fluconazole (Diflucan)
  • Nystatin

Antibiotics

  • Augmentin
  • Azithromycin
  • Cephalexin
  • Dicloxacillin
  • Erythromycin
  • Keflex
  • Macrobid
  • Metronidazole (Flagyl)
  • Metronidazole Vaginal (Metrogel)
  • Penicillin (and all Penicillin family)

Antivirals

  • Acyclovir
  • Oseltamivir (Tamiflu)
  • Valacyclovir (Valtrex)
  • Zovirax

Contraception

  • Combined oral contraceptive pills*
  • Depo Provera
  • IUDs (Intrauterine Devices)
  • Nexplanon
  • Progesterone only pills

Nausea

  • Please discuss with your provider

Pain

  • Please discuss with your provider

Skin

  • APNO (All Purpose Nipple Ointment)
  • Mantoux
  • Steroid Ointments (Clobetasol, Triamcinolone, Mometasone, hydrocortisone 2.5%, Betamethasone)
  • Vaginal Estrogen
mother breastfeeding with cover