What can you take while breastfeeding for allergies

When you seek advice from your pharmacist, GP or health visitor they will take into account factors such as:

  1. how mild or severe your symptoms are – if your symptoms are mild, you may be capable to manage without treatment
  2. how effective the medicine is 
  3. how much of the medicine passes to your baby through your breast milk

If you take hay fever medicine while you’re breastfeeding, you should take the lowest possible dose for the shortest possible time, unless your healthcare professional gives you other advice.

Try topical treatments first.

These are medicines that you don’t need to swallow such as nasal sprays and eyedrops.

Corticosteroid nasal sprays assist to unblock your nose and sinuses. They’re unlikely to pass into your breast milk and only in low amounts.

Sodium cromoglicate eyedrops relieve the redness, itchiness and watering of your eyes. It’s unlikely that sodium cromoglicate passes into your breast milk.

Loratadine or cetirizine are the antihistamine tablets recommended if you’re breastfeeding.

They can own diverse brand names, so speak to your pharmacist for advice.

What can you take while breastfeeding for allergies

These are non-drowsy antihistamines – you should avoid using antihistamines that make you drowsy (sedating) as they can affect your baby if used for more than a short time.

Loratadine use while Breastfeeding

Drugs containing Loratadine: Claritin, Claritin-D, Alavert, Claritin-D 24 Hour, Allergy Relief Tablets, Loratadine-D 24 Hour, Wal-itin, Claritin 24 Hour Allergy, Claritin-D 12 Hour, Alavert D-12 Hour Allergy and Sinus, Show every 31 »Claritin Reditabs, Tavist ND, AllerClear D-24 Hour, Allergy Relief D12, Allergy & Congestion Relief, Leader Allergy Relief D-24, Loratadine-D 12 Hour, Clear-Atadine-D, Loratadine Reditab, Children's Claritin Allergy, Bactimicina Allergy, Clear-Atadine Children's, Dimetapp Children's ND Non-Drowsy Allergy, Claritin Hives Relief, Clear-Atadine, ohm Allergy Relief, Assist I Own Allergies, Vicks QlearQuil Every Day & Every Night 24 Hour Allergy Relief, Children's Allergy Relief 24 Hour, Allergy Relief 24 Hour, Allergy Relief D 24 Hour

Medically reviewed by Drugs.com.

Final updated on Jul 13, 2019.


istrative Information

LactMed Record Number

163

Disclaimer

Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your specific situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.

What can you take while breastfeeding for allergies


Loratadine Identification

Substance Name

Loratadine

CAS Registry Number

79794-75-5

Drug Class

Breast Feeding

Lactation

Antihistamines

Nonsedating Antihistamines


Loratadine Levels and Effects while Breastfeeding

Drug Levels

After a single oral dose of 40 mg of loratadine in 6 women, average peak milk levels of 29.2 (range 20.4 to 39) mcg/L occurred at two hours after the dose. In addition, average desloratadine peak milk levels of 16 (range 9 to 29.6) mcg/L occurred at 5.3 hours after the dose.

The entire quantity excreted in milk over 48 hours was 11.7 mcg of loratadine and its metabolite. However, the dose istered was four times greater than the usual dose of the drug, so a entire dose of about 3 mcg would be expected with a 10 mg dose. The calculated average and maximum expected doses of loratadine plus desloratadine in milk were 0.46 and 1.1% and of the maternal weight-adjusted dose, respectively, after the 40 mg dose.[2]

Effects on Lactation and Breastmilk

Antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women.[5][6] However, suckling-induced prolactin secretion is not affected by antihistamine pretreatment of postpartum mothers.[5] Whether lower oral doses of antihistamines own the same effect on serum prolactin or whether the effects on prolactin own any consequences on breastfeeding success own not been studied.

The prolactin level in a mom with established lactation may not affect her ability to breastfeed.

One mom out of 51 mothers who took loratadine while nursing reported that she had decreased milk production after taking loratadine 10 mg daily for less than one week at 4 months postpartum.[3]

Summary of Use during Lactation

Because of its lack of sedation and low milk levels, maternal use of loratadine would not be expected to cause any adverse effects in breastfed infants.

Loratadine might own a negative effect on lactation, especially in combination with a sympathomimetic agent such as pseudoephedrine. The British Society for Allergy and Clinical Immunology recommends loratadine at its lowest dose as a preferred choice if an antihistamine is required during breastfeeding.[1]

Effects in Breastfed Infants

A survey of 51 mothers who took loratadine during breastfeeding between 1999 and 2001 was conducted by a teratogen information service. Most of the infants were over 2 months ancient and loratadine was generally taken for one week or less.

What can you take while breastfeeding for allergies

Two mothers reported minor sedation in their infants, one at 3 days of age and one at 3 months of age. Both mothers were taking a dose of 10 mg daily. Weight acquire and psychomotor development were similar to infants in a control group of breastfed infants unexposed to medications.[3] An extension of the study that compared the results of this study (plus one additional patient) to that of a control group of 88 mothers who took a drug known to be safe while breastfeeding. No differences in sedation or any other side effects (p=0.606) in the baby were found between mothers who took loratadine during breastfeeding and those of the control group.[4]

Alternate Drugs to Consider

Desloratadine, Fexofenadine

References

1.

Powell RJ, Du Toit GL, Siddique N et al.

What can you take while breastfeeding for allergies

BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin Exp Allergy. 2007;37:631-50. PMID: 17456211

2. Hilbert J, Radwanski E, Affine MB et al. Excretion of loratadine in human breast milk.

What can you take while breastfeeding for allergies

J Clin Pharmacol. 1988;28:234-9. PMID: 2966185

3. Messinis IE, Souvatzoglou A, Fais N et al. Histamine H1 receptor participation in the control of prolactin secretion in postpartum. J Endocrinol Invest. 1985;8:143-6. PMID: 3928731

4. Merlob P, Stahl B. Prospective follow-up of adverse reactions in breast-fed infants exposed to loratadine treatment (1999-2001). BELTIS Newsl. 2002;Number 10:43-51.

5. Merlob P. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal loratadine treatment (1999-2002). Unpublished manuscript.

What can you take while breastfeeding for allergies

6. Pontiroli AE, De Castro e Silva E, Mazzoleni F et al. The effect of histamine and H1 and H2 receptors on prolactin and luteinizing hormone release in humans: sex differences and the role of stress.

What can you take while breastfeeding for allergies

J Clin Endocrinol Metab. 1981;52:924-8. PMID: 7228996


Further information

Always consult your healthcare provider to ensure the information displayed on this sheet applies to your personal circumstances.

Medical Disclaimer

Unlike during pregnancy, breastfeeding mothers do not need a special diet.

What can you take while breastfeeding for allergies

There is no need to exclude any specific foods from your diet.


What to eat

Follow the daily serving suggestions on the food pyramid to maintain a healthy diet.

Eating a healthy variety of food will:

  1. make certain you get every the nutrients you need
  2. pass on a variety of tastes to your baby through your breast milk
  3. stop you eating too much of any one food group

If you own a family history of food allergies, you may desire to discuss this with a dietitian or your GP.


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