safety of HG meds while breastfeeding

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safety of HG meds while breastfeeding

Postby JennyK » May 18, 2007 1:49 pm

Here is some information from Medications and Mother's Milk (12th ed., 2006) by Thomas W. Hale, Ph.D. I tried to include everything I could think of that people take for HG. Please PM me if you'd like me to add a drug to the list. Note that the definitions of the categories (L2, L3, etc.) are below the list of drugs. Hale's contains more detailed info than posted here, but I included the basics.

Zofran (ondansetron): L2
Ondansetron is secreted in animal milk, but no data on humans is available. Four studies of ondansetron use in pediatric patients 4-18 years of age are available.
Pediatric concerns: None reported via milk.

Reglan (metoclopramide, maxeran) L2
[Also used to increase milk supply.]
Pediatric concerns: None reported in infants via milk. Commonly used in pediatrics.

Phenergan (promethazine): L2
No data are available on the transfer of promethazine into milk, but small amounts probably do transfer. However, this product has been safely used in many pediatric conditions, and it is unlikely to produce untoward effects in “olderâ€Â
Last edited by JennyK on Jun 19, 2007 10:09 am, edited 6 times in total.
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Postby Susannah » May 18, 2007 4:06 pm

Thank you very much for posting this Jenny. Did he happen to say what are the nonsedating antihistamines he would advise instead of benadryl? I was planning to do benadryl/zofran when I get my :positive:
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Postby JennyK » May 18, 2007 5:54 pm

There are no alternatives listed in the Benadryl entry. If you give me names of some alternatives I'll look them up.
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Postby aaronsmommy » May 18, 2007 8:24 pm

Non sedating antihistamines are things like Claritin, Allegra. Unfortunately, they also have less effect on nausea, so they won't really work for hg.

Is there an entry for Meclizine? That would be a good one to list up there.
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Postby Atsie » May 18, 2007 8:41 pm

Great post Jenny. I have stickied for future Moms!
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Postby carla » May 18, 2007 11:21 pm

Thank-you Jenny. This is so helpful!
Severe HG with DD (Gracee) 30/03/2006
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Postby JennyK » May 22, 2007 10:49 am

sorry, just saw the rest of the replies. i'll add meclizine tonight. anything else to add?
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Postby Susannah » Jun 13, 2007 8:05 pm

What about some of the antacids/PPIs prilosec, pepsid, zantac etc?

BTW thank you so much for posting this. :hugs: I think my current plan is zofran/benadryl, but I did have my supply drop a bit with benadryl, so I may switch to meclizine.
Susannah
Elizabeth born at home 5/25/06 HG 8 weeks-delivery
Rose became our angel 8/2/07
Grace born at home 5/23/08 HG 7 weeks-delivery

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Postby JennyK » Jun 19, 2007 10:11 am

Susannah, I just saw your request. I didn't get an email notification for some reason. I just updated the list.
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Postby Susannah » Jun 19, 2007 2:41 pm

Jenny you ROCK!!! :lol: :hugs: Thank you for your help
Susannah
Elizabeth born at home 5/25/06 HG 8 weeks-delivery
Rose became our angel 8/2/07
Grace born at home 5/23/08 HG 7 weeks-delivery

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Postby JennyK » Jun 19, 2007 4:17 pm

If anyone would like me to make additions to the list, be sure to PM me as well as posting here. I'm not getting notifications on this thread for some reason.
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Re: safety of HG meds while breastfeeding

Postby kungfumoose » Jun 24, 2013 10:00 am

I just wanted to post here that I spoke to a Lacation Consultant about Taking Unisom while nursing.
It is considered a category L4, however it peaks 2.5 hours after taking it, and it's half-life is 10.5 hours.
If you take it at night, you can safely nurse 11 hours after taking it. I night-weaned my daughter, and I can still nurse her during the day, and take the Unisom at night. I wait 12 hours because I'm a little paranoid, but even if it was 10 hours, the LC said it should be okay, and most of the risk for the baby is drowsiness, and isn't as big a concern after the baby turns 1.
Definitely do your own research, but I wanted to let you all know that there is a way to get the benefits if nursing and still take the Unisom.
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2006 Elaina - Mderate HG 5 weeks-34 weeks
2008 Isaac - Mild HG 5weeks - 28 weeks
2010 "Rex" My sweet angel
2012 Angela - Severe HG (Mildly controlled with IVs and meds) 5 weeks until delivery
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