Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride while Breastfeeding
Do you know that important immune protective proteins are present in breast milk? Breast milk also contains required vitamins, minerals, saturated and un saturated fats. These things are extremely important for development of healthy brain. If you are taking any medicine for short term or for the chronic reason then that passes in breast milk as well, that is why you should always check the drug with your health care provider. Here at DrLact we try to analyze drugs based on available researches and in this sheet we will present our analysis for Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride.

What is Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride ?


Temporarily relieves these symptoms due to the common cold, hay fever (allergic rhinitis) or other upper respiratory allergies: cough due to minor throat and bronchial irritation helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive nasal congestion reduces swelling of nasal passages

Purpose: Active ingredients (in each tablet) Purpose Dextromethorphan HBr 17.5mg Cough Suppressant Guaifenesin 385mg Expectorant Phenylephrine HCl 10mg Nasal Decongestant

Is using Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride safe or dangerous while breastfeeding?

Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride low risk for breastfeeding
There are 3 ingredients used in manufacturing of Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride .Based on our analysis of Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine hydrochloride i.e. all 3 ingredients we can conclude that Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride has low risk associated with breastfeeding. Below is the summarized detail of breastfeeding effects associated with all 3 ingredients.

Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride Breastfeeding Analsys


Dextromethorphan hydrobromide while Breastfeeding

Safe

CAS Number: 125-71-3

Cough suppressant related with morphine and codeine which is lacking of analgesic or sedative properties. Commonly prescribed by pediatricians. On latest update relevant data on breastfeeding was not found. Because reported low toxicity and mild side effect it is considered to be safe while breastfeeding. Frequently associated to caffeine and other products that are usually compatible with breastfeeding. Avoid use of multiple drug and alcohol containing medication.

Guaifenesin while Breastfeeding

Low Risk

CAS Number: 93-14-1

It is used as an expectorant, alone or in association with other products. Proofs on its effectiveness are sparse. In some instances, preparations of Guaifenesin may contain alcohol as excipient with a concentration as high as 5%. At latest update, relevant published data on excretion into breast milk were not found. Until more information on this medication is available, other option known to be safer would be recommended, mostly in the post-natal period or in cases of prematurity. If used while breastfeeding, a moderate use with the lowest dose as possible and avoiding those preparations with alcoholic excipient, should be preferred. Because effectiveness is poor and likelihood of side effects does exist, especially in multi-association, the US Agency for Drug Administration (FDA) is currently doing efforts for discontinuation of this and others at-the-counter products, that are formulated for cough relief (Guaifenesin, Dextromethorphan, Phenylephrine, Pseudoephedrine, Brompheniramine, etc.)

Phenylephrine hydrochloride while Breastfeeding

Low Risk

CAS Number: 59-42-7

Used on topical decongestant solutions for nose drops at low concentration. 10% midriatic eye drops are available. Because low concentration is used on nose and ophtalmic drops a significant excretion into breast milk is unlikely. Low oral biodisponibility minimizes any risk of harmful effect in the infant. Authorized for nasal or ophtalmic use on children aged younger than 1 year. Although on latest update relevant data on breastfeeding was not found it is considered to be safe when minimal dose is used. Avoid excessive or long term use. A related drug Pseudoephedrine can inhibit milk production. It would be advisable to press on the lachrimal sac to minimize absorption.


Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride Breastfeeding Analsys - 2


Dextromethorphan hydrobromide while Breastfeeding

CAS Number: 125-71-3

Neither the excretion of dextromethorphan in milk nor its effect on breastfed infants have been studied. It is unlikely that with usual maternal doses amounts in breastmilk would harm the nursing infant, especially in infants over 2 months of age. It is best to avoid the use of products with a high alcohol content while nursing.

Guaifenesin while Breastfeeding

CAS Number: 93-14-1

Neither the excretion of guaifenesin in milk nor its effect on breastfed infants have been studied. It is unlikely that with usual maternal doses amounts in breastmilk would harm the nursing infant, especially in infants over 2 months of age. It is best to avoid the use of products with a high alcohol content while nursing.

Phenylephrine hydrochloride while Breastfeeding

CAS Number: 59-42-7

The oral bioavailability of phenylephrine is only about 40%,[1] so the drug is unlikely to reach the infant in large amounts. However, intravenous or oral administration of phenylephrine might decrease milk production. Because no information is available on the use of oral phenylephrine during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.Phenylephrine nasal spray or ophthalmic drops are less likely to decrease lactation. To substantially diminish the effect of the drug after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.



I already used Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride and meanwhile I breastfed my baby should I be concerned?

During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride then you shall inform your doctor, But you should not be worried too much as Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride comes in category of low risk drug.


My doctor has prescribed me Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride, what should I do?

Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride comes in category of low risk and if your doctor is aware that you are breastfeeding it should be ok to use without much concerns.


If I am using Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride, will my baby need extra monitoring?

Not much


Who can I talk to if I have questions about usage of Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week

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