Breast milk is superior in nutrition, It provides resistance against infections and allergies, It is naturally sterile. Despite all the advantages of breastfeeding some mothers choose to pause the breastfeeding in fear of harmful effects of medicines passing in breast milk. Are you wondering about breastfeeding and using Azelastine Spray, Metered ? Know what is Azelastine Spray, Metered and how it can affect your breast milk and whether Azelastine Spray, Metered is safe for your kid or not.
What is Azelastine Spray, Metered used for?
Azelastine HCl Nasal Spray is indicated for the treatment of the symptoms of seasonal allergic rhinitis in adults and pediatric patients 5 years and older, and for the treatment of the symptoms of vasomotor rhinitis in adults and adolescent patients 12 years and older. Azelastine HCl Nasal Spray is an H1-receptor antagonist indicated for the treatment of the symptoms of seasonal allergic rhinitis in adults and pediatric patients 5 years and older and for the treatment of the symptoms of vasomotor rhinitis in adults and adolescent patients 12 years and older. (1)
I am breastfeeding mother and I am using Azelastine Spray, Metered. Can it have any bad effect on my kid? Shall I search for better alternative?
Azelastine Spray, Metered contains only one active ingredient that is Azelastine hydrochloride. We have analyzed the usage of Azelastine hydrochloride in breastfeeding and our analysis suggest that Azelastine hydrochloride poses Low risk for infant while breastfeeding and hence Azelastine Spray, Metered itself shall be considered Low risk item for breastfeeding.
Statement of Manufacturer/Labeler about breastfeeding usage
8.2 Lactation Risk Summary There are no data on the presence of azelastine hydrochloride in human milk, the effects on the breastfed infant, or the effects on milk production. Breastfed infants should be monitored for signs of milk rejection during Azelastine HCl Nasal Spray use by lactating women (see Clinical Considerations). The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for Azelastine HCl Nasal Spray and any potential adverse effects on the breastfed infant from Azelastine HCl Nasal Spray or from the underlying maternal condition. Clinical Considerations Monitoring for Adverse Reactions Breastfed infants of lactating women treated with Azelastine HCl Nasal Spray should be monitored for possible signs of milk rejection related to the bitter taste of azelastine hydrochloride.
Azelastine Spray, Metered Breastfeeding Analsys
Low RiskCAS Number: 58581-89-8
Second generation anti-histaminic drug with low sedative effect. Used for ophthalmic and nasal topical administration. On last update no relevant published data related to breastfeeding were found. A small dose together with a low plama level of most nasal and ophthalmologic compounds make that a significant excretion into breast milk would be unlikely.
Azelastine Spray, Metered Breastfeeding Analsys - 2
CAS Number: 58581-89-8
Small occasional doses of azelastine nasal spray would not be expected to cause any adverse effects in breastfed infants. Larger doses or more prolonged use of the nasal spray may cause drowsiness and other effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as pseudoephedrine or before lactation is well established. Infant rejection of the breast might occur because of the bitter taste of the drug. The oral, nonsedating antihistamines are preferred alternatives. Because absorption from the eye is limited, azelastine would not be expected to cause any adverse effects in breastfed infants. To substantially diminish the amount of drug that reaches the breastmilk 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.

What if I already have used Azelastine Spray, Metered?
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 Azelastine Spray, Metered then you shall inform your doctor, But you should not be worried too much as Azelastine Spray, Metered comes in category of low risk drug.
I am nursing mother and my doctor has suggested me to use Azelastine Spray, Metered, is it safe?
Though Azelastine Spray, Metered dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.
If I am using Azelastine Spray, Metered, will my baby need extra monitoring?
Not much
Who can I talk to if I have questions about usage of Azelastine Spray, Metered 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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