Common Medications

The following list is a quick reference for common medications that are generally safe to take while breastfeeding.  As always, take any medication as directed by your health care provider. 

Antibiotics

Amoxicillin

Augmentin

Azithromycin

Penicillin

Dicloxacillan

Keflex

Ceclor

Bactrim – use with caution with premature infants, infants with jaundice or G6PD

Antidepressants

Celexa

Lexapro

Prozac

Zoloft

Wellbutrin – use with caution

Decongestants/Cough Suppressants/Allergy Medications

Dextromethorphan

Zyrtec( Cetirizine)

Claritin (Loratadine)

Allegra (Fexofenadine)

Phenylephrine

Afrin (Oxymetazoline)

Sudafed (Pseudoephedrine) – some research indicates it can decrease milk supply, avoid if able

Contrast Dye/General Anesthesia

In general, safe to breastfeed. No need to pump and dump.

Pain Medications

Tylenol (Acetaminophen)

Motrin/Advil (Ibuprofen)

Aleve (Naproxen) – short term use or infrequent use preferred.

Aspirin – wait to feed for 2-3 hours after dose.

Oxycodone – watch for sedation in infant.

Hydrocodone – watch for sedation in infant

Additional Resources

Infant Risk Helpline: 1-866-352-2519 (M-F, 8a.m. -5p.m. CT)

Infant Risk Center Webpage:  www.infantrisk.com

LactMed: https://toxnet.nlm.gov/newtoxnet/lactmed.htm

Duquesne Mylan School of Pharmacy: 412-396-4600 (M-F, 8 a.m.-4 p.m. during the academic year)

Breastfeeding Center of Pittsburgh: 412-246-4726