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When Mommy's Sick

3 Steps to Easing Your Mind

By Lisa A. Goldstein

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Step 2: Take Your Medicine
Arnold, who nursed her two kids for three years each, never got the go-ahead for antihistamines during allergy season. When ragweed was in bloom mid-August through mid-September, she just suffered. That was 14 years ago. Now, most over-the-counter medications have been found to be safe for breastfeeding mothers, Jacobi says. This is especially true for cough and cold preparations, though long-term use of pseudoephedrine is a concern, because it has the potential to decrease milk, not because it's dangerous to the baby.

In most cases, Jacobi says, topical creams and external medications like nasal spray and eye and ear medications have virtually no impact on breastfeeding. "In a perfect world, breastfeeding mothers would never have to take a medication, but I don't live in 'Perfect' and neither does anyone else," she says.

To find out the safety of medications and breastfeeding, Jacobi recommends getting Dr. Tom Hale's book, Medications and Mother's Milk (Pharmasoft Medical Publishing, 2002). Other sources Jacobi suggests are the baby's pediatrician (especially if he or she is an IBCLC), the American Academy of Pediatrics, Dr. Tom Hale's Web site, La Leche League International or the International Lactation Consultant Association.


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