Cough medication to avoid while breastfeeding
Advice for mothers using Promethazine DM while breastfeeding
Promethazine can cause sleepiness in adults and it may do the same for a nursing baby
[ 1, 2] In one small study
Weigh the potential benefits
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It is recommended to consume less than 150 mg of codeine per day if you are breastfeeding
If you suspect the baby has any symptoms
Children 2 Years To Under 6 Years
[1,2] In one small study, women given promethazine with meperidine and secobarbital during labor, had the time to lactogenesis II prolonged by 14 hours
Motion sickness: 25 mg PO bid
The preferred choice non-sedating antihistamines are cetirizine or loratadine
The US product label for promethazine was for a combination product with codeine, which may explain the more restrictive recommendation
May impair core body temperature regulation; caution when taking medications with anticholinergic effects, heat exposure, or strenuous exercise
Dextromethorphan is as effective as codeine in reducing coughs while being less addictive than opioid-based cough medicines
Menthol has been anecdotally reported to reduce milk supply in some women
The first dose should be given at least 30–60 minutes prior to departure
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A safety Score of 3 indicates that usage of Phenergan may cause some minor side effects in breastfed baby
Promethazine is a racemic compound
25 mg/5 mL, dextromethorphan hydrobromide 15 mg/5 mL and alcohol 7 percent, and is available in 4 fluid ounce (118 mL) NDC 71205-654-04
Dextromethorphan: Acts on cough center in medulla; derivative of levorphanol
It works by preventing the effects of a substance called histamine, which is produced by the body
Reprod Toxicol