Breathing easier while breastfeeding is possible with mostly common-sense remedies and careful choice of medicines. Here’s a concise guide to safe options and what to avoid. Direct answer
- Safe non-medication options: Hydration, rest, saline nasal sprays, humidified air or steam inhalation, throat lozenges or honey and lemon (avoid giving honey to infants under 1 year), and warm fluids. For most people, these strategies help relieve congestion and throat irritation without affecting milk.
- Pain and fever relief: Acetaminophen (paracetamol) and ibuprofen are generally considered safe during breastfeeding when used at recommended adult doses. They’re useful for fever, aches, and sore throat.
- Decongestion and cough medicines: Use caution with decongestants and cough medicines. Some decongestants (especially those containing pseudoephedrine) can reduce milk supply in some individuals, and combination products may include multiple ingredients you don’t need. If possible, prefer nasal saline sprays, steam, or throat lozenges. Non-prescription cough syrups vary in safety; check each ingredient against breastfeeding guidelines.
- Antihistamines: Non-sedating options like loratadine are often considered compatible, but proceed with standard dosing and monitor your baby for any signs of change in sleep or feeding.
- Which to avoid: Avoid combination products with multiple active medicines unless you’ve verified each ingredient is safe for lactation. Avoid aspirin (except under specific medical advice) and avoid codeine-containing products unless specifically recommended for you, as they can pose risks to you or your baby.
- When to seek medical advice: If you have severe symptoms (high fever persisting beyond 48 hours, chest pain, shortness of breath, or symptoms lasting more than a few days despite basic care), or if you’re unsure about a specific product, consult a healthcare provider who can tailor guidance to your breastfeeding plan.
Notes to consider
- If you’re using any regular medications, check with a clinician or pharmacist about potential interactions with breastfeeding and your baby.
- Always read labels for other active ingredients in “cold” or “flu” products; some may contain caffeine, decongestants, or antihistamines whose effects on milk supply or baby should be considered.
- Hygiene and supportive care (handwashing, avoiding coughing or sneezing near the baby, and keeping up fluids) help reduce transmission risk and support recovery.
If you’d like, share any specific symptoms (fever, cough, nasal congestion, sore throat) and any medications you’re considering, and a tailored list of safe options can be provided.
