What pain medications can I drink with breastfeeding?

  • What to take into consideration before taking the
  • pill Permissible drugs
  • Drugs prohibited by

Pain. .. how much suffering and painfully unpleasant sensations are embedded in this word. On Earth, there is no man who has never felt uncomfortable in pain. Her character( acute, dull, aching), as well as the location of the localization( tooth, abdomen, head, heart) can be very diverse, as well as the causes of the onset.

To date, there are many painkillers from different pharmacological groups, but not every mother is suitable for nursing. So, if the medicinal substance is able to penetrate through breast milk, even in a relatively small amount, it must be understood that it can cause the baby harm. In this article, we will consider which painkillers for breastfeeding are allowed to use, and which can not be in any case.

What to take into account before taking the

pill. Any medicine with an incorrect and uncontrolled reception becomes dangerous. Mom, whose ch

ild is breastfeeding, should be especially responsible in this matter. What factors need to be considered when deciding to take pain medication?

We recommend reading: Fluorography Is it possible to breastfeed after a fluorography?
  1. What is the cause of the pain .Responsible self-medication suggests that in some situations a person can take an anesthetic alone, but remember: pain is just a symptom. Having drunk a pill, you get a temporary relief, but the root of the problem remains, and you need to do something with it. So, if the tooth is aching - go to the dentist, headaches are regularly worried - perhaps, the reason for fatigue, lack of sleep or increased pressure. A pain in the area of ​​the breast or in the lower abdomen requires consultation of a gynecologist.
  2. Only permitted medications! You used to be a great help nemesil? Perfectly. But now it must be forgotten for a while, but it is better to hide it from sin far away, since it is contraindicated in lactation. Now, before you buy painkillers, you need to carefully read the instructions, whether there is in the column "contraindications" of breast-feeding. If the abstract contains a phrase such as "the use of a medicinal product in the lactation period is permissible, when the benefit exceeds the risk" - consult a doctor.
  3. Use time proven tools. If you take two drugs, one of which was released a year ago, and the other on the market for 15 years, then in the second case we will get more information about its application. Why? Because, even if there have been no formal studies of its effect on pregnant and lactating people, there have been people who took it at their own peril and risk( for foolishness or despair) for so many years, and therefore doctors have data on its possible side effectsor, conversely, security.
  4. Do not exceed the dosage of .But do not reduce it, so that a therapeutic effect is achieved, the goal for which we drink tablets. For example, if a recommended one-time dose of no-shpa is 80 mg, then you need to drink 2 tablets of the drug at 40 mg or 1 tablet of no-shpa forte.
  5. Do not abuse medicines .The big difference is: drink an analgesic once a month or drink it with a handful for a week. If the pain repeats again and again, then you need to look for the cause and be treated in a comprehensive manner, rather than jeopardizing the health of the child due to uncontrolled intake of drugs.
  6. How quickly the agent is absorbed into the blood and its half-life .The analgesic group of medicines in the majority starts to operate in half an hour after reception. From this time, the elements of the substance can enter the milk. Half-life takes 2 hours or more( in paracetamol, for example, 2 to 4 hours) - this is the period when the active substance circulates through the blood in full. It turns out that with a single dose of medicine to reduce its impact on the child can be by adjusting the feeding regime.
Do not take a handful of medicine. If the pain does not pass, consult a doctor to see the

in detail. Valid medications

To understand whether it is possible to drink this or that substance as an analgesic agent, we will focus on the manufacturers' instructions, Thomas Hale's reference book on medications and their action in breastfeeding, as well as on the E-LACTANCIA electronic reference book.


Nonsteroidal anti-inflammatory drug( NSAID), also known as Nurofen, Ibufen, Ibuprom. Despite the fact that during pregnancy it is taken with caution, and in the III trimester it is generally contraindicated, ibuprofen is considered safe for breastfeeding.

Has three effects: analgesic, anti-inflammatory, antipyretic. Therefore, ibuprofen is suitable for short-term use of toothache, neuralgia, dysmenorrhea, joint pain and colds.


Preparations from the NSAID group have antipyretic effect to varying degrees. This fact is useful to take note and use the same medicine and on temperature, and as an anesthetic.

Medications on the basis of ibuprofen are allowed to infants, starting from 3 months. This indicates a high safety of the drug, taking into account, moreover, the fact that less than 1% of the taken single dose is absorbed into breast milk. It is acceptable to take 200-400 mg every 6-8 hours.


The history of this substance began more than 120 years ago, and for more than 60 years paracetamol under different brands( Panadol, Efferalgan, Tylenol, Acetaminophen) has been successfully sold in many countries. It is also allowed to children from 3 months of age as an antipyretic and analgesic, and therefore not harmful during breastfeeding.


Milk gets less than 20% of the original dose, drunk by a nursing mother. Let's admit reception on 500 mg no more than 4 times a day. However, paracetamol can not be drunk to mom all the time. Too long application in high dosages adversely affects liver function.


Another representative of the NSAID group, known by other names: Ketanov, Ketalgin. The instruction does not recommend combining reception of ketorolac with lactation, since the substance penetrates into the breast milk after 2 hours after the tablet is taken.


But the concentration in milk is very small, so the American Academy of Pediatrics and E-LACTANCIA allow the nursing mother to take it. Dose: 10 mg to 4 times a day.


Non-steroidal anti-inflammatory drug, on the basis of which ointments, gels, tablets, ampoules, suppositories and even patches are made. Studies conducted on the effect of diclofenac on lactation, did not find a negative effect on the baby. Given that the drug has a short half-life and the substance is more associated with plasma proteins, many sources recommend it in lactation.

Representatives of the diclofenac family very much

Contraindicated in patients with peptic ulcer or high blood pressure. Tablets are recommended to drink 50 mg 3 times a day. Diclofenac in other forms is used according to the instructions, not exceeding the prescribed dosages. Representatives: Diklak, Diklobene, Olfen, Naklofen, Ortophen, Rapten, Voltaren.

Ultracaine and lidocaine

Local anesthetics used to pacify and treat toothache. The safest of the group of anesthetics.

More details about them can be found in this article.


A spasmolytic agent that has proven itself in the rapid removal of gastric and intestinal cramps, renal colic, menstrual pain, etc. No-spa refers to the recommended drugs during lactation for single use.

Read the article on how to take No-shp in the lactation period.

Drugs banned by

Some painkillers have known us since childhood, but for the period of feeding they will have to be forgotten. What is it about?


Metamizole sodium( active substance analgin) in a number of countries has long been banned due to the risk of developing agranulocytosis. Milk gets a small amount of it, but this is enough for a possible oppression of the hematopoiesis system or impaired renal functions of the baby.

Analgin treats well both with pain and with heat, but it is extremely desirable to use it as an "ambulance" because of serious side effects.

Use analgin in extreme cases when there is no possibility to use other safe alternatives( there are times when high temperatureAs in adults, and in children does not get off anything, except for the injection of analgin with dimedrol and papaverine).Analgin is a part of Baralgina, Tempalgina, Spasmalgon, Pentalgin, Spazgan, etc.


Nimesil, Nimegesic, Naise and Nimid are based on nimesulide and well relieve inflammation and pain syndrome. However, despite the small penetration of the substance into milk, the drug is poorly understood, and therefore has limitations on intake during pregnancy and lactation, and also for children under 12 years old.

Acetylsalicylic acid

It's Aspirin and Citramone, which includes acetyl, paracetamol and caffeine. It is used as an antipyretic, anti-inflammatory, analgesic and antiaggregant.

There are data on the negative impact on the mucosa of the baby's gastrointestinal tract, kidney function and hematopoiesis with prolonged use of aspirin by a nursing mother. Therefore, the drug is attributed to the second risk group for HB.That is, as far as possible, it should be avoided.

So, during breastfeeding it is not necessary to suffer from an intolerable headache, afraid to take a pill. Fortunately, there are drugs allowed for use in lactation( unless, of course, they are not abused), so that breastfeeding remains the same pleasant and desirable.