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Breastfeeding Moms Breastfeeding Moms

Pain

Posted by on May. 1, 2012 at 4:38 PM
  • 4 Replies
What pain meds and how much can you take while nursing? I have insane back and shoulder pain!
by on May. 1, 2012 at 4:38 PM
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Glowing4Caleb
by Member on May. 1, 2012 at 4:40 PM

In the hospital I was prescribed with 3 advil every 6 hours. (I tore really badly) I was also given something stronger, but cant remember what...I didn't take it because it made me tired and I was already tired enough and just stuck with the advil.

maggiemom2000
by Ruby Member on May. 1, 2012 at 5:01 PM
1 mom liked this

Most pain meds are fine in the amounts prescribed. It is when you start taking more than that that it is a problem.

Here's some info for you from http://kellymom.com/bf/can-i-breastfeed/meds/pain-meds/

Pain medications and breastfeeding

AUGUST 1, 2011. Posted in: MEDICATIONS & VACCINES

Info on selected pain medications

The information summarized below is only a general overview of selected pain medications. For detailed information on the specific drugs or for information on drugs not listed here, please review the references listed below with your health care provider.

Info on selected medications used for pain relief
Name of medication
AAP approved?*
Pregnancy Risk Category**
Notes
Acetaminophen 
(Tylenol)
Approved
B
L1
 
Aspirin
Caution
C (1st, 2nd trim.)
D (3rd trim.)
L3
Azapropazone 
(Rheumox)
Approved
-L2
 
Butalbital 
(Fioricet, Fiorinal, Bancap, Two-dyne)
NRDL32
Butorphanol 
(Stadol)
Approved

B (1st, 2nd trim.)
D (3rd trim.)
L3
 
Celecoxib 
(Celebrex) (FDA safety info)
NRCL2 
Codeine 
(in Tylenol #3, #4)
Approved

C
L3
Colchicine
Approved

DL4 
Diclofenac 
(Cataflam, Voltaren)
NRBL2 
Fentanyl 
(Sublimaze)
Approved
BL2 
Flurbiprofen 
(Ansaid, Froben, Ocufen)
NRB (1st, 2nd trim.)
C (3rd trim.)
L2 
Hydrocodone 
(Lortab, Vicodin)
NRBL34
Hydromorphone 
(Dilaudid)
NRCL35
Ibuprofen 
(Advil, Nuprin, Motrin, Pediaprofen)
Approved

B (1st, 2nd trim.)
D (3rd trim.)
L1

 
Indomethacin 
(Indocin)
Approved
B (1st, 2nd trim.)
D (3rd trim.)
L3 
Ketorolac 
(Toradol, Acular)
Approved

B (1st, 2nd trim.)
D (3rd trim.)
L2
 
Meperidine 
(Demerol)
Approved
BL2;
L3 early postpartum
6
Methadone 
(Dolophine)
Approved
BL37
Morphine 
(Duramorph, Infumorph, Epimorph, MS Contin)
Approved
BL38
Nalbuphine 
(Nubain)
NRBL2 
Naproxen 
(Anaprox, Naprosyn, Naproxen, Aleve)
Approved

B
L3;
L4 for chronic use
Nefopam 
(Acupan)
Approved
-
NR
 
Oxycodone 
(Tylox, Percodan,Oxycontin, Roxicet, Endocet, Roxiprin, Percocet)
NRBL310
Pentosan polysulfate
(Elmiron)
NRBL2 
Piroxicam 
(Feldene)
Approved
BL2 
Propoxyphene 
(Darvocet N, Propacet, Darvon)
Approved
CL211
Rofecoxib 
(Vioxx)
Withdrawn from the market12
Secobarbital 
(Seconal)
Approved
DL313
Tolmetin 
(Tolectin)
Approved
CL3 
Tramadol HCL 
(Ultram, Ultracet)
NRCL314
Valdecoxib 
(Bextra) (FDA safety info)
Withdrawn from the marketmore

*  Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001.

** Per Medications’ and Mothers’ Milk by Thomas Hale, PhD (2004 edition).

 Lactation Risk Categories  Pregnancy Risk Categories 
  • L1 (safest)
  • L2 (safer)
  • L3 (moderately safe)
  • L4 (possibly hazardous)
  • L5 (contraindicated)
  • A (controlled studies show no risk)
  • B (no evidence of risk in humans)
  • C (risk cannot be ruled out)
  • D (positive evidence of risk)
  • X (contraindicated in pregnancy)
NR: Not Reviewed. This drug has not yet been reviewed by Hale.
  1. Aspirin use is discouraged in children and nursing mothers due to the risk of Reye’s syndrome and internal bleeding.
  2. Fioricet (Fiorinal, Bancap, Two-dyne) contains acetaminaphen or asprin, caffeine, and butalbital. Per Hale, baby should be observed for sedation.
  3. Hale suggests weakened or premature infants be observed for sedation and apnea.
  4. Hale suggests newborns be observed for sedation, apnea, constipation.
  5. Per Hale, use of frequent, higher dose may result in infant sedation.
  6. Per Hale, Meperidine use during labor or early postpartum has been associated with sedation, poor sucking reflex, and neurobehavioral delay in infants.
  7. Per Hale, observe infant for sedation, respiratory depression, addiction, withdrawal syndrome.
  8. Per Hale, higher doses may result in infant sedation.
  9. Per Hale, should be used with caution due to its long half-life and its effect on baby’s cardiovascular system, kidneys and GI tract; short-term, infrequent or occasional use is not necessarily incompatible with breastfeeding.
  10. Roxicet, Endocet, Roxiprin, Percocet also contain acetaminophen. Per Hale, observe infant for sedation.
  11. Per Hale, observe infant for sedation.
  12. Per Hale, observe infant for GI cramping, distress, diarrhea.
  13. Per Hale, observe infant for sedation.
  14. Per Hale, observe infant for sedation.
[top]

References

Table 6: Maternal Medication Usually Compatible With Breast-Feeding, from the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001.

Hale, Thomas. Medications and Mothers’ Milk, 11th Edition. Pharmasoft Medical Publishing, 2004. Dr. Hale’s website is located at http://neonatal.ttuhsc.edu/lact/index.html.


Bgbluford785
by on May. 1, 2012 at 5:05 PM
After my c-section I was prescribed 10 mg percasets. For 3 weeks after. My ob said ur body filters it so it perfectly okay to take while bf.
aehanrahan
by Group Mod - Amy on May. 1, 2012 at 6:47 PM
The only pain medication that I know to stay away from is aspirin.
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