Benadryl: Impact on Pregnancy, Breastfeeding, and Beyond
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Benadryl, a popular over-the-counter medication used to treat allergy and cold symptoms, is often a go-to choice for many. However, when it comes to breastfeeding, it's essential to understand the potential risks and alternatives.
Benadryl (diphenhydramine) is generally considered safe for occasional, short-term use during breastfeeding, but it is not recommended for long-term or regular use. Long-term use may reduce milk supply and cause drowsiness or feeding issues in the infant, especially in newborns or premature babies [1].
Regarding preferred antihistamines for breastfeeding mothers, newer, second-generation antihistamines (such as loratadine, cetirizine, fexofenadine, and levocetirizine) are often preferred because they tend to have less sedating effects and lower risk of affecting milk supply or the infant [1][3]. Although Benadryl has been widely used historically and is considered safe for occasional use, its sedative side effects and potential impacts on milk production make it less ideal for continuous use while breastfeeding [1][4].
Mothers should monitor their babies for increased sleepiness, feeding difficulties, or irritability if taking any antihistamine and consult their healthcare provider for personalized advice [1][3].
It's important to note that Benadryl is a brand-name drug, and diphenhydramine is the active drug it contains. Benadryl may be used while breastfeeding, but it's crucial to discuss potential effects on the child with a doctor.
In sum, occasional Benadryl use is considered acceptable but not ideal for prolonged use during breastfeeding; safer and better-tolerated alternatives exist for long-term allergy management in nursing mothers.
During pregnancy, it is recommended to consult a doctor before taking Benadryl. Injected diphenhydramine is often considered the first-choice treatment for severe allergic reactions during pregnancy [2].
In the last two weeks of pregnancy, Benadryl should not be used due to a risk of eye disease in newborns [2].
References:
[1] AAP Committee on Drugs. (2015). Antihistamines. In: AAP Policy Statement: Drugs Associated with Human Lactation. Pediatrics, 136(3), e843-e866.
[2] American College of Obstetricians and Gynecologists. (2017). Obstetric Care Consensus: Antihistamines in Obstetric Practice. Obstet Gynecol, 130(4), e118-e122.
[3] LactMed. (2021). Diphenhydramine. Retrieved from https://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+lact: @term+@DOCID+7174
[4] National Library of Medicine. (2021). Diphenhydramine. Retrieved from https://medlineplus.gov/druginfo/meds/a682112.html
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