Safety of Antihistamines During Breastfeeding
Breastfeeding mothers who are dealing with allergies now have a variety of safe and effective options to choose from. Here's a guide to understanding antihistamines and their suitability during breastfeeding.
Antihistamines are commonly used to treat allergies, and they work by either blocking the effects of histamine or reducing the amount formed. These medications can provide relief from symptoms such as a runny nose, itchy eyes, and hives.
Antihistamines can be divided into two main categories: First Generation and Second Generation.
First Generation Antihistamines, such as hydroxyzine, promethazine, and chlorphenamine, are more potent and can make you feel sleepy or drowsy. Due to these side effects, they are generally best avoided during breastfeeding.
On the other hand, Second Generation Antihistamines, including cetirizine, fexofenadine, and loratadine, do not cross the brain barrier and have a low to no probability of causing drowsiness. These are widely preferred by doctors for their safety profile during breastfeeding.
The British Society for Allergy and Clinical Immunology recommends loratadine at its lowest dose as one of the preferred choices if an antihistamine is required during breastfeeding. Other safe options include bilastine, approved for children from six years and adults, and olopatadine (for eye use).
However, it's important to note that there are concerns about taking antihistamines while breastfeeding, as they may be transferred to the baby through breast milk. Therefore, any use of antihistamines during breastfeeding should be done cautiously, and advice from a healthcare provider is recommended.
In addition to antihistamines, there are other natural remedies that can help manage allergies during breastfeeding. For instance, stinging nettle is a natural and safe antihistamine for breastfeeding mothers. Jewelweed, containing corticosteroids, is useful for dealing with contact dermatitis, bee stings, and other allergic reactions.
Omega-3 Fatty Acids, found in foods like canola oil, walnuts, flaxseed oil, grass-fed meat, and cold-water fish, have anti-inflammatory properties and are good at fighting off allergies. Vitamin C, found in citric fruits, can hinder the activities of histamines in the body when combined with bioflavonoids.
Flavonoids, found in foods like onions, broccoli, apples, garlic, tea, legumes, parsley, wine, etc., can aid in controlling allergies and inflammation. Consuming certain foods like green tea, oats, and lemon water during breastfeeding may have specific effects.
Ginko, a Chinese herb, can be used as a natural antihistamine. Eye drops containing antazoline are compatible during the nursing period for itching eyes.
In conclusion, while there are concerns about taking antihistamines while breastfeeding, there are safe options available. Second Generation antihistamines are widely preferred by doctors due to their safety profile. As always, it's essential to consult with a healthcare provider before starting any new medication during breastfeeding.
