Is Zyrtec Safe While Breastfeeding

by | May 10, 2018

Is Zyrtec safe while breastfeeding?

Seasonal allergies can be insufferable at any given time, but while we are used to just taking a pill and continuing on with our daily lives. breastfeeding bringing another whole mix of anxiety into the party. We find ourselves avoiding caffeine, spicy food, and sometimes going through the elimination diets to find out what is causing the upset tummies of brand new little people.

Is Zyrtec Safe While BreastfeedingIs Zyrtec safe while breastfeeding?

The American Academy of Family Physicians (AAFP) considers many antihistamine drugs to be safe for women who are nursing. While the AAFP does not recommend Cetirizine (Zyrtec) as a primary option for breastfeeding mothers, the organization supports the use of Zyrtec if other treatment options have failed.

While medication can pass through the breastmilk, it is always in tiny quantities, and do not cause any harm towards the baby.  Luckily, unlike other medications, such as Benadryl. Zyrtec won’t cause you to feel drowsy and is recommended over alternatives such as Sudafed, due to it not having restlessness as a side effect.

Clinical pharmacologist Dr. Thomas W. Hale, author of “Medication and Mother’s Milk,” notes that antihistamines like Zyrtec have no known effect on breast milk supply.


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Dr. Thomas Hale rates all prescription and over-the-counter drugs on a five-point scale for nursing mothers, with L1 indicating “safest” and L5 indicating “unsafe.” Dr. Hale places Zyrtec in risk category L2 for breastfeeding mothers, alongside other common antihistamines like loratadine (Claritin). Zyrtec earns an L2 rating because animal tests indicate that roughly 3 percent of the drug is passed into breast milk. According to Dr. Thomas Hale’s guidelines, Zyrtec is preferable to fexofenadine (Allegra) but not as safe as triprolidine (Actidil).

While Zyrtec has the go-ahead to ease your suffering, anyone who is breastfeeding, or considering breastfeeding – should always consult their primary care physician before taking any over the counter medications.


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