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Journal of Human Lactation
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Review: Breastfeeding and Over-the-Counter Medications

Frank J. Nice, DPA, CPHP

US Public Health Service; Clinical Neurosciences Program of the National Institutes of Health

Jeanette L. Snyder, PharmD

Lehigh Valley Hospital in Allentown, Pennsylvania

Brian C. Kotansky, PharmD

Bay Pines Veterans Administration Hospital in Bay Pines, Florida

A breastfeeding mother is confronted with a wide variety of over-the-counter products, necessitating careful guidance from her health care professional. This article presents a discussion and comprehensive tables that cover, by category, over-the-counter medications that nursing mothers may need to take. These tables should greatly assist the health care professional in the important task of counseling the nursing mother about the proper use of over-the-counter medications. This information will enable health care professionals to interpret information on the topic of over-the-counter medications and breastfeeding; list medications, in specific overthecounter categories, that are usually safe to take while breastfeeding; recommend overthecounter medications of choice for a breastfeeding mother; and generally counsel a breastfeeding mother who is taking or expects to take over-the-counter medications.

Key Words: breastfeeding • medications • over-the-counter • counseling • guidelines • recommendations

Journal of Human Lactation, Vol. 16, No. 4, 319-331 (2000)
DOI: 10.1177/089033440001600408
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