Re: Re: cough supressants and breastfeeding

[Guest guest]

OK lost my Hale 2000 edition (small panic now!!!!) but 1999 Hale says

this....

Guaiphesin

Only got Guaifenesin, also known as Robitussin, Benylin, Balminil, Resyl,

Orthoxicol, Respenyl.

Hale says basically, doesn't suppress coughing, shouldn't be used by

persitant coughers, no data available on transfer into human milk. Poor

efficacy of these drugs (expectorants in general) would suggest they do not

provide enough justification for lactating mothers to use (there goes the

placebo effect). Untoward effects not been noted.

Dextromethorpan

Dextromethorphan is a weak antitussive commonly used in infants and adults.

It is a congener of codeine and appears to elevate the cough threshold in

the brain. It does not have addictive analgesic or sedative qualities and

it does not produce respiratory depression at normal doses. It is the

safest of antitussives and is routinely used in children and infants. no

data on its transfer into human milk availble. It is very unliely that

enough would transfer into the milk to provide clinically significant levels

in a breastfed infant.

Pholcodine

Hale doesn't have anything on Pholcodine

Codeine

Hmmm more tricky this one. Codeine is considered a mild opiate analgesic

whose action is probably due to its metabolism to small amount of morphine.

the amount of codeine secreted into the milk is low and dose dependant.

Infant responses is higher during the neonatal period (first or second

week). 4 cases of neonatal apnea have been reported following

administration of 60mg codeine every 4 hours to breastfeeding mothers

although codeine was not detected in serum of the infants tested.

There are few reported side effects following codeine doses of 30mg, and it

is beleived to produce only minimal side effects in newborns.

Good old Hale. So looks like everything is fine in moderation... but it is

the effectiveness of the drugs that you have to worry about.

Sue H.

[Guest guest]

OK lost my Hale 2000 edition (small panic now!!!!) but 1999 Hale says

this....

Guaiphesin

Only got Guaifenesin, also known as Robitussin, Benylin, Balminil, Resyl,

Orthoxicol, Respenyl.

Hale says basically, doesn't suppress coughing, shouldn't be used by

persitant coughers, no data available on transfer into human milk. Poor

efficacy of these drugs (expectorants in general) would suggest they do not

provide enough justification for lactating mothers to use (there goes the

placebo effect). Untoward effects not been noted.

Dextromethorpan

Dextromethorphan is a weak antitussive commonly used in infants and adults.

It is a congener of codeine and appears to elevate the cough threshold in

the brain. It does not have addictive analgesic or sedative qualities and

it does not produce respiratory depression at normal doses. It is the

safest of antitussives and is routinely used in children and infants. no

data on its transfer into human milk availble. It is very unliely that

enough would transfer into the milk to provide clinically significant levels

in a breastfed infant.

Pholcodine

Hale doesn't have anything on Pholcodine

Codeine

Hmmm more tricky this one. Codeine is considered a mild opiate analgesic

whose action is probably due to its metabolism to small amount of morphine.

the amount of codeine secreted into the milk is low and dose dependant.

Infant responses is higher during the neonatal period (first or second

week). 4 cases of neonatal apnea have been reported following

administration of 60mg codeine every 4 hours to breastfeeding mothers

although codeine was not detected in serum of the infants tested.

There are few reported side effects following codeine doses of 30mg, and it

is beleived to produce only minimal side effects in newborns.

Good old Hale. So looks like everything is fine in moderation... but it is

the effectiveness of the drugs that you have to worry about.

Sue H.

[Guest guest]

Just read this on a bulletin board I am on. I don't even

know if Phenylpropanolamine is used here in the UK (and it

might be called something else, like

acetaminophen/paracetamol), but since cold and flu

medications are under discussion, I figured I'd post it.

Phyllis

> http://www.cvs.com/otherCVS/drugDisclaimer.asp

>

>

> This was seen on the News both last night and this

morning. Thought it

>

> might be helpful for all of you to have the list.

Stop taking anything

>

> containing this ingredient. It has been linked to

increased

> hemorrhagic

> stroke (bleeding in brain) among women ages 18-49 in

the three days

> after starting use of medication. Problems were not

found in men,

> but the

> FDA recommended that everyone (even children) seek

alternative

> medicine.

> The following medications contain Phenylpropanolamine:

>

> Alka-Seltzer Plus Children's Cold Medicine

Effervescent

> Alka-Seltzer Plus Cold medicine (cherry or orange)

> Alka-Seltzer Plus Cold Medicine Original

> Alka-Seltzer Plus Cold & Cough Medicine

Effervescent

> Alka-Seltzer Plus Cold & Flu Medicine Effervescent

> Alka-Seltzer Plus Cold & Sinus Effervescent

> Alka Seltzer Plus Night-Time cold Medicine

Effervescent

> BC Allergy Sinus Cold Powder

> BC Sinus Cold Powder

> Comtrex Deep Chest Cold & Congestion Relief

> Comtrex Flu Therapy & Fever Relief Day & Night

> Contac 12-Hour Cold Capsules

> Contac 12 Hour Caplets

> Coricidin D Cold, Flu & Sinus

> Dimetapp Cold & Allergy Chewable Tablets

> Dimetapp Cold & Cough Liqui-Gels

> Dimetapp DM cold & Cough Elixir

> Dimetapp Elixir

> Dimetapp 4 Hour Liqui Gels

> Dimetapp 4 Hour Tablets

> Dimetapp 12 Hour Extentabs Tablets

> Naldecon DX Pediatric Drops

> Permathene Mega-16

> Robitussin CF

> Tavist-D 12 Hour Relief of Sinus & Nasal

Congestion

> Triaminic DM Cough Relief

> Triaminic Expectorant Chest & Head Congestion

> Triaminic Syrup Cold & Allergy

> Triaminic Triaminicol Cold & Cough

> Acutrim Diet Gum Appetite Suppressant Plus Diary

Supplements

> Acutrim Maximum Strength Appetite Control

> Dexatrim Caffeine Free

> Dexatrim Extended Duration

> Dexatrim Gelcaps

> Dexatrim Vitamin C/Caffeine Free

>

__________________________________________________

[Guest guest]

Also in Day Nurse, but not Night Nurse, apparently. DH went round binning

anything containing it, unusual for him as he usually takes no notice of

dire warnings!

Lesley

-----------------

From: Phyllis

Just read this on a bulletin board I am on. I don't even

know if Phenylpropanolamine is used here in the UK (and it

might be called something else, like

acetaminophen/paracetamol), but since cold and flu

medications are under discussion, I figured I'd post it.

P

[Guest guest]

Also in Day Nurse, but not Night Nurse, apparently. DH went round binning

anything containing it, unusual for him as he usually takes no notice of

dire warnings!

Lesley

-----------------

From: Phyllis

Just read this on a bulletin board I am on. I don't even

know if Phenylpropanolamine is used here in the UK (and it

might be called something else, like

acetaminophen/paracetamol), but since cold and flu

medications are under discussion, I figured I'd post it.

P

[Guest guest]

Also in Day Nurse, but not Night Nurse, apparently. DH went round binning

anything containing it, unusual for him as he usually takes no notice of

dire warnings!

Lesley

-----------------

From: Phyllis

Just read this on a bulletin board I am on. I don't even

know if Phenylpropanolamine is used here in the UK (and it

might be called something else, like

acetaminophen/paracetamol), but since cold and flu

medications are under discussion, I figured I'd post it.

P