Today, we will give specific instructions on the relevant medication guidelines for breastfeeding mothers during the cold.

There are two points to explain at the beginning: 1. Subject to medical advice. If the doctor’s advice is not clear, you must ask for a more definite answer; 2. We will only involve modern medicines because the ingredients of the folk remedies and traditional herbs are too complex, most of them have not undergone rigorous clinical trials.

First of all, as long as the mother remembers to take good isolation measures, such as wearing a mask, there is no need to worry too much about the infection to the baby, because bacteria or viruses will not be transmitted to the baby through the breast milk. Moreover, some doctors’ articles believe that the antibodies produced by mothers who catch a cold can be passed on to the baby through breast milk, which will make the baby immune to the corresponding bacteria and viruses. Although we haven't found many research reports to support this, it sounds reasonable.

Many breastfeeding mothers will continue to worry about drugs from the beginning of pregnancy, fearing that the ingredients of the drug will be fed to their children through breast milk, which will cause adverse effects. And because of the doctor-patient relationship, doctors will also choose the safest way to answer patients-Ask the doctor if she can breastfeed after taking this medicine. Basically, he will suggest waiting for a week.

But in fact, taking medication during lactation is not something that needs to worry mothers so much. Most medications are safe for nursing mothers and babies. This point is guided by experts from the American Pediatric Association AAP. In recent years, in order to promote breastfeeding, AAP has conducted detailed tests on the use of many commonly used drugs during lactation, and the results are satisfactory.

It is best for breastfeeding mothers to take medicine by mouth rather than infusion. In addition to intravenous injection, most drugs need to pass through two levels to enter breast milk: A. To enter the blood through the skin or digestive tract; B. To pass through the blood to the breast. After passing these two levels, the amount of medicine will be greatly reduced.

AAP's breastfeeding drug safety levels are divided into L1 (safest), L2 (relatively safe), L3 (normal safety), L4 (possibly hazardous), and L5 (prohibited). In these levels, let's specifically list cold-related drugs: 1. Reducing the fever; 2. Relieve nasal congestion and nasal discharge; 3. Antibiotic anti-inflammatory.

Anti-fever medicine:

Two types of antipyretics: Merrill Lynch (ibuprofen) and Tylenol (acetaminophen). In the form of AAP, these two types of drugs are listed as the safest L1, so mothers can use them to reduce fever. As for the other drugs that are used in the market to reduce fever, reduce inflammation and relieve pain, most of them are not as safe as the two types mentioned above, so try not to choose them.

In addition, there is another type of medicine that has the function of reducing cough and fever at the same time: codeine (not cocaine). Because the proportion of the drug delivered to breast milk is high, it is listed as L3 in the AAP classification, and it is used as little as possible.

Relieve nasal congestion

Many drugs to relieve nasal congestion will use decongestants such as pseudoephedrine, the mechanism is to constrict blood vessels, thereby reducing nasal congestion. Pseudoephedrine is L3 for short-term use and L4 for long-term use. However, there is another problem that decongestants will affect the blood circulation of the mammary glands and reduce the amount of breast milk, so it is best not to eat them. If you have severe nasal congestion, you can use antihistamines, such as loratadine or triprolidine, both of which are L1 safe.


Since the discovery of penicillin, antibiotics have been mankind’s greatest drug. Over the years, antibiotics have helped humans’ average life span several times, and at the same time, they have evolved into a huge family. Generally speaking, antibiotics are relatively safe for breastfeeding mothers. Among them, the safest is penicillin drugs, such as penicillin (L1), carpenicillin (L1), and amoxicillin (L1). In addition, although erythromycin is L3 for mothers who have just given birth to a baby, it will be L1 after then.

Another commonly used antibiotic, cephalosporin, is also very friendly to breastfeeding mothers. Cefadroxil, cefazolin, cefoxitin, ceftazidime, and cefprozil are all L1, and the rest are all L1 or L2. The tetracycline, ofloxacin, and gentamicin that we are familiar with are of L2 level. There are not many L3 antibiotics, such as ciprofloxacin, streptomycin and sulfamethoxazole.

Today we listed so many drug names that are hard to remember. The conclusion is actually very simple: breastfeeding mothers don’t need to be overly afraid of drugs. If you are sick, take medicine at ease. As long as you choose the right drugs, there is no need to worry about their effects on your children. There is no need to stop breastfeeding. Come on!