Cold & Flu Season: What’s Safe While Breastfeeding
By Lauren Lasko, APRN, IBCLC, LiLa Lactation Services, Zest Pediatrics Lactation Consultant
As cold and flu season hits, it’s normal to wonder what’s okay to take while nursing. The good news? Many common remedies are safe and effective when you’re breastfeeding — you don’t have to suffer through it! Here’s a quick guide based on trusted information from the InfantRisk Center (click the link for a great handout on this subject!).
SAFE TO USE
For Pain, Fever, and Aches
● Acetaminophen (Tylenol)
● Ibuprofen (Advil, Motrin)
For Congestion & Stuffy Noses
● Saline nasal spray or rinses
● Steam or humidifier
● Nasal steroid sprays like Flonase (fluticasone) or Rhinocort (budesonide)
● Afrin (oxymetazoline) — short-term use only (3 days or less)
For Coughs & Sore Throats
● Guaifenesin (found in Mucinex)
● Warm tea with honey (for adults only — never for babies under 1 year)
● Saltwater gargles or menthol lozenges (in moderation)
USE CAUTION OR AVOID
● Avoid medications with “DM” on the label (contains dextromethorphan), which may reduce milk supply.
● Avoid pseudoephedrine (in some cold or allergy meds), which is known to decrease milk production.
● Avoid benzonatate (Tessalon Perles) — not considered safe while breastfeeding.
TIPS FOR PROTECTING YOUR MILK SUPPLY
● Drink plenty of fluids to stay hydrated.
● Rest when you can — your body needs recovery time.
● Keep nursing or pumping regularly to maintain supply, reach out to a lactation consultant if you have concerns!
WHEN TO REACH OUT
Call your healthcare provider or lactation consultant if:
● Your fever is high or symptoms worsen,
● You’re coughing up green mucus, or
● You notice changes in your baby’s feeding, rash, or unusual fussiness.
Other great, free resources to check breastfeeding-friendly meds:
You can feel better and keep breastfeeding safely this cold and flu season and if you have questions, make sure to reach out to your medical provider for individualized recommendations.
