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Hello pharmacist. My baby was born 17 days old, because I stayed up all night with her, I had a headache. I took 1 Panadol Extra and now I feel very nervous. Currently, I am pumping milk for my baby with a full bottle because I am going to have to go back to work due to economic reasons. I hope the pharmacist can advise if the mother can take Panadol Extra and can she breastfeed? And when will the medicine wear off and the baby will be able to drink breast milk again. Thank you
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Hello. Pharmacist would like to answer the question: "Can a mother drink Panadol Extra breast milk?" Your condition is as follows:
Breastfeeding pain can be treated without affecting the health of mother and baby, with the right medication and dose.
Your case has taken 1 Panadol Extra tablet due to headache while breastfeeding. Panadol Extra is a medicine consisting of two ingredients paracetamol 500mg and caffeine 65mg. Paracetamol is a substance that has antipyretic and analgesic effects, and caffeine is a substance that enhances the analgesic effect of paracetamol.
Panadol with mild to moderate pain and antipyretic effect is commonly used in the following cases: headache, migraine, muscle pain, sore throat, musculoskeletal pain, menstrual pain, fever and pain after injection vaccines, pain after tooth extraction, toothache, pain from osteoarthritis.
Side effects of Panadol drugs:
Panadol drugs can bring unwanted side effects to users as follows:
Causes thrombocytopenia, allergic skin reactions such as: skin rash, angioedema, syndrome Stevens-Johnson, with patients sensitive to aspirin and NSAIDs can cause bronchospasm, side effects on the liver when used for a long time... Caffeine: can experience phenomena such as restlessness, dizziness face. When taking the recommended dose of paracetamol-caffeine in combination with a high-caffeinated diet, there may be some side effects associated with caffeine overdose such as insomnia, anxiety, restlessness, nervousness, headache, and digestive disorders. chemical. Can I take Panadol Extra while breastfeeding?
For the use of Panadol extra (paracetamol and caffeine) by nursing mothers, scientists have conducted a study on the drug intake of women who are breastfeeding.
For the paracetamol component: This is a recommended drug for pain relief and fever reduction for use in pregnant and lactating women, is considered a safe drug, does not cause side effects for mother and baby. at the usual dose (approximately 6% via breast milk).
As for the caffeine composition: The amount of caffeine secreted into breast milk will vary greatly depending on the source of caffeine intake (including food), the mother's age, whether she smokes or not... Usually the caffeine concentration in milk The mother will peak after 1-2 hours after taking the drug containing caffeine. One study showed no detectable caffeine in breast milk if the absorbed dose was <100mg. For lactating women, a caffeine dose of <300mg/day is recommended. Studies taking place in multiple lactating women at the recommended dosages have shown no adverse effects on nursing mothers or the nursing infant.
Phụ nữ cho con bú cần sử dụng thuốc theo chỉ dẫn của bác sĩ
Medicines like Panadol (paracetamol contains caffeine) is a substance that is recommended to be harmful to the nerves of young children and stimulate a faster heart rate. However, in her case, taking only 1 Panadol Extra tablet with 65mg caffeine content, with a small amount, breastfed babies are not significantly affected.
In summary, if unfortunately have a cold, a headache and are in the breastfeeding period, the mother can take panadol to relieve symptoms, preferably using a brand-name drug containing only paracetamol (no caffeine ingredients). ). However, the type of drug and dosage that mothers take need to consult a specialist.
Cases where mothers arbitrarily use external drugs can cause serious consequences. If mothers experience common symptoms such as low fever, cough, sore throat, they should apply milking measures to ensure safety for both mother and baby. This milking time depends on the drug used, it should be under the guidance of a doctor or pharmacist, not self-administered.
Notes when using the drug for women who are breastfeeding. When the mother is sick, her health declines, most doctors advise the mother to take care of her postpartum health properly, rather than take medicine. However, in some cases, mothers still have to take medication to treat it.
Mothers must note the following:
While taking medicine, mothers need to pay attention to monitor their children's manifestations such as whether the child is easily irritated, crying, diarrhea or not breastfeeding.. If the baby has any of these symptoms, the mother should stop taking this medicine and consult a doctor.
Breastfeeding children take panadol or other drugs, mothers should only use it under the guidance of a doctor or pharmacist with the lowest dose that achieves therapeutic effect.
Mothers should breastfeed before taking the medicine, because that way they will minimize the amount of medicine in the milk. If you need treatment and have to temporarily stop breastfeeding, mothers should pump out milk to avoid blockage and loss of milk.
For drugs that have not been determined to be safe for the baby but must be used by the mother, it is best to give formula milk to the baby. To maintain breast milk supply to continue breastfeeding after the drug is eliminated, mothers should express milk at the right time of feedings.
During breastfeeding, mothers should be careful not to drink alcohol, stimulants, not smoke and limit coffee. Besides, mothers should drink a lot of water such as fruit juice, which is good for the mother's health and helps her to produce more milk.
Hope that the above sharing will help you find the answer to the question "Can you take Panadol Extra while breastfeeding?"
Thank you for trusting and sending questions about Vinmec Health System. Best regards!
Answered by Pharmacist Faculty of Pharmacy - Vinmec Nha Trang International General Hospital
