Last update: July 16, 2017
Minimal risk for breastfeeding and infant.
Fruit, flowers, leaves and seeds of the tree are used.
It contains essential oil (limonene), flavonoids (naringin), citric acid and various sympathomimetic agents (synephrine, tyramine and methyl octopamine) that behave as adrenergic agonists. They are similar to the pseudoefedrina (see specific info) which can decrease milk production.
Attributed properties without clinical evidence are: orexigenic (appetite stimulant), digestive, sedative and to lose weight.
Since some products are sold with slimming purposes due to its content of synephrine, moderate use is recommended overall and during lactation because they have caused serious adverse cardiovascular effects. Avoid consumption of products that provide more than 30 mg of synephrine as well as mixtures with caffeine (like some for colds) and other medications that would contain derivatives of pseudoephedrine.
Ascorbic acid contained in citrus products passes through breast milk and would increase the levels of ascorbic acid in breast milk, especially in women deficient in ascorbic acid.
We do not have alternatives for Bitter Orange since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
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