Last update April 24, 2022
Very Low Risk
Cough suppressant related with morphine and codeine (d-isomer of the codeine analog of levorphanol) which is lacking of analgesic, sedative or respiratory depression properties (Schaefer 2007, Bem 1992), except in case of overdose or abuse (Journey 2019, WHO 2012, Pender 1991). Commonly prescribed by pediatricians.
Dextromethorphan and its active metabolite, dextrorphan, are excreted in breast milk in clinically insignificant amounts. (Shum 2021)
Because reported low toxicity and mild side effect, expert authors consider it safe, probably compatible during lactation. (Hale 2019, Briggs 2017, Schaefer 2007)
Frequently associated to caffeine and other products that are usually compatible with breastfeeding. It is advisable to avoid preparations with excessive alcohol concentration (> 20%) as excipient. (Nice 2000)
We do not have alternatives for Dextromethorphan since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.
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e-lactancia is a resource recommended by Academy of Breastfeeding Medicine - 2015 of United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM