Printed from: Anaesthesia & Sedation for Breastfeeding Parents https://www.breastfeeding-anaesthesia.info/ 3 Analgesics (Pain Relievers): Paracetamol - safe with breastfeeding Non-steroidal anti-inflammatory drugs (NSAIDs) e.g. ibuprofen (Nurofen), diclofenac (Voltaren) - safe with breastfeeding Opioids (e.g. morphine, fentanyl, oxycodone) - generally safe at lowest dose that provides good pain relief for shortest amount of time possible. However it is recommended that codeine is avoided in breastfeeding as some babies may be more sensitive to it. Sometimes opioids are given as part of a regional anaesthetic (spinal or epidural) – only very very small amounts end up in breastmilk so it is safe to continue breastfeeding. Tramadol – safety for breastfeeding mothers has been discussed recently, appears to be safe. Ketamine - low doses for pain likely to be safe for breastfeeding Gabapentin - likely safe for short term use Pregabalin - there is limited information about the use in breastfeeding mothers, discuss with your doctor Anaesthetic Medications: Local Anaesthetics (LA) - safe with breastfeeding Propofol - safe with breastfeeding Midazolam - safe with breastfeeding Volatile (Gas) Anaesthetics - safe with breastfeeding Neuromuscular Blockers (Muscle Relaxants) and Reversal - safe with breastfeeding Antiemetics (Anti-Nausea Medications): Safe with breastfeeding although some MAY reduce breastmilk supply (e.g. promethazine, scopolamine). Other Medications:
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