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Hydroxyzine and Breastfeeding

No research has been done on breastfeeding and hydroxyzine, so it is not known if this medication passes through breast milk or if it would cause problems. In general, small occasional doses should not cause serious problems. However, large frequent doses may cause problems in the nursing infant. Before taking this drug, breastfeeding women should talk to their healthcare providers about any potential risks.

Is Hydroxyzine Safe for Breastfeeding Women?

Even though hydroxyzine (Atarax®, Vistaril®) is an older medication that has been used for decades, it is not known if the medication passes through breast milk in humans. In general, small occasional doses are not expected to cause serious problems.
 

What Does the Research Say?

Surprisingly, no research has been done to see if hydroxyzine passes through breast milk in humans. It is thought that large or frequent doses could cause problems in the infant, such as drowsiness. However, small occasional doses probably will not cause serious problems.
 
Women who are just beginning to breastfeed or who are already having trouble with low supply may need to avoid this medication, as it may decrease the milk supply.
 
The American Academy of Pediatrics has not rated the safety of hydroxyzine for use during breastfeeding.
 

Talking With Your Healthcare Provider About Breastfeeding and Hydroxyzine

You should talk with your healthcare provider about hydroxyzine and breastfeeding. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
 
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