Question

I am a breastfeeding mother and i want to know if it is safe to use Xilometazoline? Is Xilometazoline safe for nursing mother and child? Does Xilometazoline extracts into breast milk? Does Xilometazoline has any long term or short term side effects on infants? Can Xilometazoline influence milk supply or can Xilometazoline decrease milk supply in lactating mothers?

Xilometazoline lactation summary

Xilometazoline is unsafe in breastfeeding
  • DrLact safety Score for Xilometazoline is 5 out of 8 which is considered Unsafe as per our analyses.
  • A safety Score of 5 indicates that usage of Xilometazoline may cause serious side effects in breastfed baby.
  • Our study of different scientific research indicates that Xilometazoline may cause moderate to high side effects or may affect milk supply in lactating mother.
  • Our suggestion is to use safer alternate options rather than using Xilometazoline .
  • It is recommended to evaluate the advantage of not breastfeeding while using Xilometazoline Vs not using Xilometazoline And continue breastfeeding.
  • While using Xilometazoline Its must to monitor child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to dosage.
  • Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.

Answer by Dr. Ru: About Xilometazoline usage in lactation

Sympathomimetic drug that is topically used for treatment of nose or the eye. On last update no relevant published data related to breastfeeding were found. A small dose together with a low plama level of most nasal and ophthalmologic compounds make that a significant excretion into breast milk would be unlikely. Avoid high dosing and do not use for longer than 3 days: as an adrenergic agonist drug it could be absorbed and a cause of side effects (vascular hypertension or hypotension, irritability, heart arrhythmia) in both the mother and the infant. Long term maintained doses may decrease milk production.

Alternate Drugs for Decongestants & other nasal preparations for topical use. ATC R01A

Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. We do not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.