Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release Breastfeeding

It is a well known fact that breastfeeding is best source of nutrition for infants. Breast milk provides minerals, vitamins and antibodies in most acceptable format when they need it. Nutrition taken by mother passes to breast-milk and same thing applies to medicines taken by mothers. Not all drugs cause problem for baby but some do. Lets analyze if Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release is safe for baby while breastfed.

What is Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release ?


NORELĀ® SR is indicated for the temporary relief of allergy induced nasal congestion, runny nose, sneezing, headache and associated pain caused from inhalation of airborne antigens and other irritants.

Is using Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release safe or dangerous while breastfeeding?

Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release Contains 4 active ingredients that are Acetaminophen, Chlorpheniramine maleate, Phenylephrine hydrochloride, Phenyltoloxamine citrate. We do have breastfeeding analysis and safety rating of some of the active ingredients but unfortunately we do not have any information of some of active ingredients used. Below we have provided whatever information we do have. But please do not take any decision based on below provided information and contact your health care provider as this information is incomplete.

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers: Small amounts of acetaminophen, antihistamines, and sympa- thomimetics are excreted in breast milk. Due to the potential for serious adverse reactions in nurs- ing infants from NORELĀ® SR, the healthcare provider must decide whether to dis- continue the drug during nursing, taking into account the health benefits to the mother.

Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release Breastfeeding Analsys


Acetaminophen while Breastfeeding

Safe

CAS Number: 103-90-2

Excreted in very low amount into breast milk. Infant intake may be lower than 4% of usual pediatric dose. The American Academy of Pediatrics rates it as compatible with Breastfeeding.

Chlorpheniramine maleate while Breastfeeding

Low Risk

CAS Number: 132-22-9

First generation antihistaminic and alchylamine drug, with sedative effect. Its active isomer is Dexchlorfeniramine. Likely inhibition of lactation within the first weeks post delivery because anti-prolactin effect.. Short-term and low dose (2 mg one or twice-day) treatment is compatible with breastfeeding. Be aware of somnolence in the child. For long-term treatment an alternative drug should be preferred. Compounds in association with expectorants, corticoids and cough relief medicines are available. Avoid drug associations especially while breastfeeding. Follow-up for sedation and feeding ability of the infant. Bed-sharing is not recommended for mothers who are taking this medication.

Phenylephrine hydrochloride while Breastfeeding

Low Risk

CAS Number: 59-42-7

Used on topical decongestant solutions for nose drops at low concentration. 10% midriatic eye drops are available. Because low concentration is used on nose and ophtalmic drops a significant excretion into breast milk is unlikely. Low oral biodisponibility minimizes any risk of harmful effect in the infant. Authorized for nasal or ophtalmic use on children aged younger than 1 year. Although on latest update relevant data on breastfeeding was not found it is considered to be safe when minimal dose is used. Avoid excessive or long term use. A related drug Pseudoephedrine can inhibit milk production. It would be advisable to press on the lachrimal sac to minimize absorption.


Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release Breastfeeding Analsys - 2


Acetaminophen while Breastfeeding

CAS Number: 103-90-2

Acetaminophen is a good choice for analgesia, and fever reduction in nursing mothers. Amounts in milk are much less than doses usually given to infants. Adverse effects in breastfed infants appear to be rare.

Chlorpheniramine maleate while Breastfeeding

CAS Number: 132-22-9

Small (2 to 4 mg), occasional doses of chlorpheniramine are acceptable during breastfeeding. Larger doses or more prolonged use might cause effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as spseudoephedrine or before lactation is well established. Single bedtime doses after the last feeding of the day may be adequate for many women and will minimize any effects of the drug. The nonsedating antihistamines are preferred alternatives, though.

Phenylephrine hydrochloride while Breastfeeding

CAS Number: 59-42-7

The oral bioavailability of phenylephrine is only about 40%,[1] so the drug is unlikely to reach the infant in large amounts. However, intravenous or oral administration of phenylephrine might decrease milk production. Because no information is available on the use of oral phenylephrine during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.Phenylephrine nasal spray or ophthalmic drops are less likely to decrease lactation. To substantially diminish the effect of the drug after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.



What should I do if already breastfed my kid after using Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release?

Not much study has been done on safety of Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release in breastfeeding and its ingredients. Even we do not have complete information about usage of Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release in breastfeeding so at this point a trained medical professional could be your best bet. If you observe anything abnormal with your baby please contact 911.


My doctor has prescribed me Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release, what should I do?

If your doctor considers Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release safe enough to prescribe for you that means its benefits should outweigh its known risks for you.


If I am using Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release, will my baby need extra monitoring?

We are not Sure, Please check with your healthcare provider or doctor.


Who can I talk to if I have questions about usage of Norel Sr | Antihistamine, Analgesic, Decongestant Tablet, Extended Release in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week