From the Guidelines
Ibuprofen is considered safe to use during breastfeeding, as stated in the 2020 guideline from the Association of Anaesthetists 1. The amount of ibuprofen that passes into breast milk is very small, making it unlikely to cause adverse effects in most nursing infants. When taking ibuprofen while breastfeeding, it's best to follow the recommended dosage for adults, which is typically 200-400 mg every 4-6 hours as needed, not exceeding 1200 mg in a 24-hour period unless directed by a healthcare provider. Some key points to consider when taking ibuprofen while breastfeeding include:
- Taking ibuprofen right after nursing or at least 1-2 hours before the next feeding to minimize the amount in your milk when the baby feeds
- Using the lowest effective dose for the shortest duration necessary to treat your symptoms
- Being aware of potential side effects in your baby, such as rash, difficulty breathing, or changes in feeding patterns, and contacting your healthcare provider promptly if you notice any unusual symptoms It's also important to note that other NSAIDs, such as diclofenac, naproxen, and celecoxib, are also considered safe to use during breastfeeding, as they have been used extensively during lactation and are considered safe to use during breastfeeding 1. However, aspirin should be used with caution, as high doses can increase the risk of salicylate intoxication and bleeding problems in the neonate, although low-dose aspirin is generally considered safe for use throughout pregnancy and breastfeeding 1.
From the FDA Drug Label
It is not known whether this drug is excreted in human milk Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from ibuprofen tablets, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother. are breastfeeding or plan to breast feed Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements.
Ibuprofen use while breastfeeding is not recommended due to the potential for serious adverse reactions in nursing infants. The decision to discontinue nursing or discontinue the drug should be made based on the importance of the drug to the mother 2. It is advised to inform the healthcare provider about breastfeeding or planning to breastfeed before taking ibuprofen 2.
From the Research
Ibuprofen and Breastfeeding
- There is no direct evidence in the provided studies regarding the safety of taking ibuprofen while breastfeeding.
- However, the studies do provide information on the safety and pharmacological properties of ibuprofen in general, which may be relevant to breastfeeding mothers 3, 4, 5.
- Ibuprofen is considered to have a good safety profile at low doses, with a low risk of serious gastrointestinal events and other adverse effects 3, 4.
- The studies do not specifically address the issue of ibuprofen use during breastfeeding, and therefore, it is not possible to draw a conclusion based on the provided evidence.
- Breastfeeding mothers should consult their healthcare provider for advice on taking ibuprofen or any other medication, as the safety of the medication for the baby and the mother must be carefully considered.