Pre-Menstrual Syndrome Medications & Breastfeeding

August 1, 2011. Posted in: Medications & Vaccines

Following is a list of active ingredients for various PMS medications:

  Acetaminophen Caffeine Ibuprofen Pamabrom Pyrilamine maleate
  AAP-
Approved*
AAP-Approved* AAP-Approved*    
Midol
Menstrual Complete
500 mg 60 mg - - 15 mg
Midol
Pre-Menstrual Syndrome
500 mg - - 25 mg 15 mg
Midol
Cramp & Body Aches
- - 200 mg - -
Midol
Teen Formula
500 mg - - 25 mg -
Pamprin
Multi-Symptom
500 mg - - 25 mg 15 mg
Premsyn
PMS
500 mg - - 25 mg 15 mg

*  Per the AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001.

Sources:

  1. midol.com (12/22/03)
  2. drugstore.com (12/22/03)

Acetaminophen and ibuprofen (pain relievers) and caffeine (a stimulant) are all approved by the AAP for use in breastfeeding mothers.

The other two drugs – pamabrom and pyrilamine maleate – are diuretics.

I have been unable to locate specific information regarding pyrilamine with regards to breastfeeding, but this medication is an antihistamine used directly in pediatrics (in some pediatric cold medications).

Pamabrom is a very mild diuretic – many pharmacists and lactation professionals consider small amounts of this drug to be safe for nursing mothers.

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