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Acetaminophen use while Breastfeeding

Drugs containing Acetaminophen: Norco, Percocet, Tylenol, Vicodin, Fioricet, Paracetamol, Lortab, Tylenol with Codeine #3, Percocet 5/325, Percocet 10/325, Show all 960 »Ultracet, Endocet, Panadol, NyQuil, Excedrin, Midrin, Roxicet, Tylenol with Codeine, Tylenol with Codeine #4, Darvocet-N 100, Mapap, Excedrin Migraine, Tylenol PM, Darvocet-N 50, Percocet 7.5/325, Tylenol Extra Strength, Lorcet, Esgic, Alka-Seltzer Plus Cold, Fioricet with Codeine, Vicodin ES, Hycet, Vicks Dayquil Daytime Cold/Flu, Coricidin HBP Cold & Flu, Ofirmev, Bupap, Tylox, Nyquil Cold Medicine, Xartemis XR, Floricet with Codeine, Tylenol Arthritis Pain, Dologesic, Anexsia, Percogesic Original Strength, Q-Pap, Paracetamol Teva, Vicks Nyquil Cold & Flu Relief, Theraflu Flu, Cold and Cough Powder, Stagesic, Percogesic, Doliprane, Trezix, Norel AD, Tylenol Cold, Perfalgan, Excedrin Extra Strength, Phrenilin, Children's Tylenol, Lorcet Plus, Cough & Cold Relief, Alka-Seltzer Cold and Sinus, Midol PMS, Sinarest, Percocet 10/650, Percocet 7.5/500, Amidrine, Panadol ActiFast, Xodol, Sudafed PE Cold & Cough, Vicks Dayquil Cold & Flu Relief, Coricidin D, Lorcet 10/650, Anabar, Infant's Tylenol, Pain Relief PM Extra Strength, Dafalgan, Prodrin, Panadol Osteo, Robitussin Cold Cough and Flu, Vicks NyQuil Severe Cold & Flu, Tylenol Cold Multi-Symptom Severe, Tylenol Cold & Flu Severe, Vicodin HP, Tactinal, Capacet, Tylenol Sinus Congestion & Pain Daytime, Mucinex Fast-Max Night Time Cold & Flu, Vanquish, Midol Maximum Strength Menstrual, Sudafed PE Pressure + Pain, Epidrin, Painaid, Norel SR, Tempra, Mapap Arthritis Pain, Dologen, Alka-Seltzer Plus Flu/Body, Percocet 2.5/325, Darvocet A500, Percogesic Extra Strength, Headache Relief, Excedrin Tension Headache, Talacen, Tencon, Relagesic, Nodolor, Duradrin, Pamprin Multi-Symptom Menstrual Relief, Esgic-Plus, Taminol, Sinus Congestion and Pain Daytime Cool Ice, Pamprin Maximum Pain, Mucinex Fast-Max Cold, Flu & Sore Throat, Efferalgan, Goody's Headache Powders, Zebutal, Dimetapp Children's Multi-Symptom Cold & Flu, Migralam, Q-Pap Extra Strength, Primlev, Panadol Childrens, Vicks DayQuil Severe Cold & Flu, Feverall, Oxycet, Triad, Sinutab Ex-Strength, Theraflu Nighttime Severe Cold & Cough, Acephen, Calpol Infant, Cetafen, Headache Relief PM, Actifed Cold and Sinus, Tramapap, Alvedon, Sinus Relief, Triaprin, Sinus Congestion & Pain, Aceta, Panlor SS, Atasol, Coricidin HBP Nighttime Multi-Symptom Cold, Levacet, Hydrocet, Tylenol Cold Head Congestion Severe, Tylenol Cold Multi-Symptom Nighttime, Zydone, Dolorex, Acuflex, Backaid Max, Flextra, Propacet 100, Vicks QlearQuil Daytime Sinus & Congestion, Alka-Seltzer Plus Cold and Sinus, Daytime Cold, Tylenol with Codeine #2, XL-3 Cold Medicine, Ninjacof-A, Coricidin HBP Day & Night Multi-Symptom Cold, XL-3 Xtra Cold and Cough, Aminofen, Tylenol Chest Congestion, Mucinex Sinus-Max Day & Night (Day), Promacet, Benadryl Allergy Plus Cold, Mucinex Sinus-Max Day & Night (Night), Wygesic, Duraxin, Xolox, Narvox, Theraflu Cold & Sore Throat, Goody's Extra-Strength Headache Powders, Panamax, Migrin-A, Cold Multi-Symptom Severe, Paracetamol Zydus, Mucinex Children's Multi-Symptom Cold & Fever, Paracetamol Almus, Genapap, Alagesic, Dolgic Plus, Theraflu Multi-Symptom Severe Cold, Paracetamol Sandoz, Comtrex Cold & Cough, Arcet, Margesic, Repan, Bayer Migraine Formula, Phrenilin with Caffeine and Codeine, Phrenilin Forte, Cephadyn, Benadryl Allergy Plus Sinus Headache, Magnacet, Premsyn PMS, Pamprin Cramp Menstrual Pain Relief, Zolvit, Excedrin Back & Body, Mucinex Sinus-Max Pressure & Pain, Vicks Dayquil Sinus, Dologesic DF, Sinutab Maximum Strength, Frenadol, Pseudoephedrine Sinus, Balacet, Vistra, Lobac, Equate Allergy & Sinus Headache, CVS Allergy & Cold, Complete Sinus Relief, NyQuil Multi-Symptom, Cocet, Vopac, Menstrual Relief, Cold Medicine Plus, Mucinex Fast-Max Severe Cold, Mucinex Fast-Max Severe Congestion & Cold, Legatrin PM, Theraflu Warming Relief Flu & Sore Throat, Unisom PM Pain, Contact Cold and Sore Throat, Flutabs, Neocitran Non Drowsy Extra Strength Cold and Flu, Zerlor, Allergy Multi-Symptom, Calpol Fastmelts, Cetafen Extra, Claradol, Tylenol Regular Strength, Calpol Six Plus, Tylenol 8 Hour, Cipla Genpharm Paracetamol, Bydol, Tycolene, Axocet, Amadol Paracetamol, Butex Forte, Dymadon, Sedapap, Bucet, Geone, Lorcet HD, DHC Plus, MigraTen, Maxidone, Orbivan, Femcet, Fiorpap, Dolmar, Promax, Miradol, Paracetamol Merck, Actamin, Paracetamol Ranbaxy, Bromo Seltzer, Paracetamol Ivax, Geluprane, Excedrin Sinus Headache, Dolono, Pain-Eze, Paralyoc, Perfalgan Nourrissons Et Enfants, Anadin Paracetamol, Mandanol, Cafgesic, Paralgin, Calpol Paediatric, Panadol Menstrual Relief, Jr. Tylenol, Mapap Extra Strength Rapid Burst, Exaprin, Lemsip Childrens Cold & Flu, Contac Cold and Flu Maximum Strength, Triaminic Cough & Sore Throat, Sudafed PE Pressure+Pain+Cough, Comtrex Cold and Cough Maximum Strength, Drixoral Cold and Flu, Drixoral Cold/Flu, Daytime Cold and Flu Relief, Phenaphen with Codeine, Cocet Plus, Theraflu Warming Relief Caplets Daytime Multi-Symptom Cold, Diabetic Tussin Night Time Formula, Mucus Relief Complete, Cold Head Congestion, Delsym Cough+ Cold Day Time, Anatuss, Tylenol Cold Severe Congestion Daytime, Delsym Night Time Cough & Cold, Tylenol Cold & Cough Nighttime, Codimal, Migragesic IDA, GNP Cold Relief Plus, Dristan Cold Multi Symptom Formula, Tylenol Severe Allergy, Pyrroxate, Sinutab Sinus Maximum Strength, Coricidin HBP Maximum Strength Flu, Tylenol Plus Children's Multi-Symptom Cold, Childrens Tylenol Cold Plus Cough, Excedrin PM, Midol PM, Migratine, Isocom, Diacetazone, Alumadrine, Iso-Acetazone, Acetadryl, Trital SR, Mucinex Fast-Max Cold & Sinus, Durabac, Abenol, Panadol Extend, BeFlex, Phenapap, Sigma Paracetamol, Altenol, Apra, Anacin Aspirin Free, Conacetol, Ephed Plus, Sudogest Sinus Maximum Strength, Sigma Pain Relief, Rex Paracetamol, Tylenol Cold Sore Throat, Little Fevers, Major-gesic, Childrens Panadol 1 - 5 Years Colourfree, BP Poly-650, Priceline Paracetamol, Basics Paracetamol, Genebs, Accidental Rapatabs, Migrazone, Migrapap, LarkaDrin, Trycet, Sinus Maximum Strength, Chem Mart Chemadol Children 1 to 5 Years, Lemsip Headcold, Comtrex Non-Drowsy, Contac Severe Cold and Flu Non Drowsy, Day Time Multi Symptom, Theraflu Flu Cold & Cough, Suphedrin Sinus, Chemists Own Paracetamol, Lemsip Max, Chemists Own Childrens Paracetamol 1-5 Years, Non-Drowsy Super Strength Contac Complete, Day Relief Cold and Flu, Mitride, Chemists Own Chiildrens Paracetamol 5-12 Years, Chem Mart Chemadol Colourfree Children 5-12 Years, Severe Cold Multi-Symptom, Theraflu (pseudoephedrine) Daytime Severe Cold, Tylenol Cold Non-Drowsy Gelcaps, Daytime Non-Drowsy, Chem Mart Chemadol Colourfree, Febrol Solution, Headache Formula PM, Sominex Pain Relief Formula, Pain Reliever PM, Wal-Nadol PM Extra Strength, Counteract PM Extra Strength, Genapap PM, Mapap PM, Coricidin Night Time Cold Relief, Tylenol Sore Throat Nighttime, Anacin PM Aspirin Free, Pharmacy Health Paracetamol Colour Free Infants and Childrens Drops 1 Month-4 Years, Aceta-Gesic, Acetaminophen PM Extra Strength, Pharbetol PM, Non-Aspirin PM Extra Strength, Be-Flex Plus, Night Time Pain, Febridol Infant Drops, Pharmacy Health Own Name Paracetamol for Children, Lemsip Original, Alidrin, Migrex, IDA, Midchlor, Children's Silapap, Lemsip Cold and Flu Liquid Capsule, Bayer Select Max Strength Night Time Pain, ConRx PM, Ed-Flex, By-Ache, Capital Chemist Paracetamol, Mapap Children's, Migquin, Ornex Maximum Strength, Sudafed PE Pressure+Pain+Cold, Tylenol Cough & Severe Congestion Daytime, Genapap Sinus, Suphedrine PE Cold & Cough, Cold & Cough PE Multi-Symptom, Adult Cold, Flu & Sore Throat, Mucus Relief Plus, Chemplus Paracetamol, A-Pak Laboratories Paediatric Analgesic Paracetamol, Balminil Cough and Flu Sugar Free, Theraflu Max-D Severe Cold & Flu, Duraflu, Sine-Off Maximum Strength, Sinutab Regular Strength, Tylenol Sinus Maximum Strength, Phlemgesic, ConRx Cold, Alka-Seltzer Plus Severe Cold, Mucus & Congestion, Chemworld Paracetamol, Chemworld Colourfree Childrens Paracetamol Junior 1-5 Years, Chemworld Colourfree Childrens Paracetamol Double Strength 5-12 Years, Chemworld Paracetamol Infant Colour Free, Chem Mart Chemadol, Children's ElixSure, Leader 8 Hour Pain Reliever, Panritis Forte, Sinarest Sinus, CounterAct Day, Tylenol Cold Head Congestion Severe (old formulation), Phenflu DM, Non-Pseudo Cold Relief, Mucinex Fast-Max Day Time Severe Cold, Suphedrin Plus, Mucinex Children's Cold, Cough & Sore Throat, Maxiflu DM, Tusnel-A, Alka-Seltzer Plus Multi-Symptom Cold & Flu (Day Formula), Vicks Nature Fusion Cold & Flu Multi-Symptom Relief, Theraflu Daytime Severe Cold & Cough, Little Colds Multi-Symptom, Alka-Seltzer Plus Day & Night Cold Formula (Day Cold) Liquid Gels, Theraflu Warming Relief Daytime Severe Cough & Cold, Alka-Seltzer Plus Day Non-Drowsy Cold Formula Liquid Gels, Day Relief PE, Vicks Dayquil Cold & Flu Symptom Relief Plus Vitamin C, Cold Multi-Symptom (Daytime), Tylenol Cold Head Congestion Daytime, Flu & Severe Cold & Cough Daytime Powder, Alka-Seltzer Plus Severe Sinus Congestion & Cough (Day Formula), Allerest No Drowsiness, Day Time Multi-Symptom Cold/Flu Relief, Multi Symptom Cold (Day Formula), Mapap Cold Formula, Benadryl Allergy Sinus Headache, Chemists Own Paracetamol Capseals, Dristan Cold Non-Drowsy, Bayer Select Sinus Pain Formula, Chemists Own Paracetamol Pain & Fever 1 Month to 2 Years, Chemists Own Paracetamol Pain & Fever 1 to 5 Years, Chemists Own Paracetamol Pain and Fever 5 to 12 Years, Contac Sinus, Sinutab Maximum Strength Non Drowsy, Robitussin Peak Cold Daytime Cold + Flu, Robitussin Cold + Flu (Daytime), Tylenol Cold Multi-Symptom Daytime, Tavist Sinus, Tylenol Plus Children's Cold & Cough, Contac Complete Cough, Cold & Flu Extra Strength, Daytime Cold & Flu, Ornex, Comtrex Non Drowsy Liquigel, Actimol Infant, Flextra-650, Alpain, Staflex, Hyflex-650, Anolor DH5, Zamicet, Dolacet, Theracodophen Low 90, RhinoFlex, Liquicet, Panadol Gel Caps, Conney Aspirin-Free, Tylenol Childrens Paracetamol, Pacimol Caplets, Tylenol GoTabs, Back Quell, Otis Clapp Back Quell, Dolagesic, Panacet, Pain Clear Paracetamol, Tylophen, Pharmore Paracetamol, Setamol, Paraspen Drops, Pharmacist Paracetamol Infant Drops, Panadol Colourfree Drops, RhinoFlex 650, Hyflex-DS, Margesic H, T-Gesic, Hy-Phen, Hydrogesic, Duradyne DHC, Co-Gesic, Duocet, Paracare, Terry White Chemists Paracetamol Colourfree Children 5-12 Years, PMS Relief, Mapap Sinus Congestion and Pain, Sudafed PE Sinus Headache, PMS Formula Multi-Symptom, Syncol, Midol PMS Maximum Strength, Menstrual PMS, Theraflu Flu & Sore Throat, Theraflu Sinus & Cold, Robitussin Peak Cold Nasal Relief, Suphedrine PE Sinus Headache, Tylenol Plus Children's Cold & Stuffy Nose, Dilotab II, D-Time Sinus, Congespirin Aspirin Free, Day Relief Sinus PE, Non-Pseudo Sinus Pain & Pressure, Lurline PMS, Uni-Perr, Q-Gesic, Genasec, Vitoxapap, Flextra-DS, Pharmacist Advice Paracetamol, Terry White Chemists Paracetamol, Phenagesic, Duogesic, Midol Maximum Strength Teen Formula, Tylenol Women's Menstrual Relief, PainAid Premenstrual Formula, Perloxx, Roxilox, Apagesic, Phenylgesic, Pharmacist Paracetamol Infant Drops Colour Free, Bi-Lo Paracetamol, Tylenol Allergy Multi-Symptom Nighttime, CVS Allergy & Sinus Headache, Children's Tylenol Plus Cold And Allergy, Zflex, Severe Allergy and Sinus Headache, Robitussin Peak Cold Nighttime Multi-Symptom Cold, Benadryl Severe Allergy Plus Sinus Headache, Theraflu Warming Relief Sinus & Cold, Benadryl Cold, Actifed Sinus Day and Night, Vicks QlearQuil Nighttime Sinus & Congestion, Vicks Nyquil Sinus, Benadryl Severe Allergy & Sinus Headache, Tylenol Allergy Complete NightTime, Contac Day and Night Allergy, Sudafed Sinus Nighttime Plus Pain, Robitussin Night Time Cough, Cold & Flu, Sudafed PE Nighttime Cold, Contac Cold + Flu (Day Formula), Bristol Pharma Paracetamol, Tylenol Plus Children's Cold & Allergy, ConRx Extra Strength, PediaCare Infants' Acetaminophen Fever Reducer/Pain Reliever, Pharmacy Health Paracetamol Colour Free Childrens, PediaCare Children's Acetaminophen Fever Reducer/Pain Reliever, Sudafed PE Severe Cold, Theraflu Warming Relief Nighttime Severe Cold & Cough, CounterAct Night, Robitussin Multi-Symptom Cold Night Time, Mucinex Children's Night Time Multi-Symptom Cold, Suphedrine PE Severe Cold, Mucinex Sinus-Max Night Time Congestion & Cough, Delsym Cough+ Cold Night Time, Delsym Children’s Cough+ Cold Night Time, Alka-Seltzer Plus Severe Allergy Sinus Congestion & Headache, Q Flex, Sudafed PE Triple Action, Coldonyl, Sudafed PE Pressure+Pain+Mucus, Emagrin Forte, Myophen, Histenol-Forte II, Theraflu Warming Relief Cold and Chest Congestion, Lagesic, Tylenol Sinus Severe Congestion Daytime, Biochemie Paracetamol, Pharmaction Paracetamol, Pain-Eze Paracetamol Infant Drops Colour Free, Healthsense Pain Relief Drops Children 1 Month to 2 Years, Black And Gold Paraceatmol, Sudafed Triple Action, Pharmacist Advice Paracetamol Infant Drops, ConRx Sinus, Mucinex Sinus-Max Severe Congestion Relief, Comtrex Deep Chest Cold, Paracetamol Soluble, Blooms the Chemist Paracetamol, Theraflu Flu & Chest Congestion, Vitapap, Tylenol Sinus NightTime, Tylenol Sinus Day/Night Convenience Pack, Hexal Comfarol, Black and Gold Paracetamol, Tylenol Sinus Congestion & Pain Severe, Duratuss-A, LuSonex Plus, Zgesic, Mapap Rapid Release Gelcaps, Ali-Flex, Beechams All-in-One, PediaCare Smooth Melts Acetaminophen Fever Reducer/Pain Reliever, Delsym Night Time Multi-Symptom, Paracetamol Biogaran, Paracetamol Arrow, Dolono Infant, Orbivan CF, Ed-APAP, Paracetamol EG, Comtrex Acute Head Cold, Dristan Cold Maximum Strength, Country Chemists Paracetamol, St. Joseph Aspirin-Free, Dolgic, Marten-Tab, Efferalgan Pediatrique, James Dean Pharmacy Paracetamol, Vicks Formula 44 Custom Care Body Aches, Dolotec, Uniserts, Efferalganodis, Prominol, Expandox, Silapap Childrens, Rhinocaps, Excedrin PM Headache, Pamprin Max Menstrual Pain Relief, ConRx Pain Reliever, Genace, Supac, Arthriten, Excedrin Menstrual Complete, Paracetamol RPG, BF-Paradac, Adprin B, Goody's Extra Strength, Anacin Advanced Headache Formula, Paracetamol Qualimed, Liquiprin, Saleto, Excedrin PM Triple Action, Medique Pain-Off, CVS Extra Strength Headache Relief, Backaid Inflammatory Pain Formula, Arthriten Inflammatory Pain Formula, PainAid Extra-Strength Formula, Dolko Enfants, Redutemp, Excedrin Quick Tab, Hycomine Compound, Sinapils, Coles Paracetamol, Valorin Extra, Excedrin Mild Headache, Dolitabs, Doliprane Sans Sucre, Genapap Extra Strength, Doliprane Adultes, Q-Nol, Combiflex ES, Durabac Forte, Cafgesic Forte, Saleto-D, KneeRelief, Pharbetol, Panlor DC, Emagrin Forte (old formulation), Herron Paracetamol Handy Pack, Home Brand Paracetamol, Dolko, Two-Dyne, Tenake, Anolor 300, Tencet, Anoquan, Pharmagesic, ICN Paracetamol, Alagesic LQ, Isocet, Endolor, Ezol, Pacaps, Americet, Nonbac, Dolgic LQ, Mygracet, Minotal, Ide-cet, G-1, Medigesic, DG Health Pain Reliever, Tempra Quicklets, Panamax 240, Parahexal, Febridol, Mid West Products Numol Paracetamol, Remedol, Umphamol, Valorin, Actimol Children's, Dakota Paracetamol, Parmol, Silapap Infants, Duatrol SR, Aldi Hedanol Paracetamol, Alphapharm Paracetamol, No Frills Paracetamol, Fennings Childrens Cooling, Mandanol 6+, Cuprofen for Children, Mapap Infant Drops, Mandanol Infant, UN-Aspirin Extra Strength, Hedex, Mapap Rapid Tabs, Elixsure Fever/Pain, Infadrops, Disprol Soluble Paracetamol, Acetaminophen-odan, Tylenol Cool Caplet Extra Strength, Lloydspharmacy Paracetamol Infant, Triaminic Infant Drops, Atasol Forte, Disprol Paracetamol, Galpamol, Masophen, Medinol Over 6, Nortemp Children's, Paracets, Lemsip Pharmacy Non-Decongestant Formula, Infantaire Drops, Paldesic, Medinol Paediatric, Medinol Under 6, Tylenol Sore Throat Daytime, Nova Paracetamol, Panadol Gel Tabs, API Healthcare Coloufree Childrens Paracetamol, Soul Pattinson Paracetamol, API Healthcare Colourfree Childrens Paracetamol Double Strength, Soul Pattinson Colourfree Childrens Paracetamol, Soul Pattinson Colour Free Paracetamol Drops, Signature Range Paracetamol, Soul Pattinson Childrens Paracetamol Elixir, Soul Pattinson Colour Free Paracetamol 1-5 Years, Soul Pattinson Paracetamol Clear Effervescent, Panadol Mini Caps, Paracetamol Winthrop, Goody's Body Pain, Lloydspharmacy Paracetamol Six Plus, Paracetamol Sandoz Conseil, Terry White Chemists Colour Free Paracetamol Infant Drops, Pharmacist Paracetamol, API Healthcare Paracetamol, Pharmacy Health Paracetamol, Terry White Chemists Colour Free Paracetamol 1-5 Years, Savings Paracetamol, RP Scherer Paracetamol Liquid-Filled Capsules, Amcal Childrens Paracetamol 5-12 Years, Orajel Maximum Strength Toothache, Amcal Paracetamol Pain Relief, Ordov Febrigesic Paracetamol, Medi-Tabs, Nyal Paracetamol, Mapap Meltaway, Numark Paracetamol, Amcal Childrens Paracetamol 1-5 Years, Topcare 8 Hour Pain Relief, Amcal Paracetamol Infant Drops 1 Month to 2 Years, Pharmacist Formula Paracetamol, Pharmacist Formula Infants, Paraspen, RP Scherer Paracetamol, Guardian Childrens Paracetamol, Pharmacist Advice Colourfree Childrens Paracetamol Double Strength, Pain-Eze Paracetamol Infant Drops, Febridol Syrup for Children, Amcal Paracetamol Tabsules, Herron Paracetamol Capseals Handy Pack, Flextra Plus, EZ III, Capital with Codeine Suspension, Aceta w/ Codeine, Capital w/Codeine, Panadol Rapid Handipak, Panadol Soluble, Pharmacist Childrens Paracetamol Colourfree 5-12 Years, Pharmacist Childrens Paracetamol Colourfree 1-5 Years, Paralgin Paracetamol Tabsules, Codrix, Phenflu CDX, Febridol Clear Effervescent, Sinadrin Plus, Drixoral Allergy Sinus, Drixoral Sinus, Dologen 325, Herron Paracetamol Tabsules, Phenflu CD, Maxiflu CD, Maxiflu CDX, Pharmacy Health Colour Free Childrens Paracetamol, Tavist Allergy/Sinus/Headache, Singlet, Simplet, Tricom, Comtrex Allergy Sinus, Comtrex Nighttime Flu Therapy, Comtrex Sinus and Nasal, Guardian Childrens Paracetamol 5-12 Years, Alpha First Aid Supplies Paracetamol, Gold Cross Paracetamol, Kolephrin, Allerest Sinus, Triaminicin, Sinutab Maximum Strength Caplets, Allergy Sinus Maximum Strength, Actifed Cold & Sinus, Sinarest Extra Strength, Allerest Headache Strength, Tylenol Allergy Sinus, Comtrex Allergy Sinus Maximum Strength, Comtrex Allergy Sinus Night and Day, Hexaflu, PediaCare Cough & Sore Throat Plus Acetaminophen, Alka-Seltzer Plus Night Cold Formula Liquid Gels, Tylenol Cold Multi-Symptom Nighttime Liquid, Alka-Seltzer Plus Day & Night Cold Formula (Night Cold) Liquid Gels, Alka-Seltzer Plus Night Cold Formula Liquid, Triaminic Fever Reducer Pain Reliever, Childrens Panadol 5 - 12 Years, Tylenol Cough & Sore Throat Nightime, Vicks Nyquil Cold & Flu Symptom Relief Plus Vitamin C, Clear Cough PM Multi-Symptom, Alka-Seltzer Plus Multi-Symptom Cold & Flu (Night Formula), Alka-Seltzer Plus Severe Sinus Congestion & Cough (Night Formula), Multi-Symptom Nighttime, NyCair, All-Nite Multi-Symptom Cold/Flu Relief, Fawns & McAllan Paracetamol, Tylenol Severe Cold & Flu Night Time, All-Nite Cold, Childrens Panadol 5 - 12 Years Colourfree, Childrens Panadol 1 - 5 Years, Chem Mart Chemadol Colourfree Childrens 1-5 Years, Vicks NyQuil Multi-Symptom, Night Time Multi Symptom Cold/Flu Relief, Tylenol Cold & Cough Daytime, Topcare Cough and Sore Throat, Diabetic Tussin Night Time Cold & Flu, Respa C&C, Children's Triacting, Tylenol Plus Children's Cough & Sore Throat, Drixoral Cough/Sore Throat, Tylenol Cough and Sore Throat Daytime, Triaminic Softchews Cough & Sore Throat, Respa C&C IR, Contac Day and Night Cold and Flu, Robitussin Cold + Flu (Nighttime), Vicks Nature Fusion Cold & Flu Nighttime Relief, Night Time Cold & Flu, Multi Symptom NiteTime, Vicks NyQuil Cold & Flu Nighttime Relief, Contac Cold + Flu (Night) Cooling Relief Liquid, Help I Have A Headache, Equaline Pain Relief, Robitussin Peak Cold Nighttime Cold + Flu, Chlor-Trimeton Sinus, Sinulin, Alka-Seltzer Plus Cold & Cough Formula Liquid, PediaCare Flu Plus Acetaminophen, Codral Cold and Flu + Cough Day and Night, Tylenol Cold Head Congestion Nighttime, PediaCare Multi-Symptom Cold Plus Acetaminophen, Alka-Seltzer Plus Cold & Cough Formula Liquid Gels, Herron Gold Paracetamol Tabsules, Buckley's Complete, Tylenol Plus Children's Flu, Comtrex Cold & Cough Day Night, Theraflu Nighttime Severe Cold & Cough Caplets, Multi Symptom Cold Relief, Alka-Seltzer Plus Flu Formula, Dimetapp Children's Nighttime Flu, Comtrex Cold and Flu Maximum Strength, Multi Symptom Cold (Night Formula), Cold Multi-Symptom (Nighttime), Tylenol Cold Head Congestion Day and Night, Comtrex Nighttime Cold & Cough, Theraflu Warming Relief Caplets Nighttime Multi-Symptom Cold, Panamol, Herron Paracetamol, Tempol, Tempra 2, Congestant, Cotabflu, Rid-A-Pain Compound, Menstrual Complete, Combiflex, Tempra 3, Herron Paracetamol Capseals, Colrex Compound, Colrex, Vicks Formula 44 Custom Care Cough & Cold PM, Flu Relief BP, Coricidin HBP Multi-Symptom Cold (Night), Tylenol Plus Children's Cough & Runny Nose, Mapap Cough & Sinus Formula, Vicks NyQuil Cold & Flu Relief (Alcohol Free), Vicks NyQuil Cold & Flu Nighttime Relief (Alcohol Free), Triaminic Multi-Symptom Fever, PediaCare Cough & Runny Nose Plus Acetaminophen, Comtrex Maximum Strength Cold Relief, Contac Severe Cold and Flu Maximum Stength, Comtrex Severe Cold & Sinus, Comtrex Flu Therapy, Tylenol Plus Children's Cold, Protid, Tylenol Sinus Congestion & Pain Nighttime, Tylenol Allergy Multi-Symptom, Relief-PE, Onset Forte, Gendecon, Hybrid CF, Sine-Off Sinus/Cold, Guardian Paracetamol Tabsules, Rhinogesic, Guardian Paracetamol, Duadacin, Covangesic, Dryphen, Tylenol Sinus Congestion and Pain Cool Burst Day Night, Alka-Seltzer Plus Cold & Flu, HEB Allergy, Robitussin Peak Cold Nighttime Nasal Relief, Allergy Sinus PE Pain Relief, Comtrex Cold and Flu Maximum Strength Liquid, Genacol Maximum Strength, Theraflu Flu & Cough, Allpanto-S, Comtrex Cold and Flu Maximum Strength Tablet, Cough Formula M Multi-Symptom, Health Care Chemist Paracetamol Infant Drops Colour Free, Paineze Paracetamol, Comtrex Day and Night, Co-Apap, Alka-Seltzer Plus-D, Topcare Arthritis Pain Relief, Contac Cold + Flu (Night Formula), ConRx Allergy Sinus, Allergy Pain Relief, Accidental First Aid Supplies Paracetamol, Panadol Jr, Triaminic Flu, Cough & Fever, Gelpirin-CCF, Flu Strength Hot Lemon Powders, Benylin Sore Throat

Acetaminophen Levels and Effects while Breastfeeding

Summary of Use during Lactation

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.

Drug Levels

Maternal Levels. A single oral dose of 650 mg of acetaminophen was given to 12 nursing mothers who were 2 to 22 months postpartum. Peak milk levels of 10 to 15 mg/L occurred between 1 and 2 hours after the dose in all patients. Acetaminophen was undetectable (<0.5 mg/L) in all mothers 12 hours after the dose. The authors calculated that an infant who ingested 90 mL of breastmilk every 3 hours would receive an average of 0.88 mg of acetaminophen or 0.14% (range 0.04 to 0.23%) of the mother's absolute dosage.[1] Using data from this study, an infant would receive a maximum of about 2% of the maternal weight-adjusted dosage.

Three women took a single 500 mg dose of acetaminophen. Peak milk levels averaging 4.2 mg/L occurred within 2 hours after the dose.[2] Using data from this study, an infant would receive a maximum of about 3.6% of the maternal weight-adjusted dosage.

Four women who were 2 to 8 months postpartum were given a single 1 gram dose of acetaminophen. Peak milk levels occurred between 1 and 2.5 hours after the dose. The authors estimated that a breastfed infant would receive an average of 1.1% and a maximum of 1.8% of the maternal weight-adjusted dosage. This dose is about 0.5% of the lowest recommended infant dose of acetaminophen.[3]

Infant Levels. No acetaminophen was detected in the urine of 12 breastfed infants aged 2 to 22 months after maternal ingestion of 650 mg of acetaminophen.[1]

Urine was collected for 1 to 3.5 hours after nursing in 6 infants aged 2 to 6 days whose mothers received 1 to 2 grams of acetaminophen 2 to 4 hours before nursing their infant. Infants excreted an average of 401 mcg of acetaminophen and its metabolites in urine during the collection interval. These neonates excreted a greater percentage of drug as acetaminophen and much less as the sulfate metabolite than adults.[3]

Effects in Breastfed Infants

A maculopapular rash on the upper trunk and face of a 2-month-old infant was probably caused by acetaminophen in breastmilk. The rash occurred after 2 days of therapy in the mother at a dose of 1 gram at bedtime. It subsided when the drug was discontinued and recurred 2 weeks later after another acetaminophen dose of 1 gram was taken by the mother.[4]

Two papers report 14 women who breastfed after taking acetaminophen or its prodrug phenacetin with no adverse effects to their infants.[1][5]

In a telephone follow-up study, mothers reported no side effects among 43 infants exposed to acetaminophen in breastmilk.[6]

Two clinicians speculated that breastmilk exposure to acetaminophen during breastfeeding might be a risk factor for asthma and wheezing in the breastfed infants based on their personal observations.[7] However, these observations were uncontrolled and cannot be considered to be valid proof of an association.[8]

Effects on Lactation and Breastmilk

Relevant published information was not found as of the revision date.

Alternate Drugs to Consider

Ibuprofen

References

1. Berlin CM Jr, Yaffe SJ, Ragni M. Disposition of acetaminophen in milk, saliva and plasma of lactating women. Pediatr Pharmacol. 1980;1:135-41. PMID: 7202185

2. Bitzen PO, Gustafsson B, Jostell KG et al. Excretion of paracetamol in human breast milk. Eur J Clin Pharmacol. 1981;20:123-5. PMID: 7262173

3. Notarianni LJ, Oldham HG, Bennett PN. Passage of paracetamol into breast milk and its subsequent metabolism by the neonate. Br J Clin Pharmacol. 1987;24:63-7. PMID: 3620287

4. Matheson I, Lunde PKM, Notarianni L. Infant rash caused by paracetamol in breast milk? Pediatrics. 1985;76:651-2. Letter. PMID: 2931668

5. Findlay JWA, DeAngelis RL et al. Analgesic drugs in breast milk and plasma. Clin Pharmacol Ther. 1981;29:625-33. PMID: 6529531

6. Ito S, Blajchman A, Stephenson M et al. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Am J Obstet Gynecol. 1993;168:1393-9. PMID: 8498418

7. Nadal-Amat J , Verd S. Paracetamol and asthma and lactation. Acta Paediatr. 2011;100:e2-3. PMID: 21244486

8. Bakkeheim E, Carlsen KH, Lodrup Carlsen KC. Paracetamol exposure during breastfeeding and risk of allergic disease. Acta Paediatr. 2011;100:e3. PMID: 21535130

Acetaminophen Identification

Substance Name

Acetaminophen

CAS Registry Number

103-90-2

Drug Class

Analgesics, Non-Narcotic

Administrative Information

LactMed Record Number

330

Last Revision Date

20150310

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