Skip to Content

Acetaminophen use while Breastfeeding

Drugs containing Acetaminophen: Tylenol, Percocet, Norco, Paracetamol, Vicodin, Fioricet, Lortab, Tylenol with Codeine #3, Excedrin, Ultracet, Show all 1009 »Percocet 5/325, Mapap, Excedrin Migraine, Percocet 10/325, Panadol, Endocet, Midrin, Midol, Tylenol PM, Esgic, Tylenol with Codeine, Tylenol Arthritis Pain, Tylenol with Codeine #4, Fioricet with Codeine, Roxicet, Lorcet, Hycet, Tencon, Dologesic, Tylenol Extra Strength, Coricidin HBP Cold & Flu, Percocet 7.5/325, Darvocet-N 50, Dologen, Ofirmev, Trezix, Alka-Seltzer Plus Cold, Tylox, Darvocet-N 100, Vicks Dayquil Cold & Flu Relief, Migraine Relief, Doliprane, Dafalgan, Vicks NyQuil Cold & Flu Nighttime Relief, Tactinal, Children's Tylenol, Tylenol Cold, Vicodin ES, Aceta w/ Codeine, Tempra, Sinarest, Cough & Cold Relief, Bupap, Percocet 10/650, Percogesic, Primlev, Relagesic, Acetaminophen PM Extra Strength, Headache Relief, Anabar, Darvocet A500, Perfalgan, Vicks NyQuil Severe Cold & Flu, Efferalgan, Norel AD, Vicks DayQuil Severe Cold & Flu, Vicks Nyquil D Cold and Flu Nighttime Relief, Legatrin PM, Migraine Formula, Anexsia, Comtrex Cold & Cough, Zebutal, Cephadyn, Sudafed PE Pressure + Pain, Tylenol Cold & Flu Severe, Ezol, Percocet 7.5/500, Pamprin Multi-Symptom Menstrual Relief, Painaid, Cramp Tabs, Coricidin D, Lorcet HD, Dolorex, Singlet, Excedrin Tension Headache, Nodolor, Triad, Aceta, Atasol, Oxycet, Goody's Headache Powders, Calpol Fastmelts, Hedex, Pain Relief PM Extra Strength, Talacen, Childrens Tylenol Cold Plus Cough, Panadol Menstrual Relief, Backaid Inflammatory Pain Formula, Duogesic, Excedrin Extra Strength, Goody's Extra Strength, Panadol ActiFast, Pamprin Max Menstrual Pain Relief, Levacet, Panadol Osteo, Codral Cold and Flu + Cough Day and Night, Duraflu, Midol PMS Maximum Strength, XL-3 Cold Medicine, Medicidin-D, Excedrin Sinus Headache, Tylenol with Codeine #2, Prodrin, Alvedon, Headache Relief PM, Paracetamol Arrow, Calpol Paediatric, Dolacet, Allzital, Panadol Extend, Paracetamol Almus, Vanatol LQ, Arcet, Propacet 100, Narvox, Pharmacist Advice Paracetamol, Esgic-Plus, IDA, Amidrine, Paracetamol Biogaran, Acetaminophen-odan, Xartemis XR, Sudafed PE Pressure+Pain+Mucus, Tylenol Sinus Severe Day, Tempra Quicklets, Sinus Congestion & Pain, Tylenol Children’s Cold + Cough + Runny Nose, Equaline Pain Relief, Mapap Rapid Release Gelcaps, Chemists Own Childrens Paracetamol 1-5 Years, Robitussin Severe Multi-Symptom Cough Cold + Flu, Co-Gesic, Flutabs, Hydrocet, Xodol, Tylenol Cold Head Congestion Nighttime, Acephen, Maxidone, Verdrocet, Taminol, Actamin, Paracetamol Ranbaxy, Adprin B, Nexafed Sinus Pressure + Pain, Paracetamol Teva, Neocitran Non Drowsy Extra Strength Cold and Flu, Vicks Dayquil Daytime Cold/Flu (old formulation), Midol Complete, Percogesic Extra Strength, Phrenilin Forte, Repan, Capacet, Orbivan, Phrenilin, Axocet, Dolgic, Bucet, Alidrin, Migratine, Exaprin, Acetadryl, Wal-Nadol PM Extra Strength, Excedrin PM, Vanquish, Flextra, CVS Allergy & Cold, Migralam, Altenol, Tylenol 8 Hour, Setamol, Tylophen, Equate Allergy & Sinus Headache, Theraflu Nighttime Severe Cold & Cough, CVS Extra Strength Headache Relief, Delsym Cough+ Cold Night Time, Alka-Seltzer Plus Flu/Body, Q-Pap, Pacimol Caplets, Paracare, Goody's Extra-Strength Headache Powders, Pamprin Cramp Menstrual Pain Relief, BF-Paradac, Paracetamol Zydus, Promax, Mandanol, Valorin, Miradol, Panamax, Tylenol Severe Cold & Flu Night Time, Nalocet, Amadol Paracetamol, Allpanto-S, API Healthcare Paracetamol, Cetafen, Frenadol, Tylenol Cold & Cough Nighttime, Clear Cough PM Multi-Symptom, Theraflu Flu & Sore Throat, Tylenol Sinus + Headache Day, Premsyn PMS, Menstrual Pain Relief, Codrix, Myophen, Masophen, Xolox, Cocet Plus, Cold Medicine Plus, Infant's Tylenol, Calpol Infant, Dilotab II, Balacet, Wygesic, Sinus Congestion and Pain Daytime Cool Ice, Sinutab Sinus Maximum Strength, Relief-PE, Onset Forte, Tylenol Cold Multi-Symptom Nighttime Liquid, Simplet, Lobac, Mapap Extra Strength Rapid Burst, Tylenol Allergy Multi-Symptom, Drixoral Cold/Flu, Theraflu Flu Cold & Cough, Mucinex Fast-Max Night Time Cold & Flu Liquid Gels, Drixoral Allergy Sinus, Alka-Seltzer Plus Severe Sinus Congestion, Allergy & Cough Liquid Gels, Sinadrin Plus, Complete Sinus Relief, Delsym Night Time Multi-Symptom, Alka-Seltzer Plus Night Cold Formula Liquid, Alka-Seltzer Plus Multi-Symptom Cold & Flu (Night Formula), Alka-Seltzer Plus Severe Sinus Congestion & Cough (Night Formula), Comtrex Non Drowsy Liquigel, Daytime Cold and Flu Relief, Theraflu ExpressMax Daytime Severe Cold & Cough, Tylenol Cold Non-Drowsy Gelcaps, Day Relief Cold and Flu, Contact Cold and Sore Throat, Comtrex Non-Drowsy, Day Time Multi Symptom, Contac Severe Cold and Flu Non Drowsy, Flu & Severe Cold & Cough Daytime Powder, Sudafed PE Pressure+Pain+Cough, Non-Drowsy Super Strength Contac Complete, Alka-Seltzer Plus Severe Cold+Cough Night Liquid, Drixoral Cold and Flu, PediaCare Cough & Sore Throat Plus Acetaminophen, Hexaflu, Respa C&C IR, Respa C&C, Diabetic Tussin Night Time Formula, Diabetic Tussin Night Time Cold & Flu, Tylenol Children’s Cold + Cough + Sore Throat, Triaminic Cough & Sore Throat, Drixoral Sinus, Drixoral Cough/Sore Throat, Vicks DayQuil HBP Cold & Flu, Tylenol Cough and Sore Throat Daytime, Triaminic Softchews Cough & Sore Throat, Children's Triacting, Topcare Cough and Sore Throat, Contac Day and Night Cold and Flu, Robitussin Peak Cold Nighttime Cold + Flu, Mucinex Sinus-Max Day & Night, Tylenol Cough & Sore Throat Nightime, Daytime Non-Drowsy, Theraflu (pseudoephedrine) Daytime Severe Cold, Severe Cold Multi-Symptom, Daytime Cold, Mucinex Fast-Max Day & Night, Vicks NyQuil HBP Cold & Flu, Night Time Multi Symptom Cold/Flu Relief, Contac Cold + Flu (Night) Cooling Relief Liquid, Multi Symptom NiteTime, Night Time Cold & Flu, Vicks Nature Fusion Cold & Flu Nighttime Relief, Coricidin HBP Nighttime Multi-Symptom Cold, Robitussin Cold + Flu (Nighttime), Delsym Night Time Cough & Cold, Tylenol Cold Head Congestion Daytime, Alka-Seltzer Plus Maximum Strength Day Cold & Flu Liquid Gels, Tylenol Cold Max Day, All-Nite Multi-Symptom Cold/Flu Relief, Cold Head Congestion, Cold Multi-Symptom Severe, G-Dologen, ConRx Cold, Adult Cold, Flu & Sore Throat, Dologen 325, Mucus Relief Complete, Alka-Seltzer Plus Severe Cold, Mucus & Congestion, Mucus Relief Plus, Cold & Cough PE Multi-Symptom, Suphedrine PE Cold & Cough, Sudafed PE Pressure+Pain+Cold, Tylenol Cough & Severe Congestion Daytime, Anatuss, Alka-Seltzer Plus Day Severe Cold+Flu Hot Drink Mix, Phenflu DM, Multi-Symptom Nighttime, Non-Pseudo Cold Relief, Mucinex Children's Cold, Cough & Sore Throat, Mucinex Children's Multi-Symptom Cold & Fever, Delsym Cough+ Cold Day Time, Mucinex Fast-Max Day Time Severe Cold, Mucinex Fast-Max Severe Cold, Tylenol Cold Multi-Symptom Severe, Sudafed PE Cold & Cough, Alka-Seltzer Plus Severe Sinus, Cold & Cough Liquid Gels, Mucinex Fast-Max Cold, Flu & Sore Throat Liquid Gels, CounterAct Day, Tylenol Cold Head Congestion Severe (old formulation), Mucinex Fast-Max Cold, Flu & Sore Throat, Mucinex Fast-Max Severe Congestion & Cold, Decorel Forte Plus, Alka-Seltzer Plus Severe Cough, Mucus & Congestion Liquid Gels, NyCair, Robitussin Cold Cough and Flu, Theraflu Warming Relief Daytime Severe Cold & Cough, Alka-Seltzer Plus Severe Sinus Congestion & Cough Liquid Gels, Comtrex Cold and Cough Maximum Strength, Day Relief PE, Vicks Dayquil Cold & Flu Symptom Relief Plus Vitamin C, Alka-Seltzer Plus Maximum Strength Night Cold & Flu Liquid Gels, Day Time Multi-Symptom Cold/Flu Relief, Multi Symptom Cold (Day Formula), Alka-Seltzer Plus Maximum Strength Day & Night Cold & Flu Liquid Gels (Day Formula), Vicks Nature Fusion Cold & Flu Multi-Symptom Relief, Alka-Seltzer Plus Severe Sinus Congestion & Cough (Day Formula), Actidogesic, Alka-Seltzer Plus Multi-Symptom Cold & Flu Day Liquid Gels, Theraflu Multi-Symptom Severe Cold with Lipton Flavors, Cold Multi-Symptom (Daytime), Theraflu Warming Relief Daytime Multi-Symptom Cold Caplets, Theraflu Daytime Severe Cold & Cough, Little Colds Multi-Symptom, Dologesic NF, Tusnel-A, Tylenol Cold Severe Congestion Daytime, Phlemgesic, All-Nite Cold, Balminil Cough and Flu Sugar Free, Theraflu Max-D Severe Cold & Flu, Maxiflu DM, Alka-Seltzer Plus Night Severe Cold+Flu Hot Drink Mix, Mapap Cold Formula, Alka-Seltzer Plus Multi-Symptom Cold & Flu Day & Night Liquid Gels (Night Formula), Robitussin Peak Cold Daytime Cold + Flu, Daytime Cold & Flu, Alka-Seltzer Plus Maximum Strength Day & Night Cold & Flu Liquid Gels (Night Formula), Contac Complete Cough, Cold & Flu Extra Strength, Tylenol Plus Children's Cold & Cough, Robitussin Cold + Flu (Daytime), Tylenol Cold & Cough Daytime, CounterAct Night, Migragesic IDA, Congespirin Aspirin Free, Scot-Tussin Original, Theraflu Sinus & Cold, Contac Cold + Flu (Day Formula), Tylenol Plus Children's Cold & Stuffy Nose, Suphedrine PE Sinus Headache, Vicks QlearQuil Daytime Sinus & Congestion, Robitussin Peak Cold Nasal Relief, D-Time Sinus, Day Relief Sinus PE, Alka-Seltzer Plus Cold and Sinus, PMS Relief, Mapap Sinus Congestion and Pain, Non-Pseudo Sinus Pain & Pressure, Vicks Sinex Daytime, Aceta-Gesic (old formulation), Dologesic DF, Major-gesic, Phenylgesic, Apagesic, Phenagesic, Genasec, Theraflu Cold & Sore Throat, PMS Formula Multi-Symptom, Uni-Perr, Roxilox, Dolagesic, Zyfrel, Zolvit, Zamicet, Theracodophen Low 90, Anolor DH5, Liquicet, Back Quell, Otis Clapp Back Quell, Percocet 2.5/325, Syncol, Perloxx, Magnacet, Tylenol Women's Menstrual Relief, Midol Teen, PainAid Premenstrual Formula, Backaid Max, Lurline PMS, Pamprin Maximum Pain, Menstrual Relief Multi-Symptom, Menstrual PMS, Q-Gesic, Vitoxapap, Stagesic, Sine-Off Maximum Strength, Tavist Sinus, Ornex, Sinutab Maximum Strength Non Drowsy, Bayer Select Sinus Pain Formula, Ephed Plus, Alka-Seltzer Cold and Sinus, Sinus Relief, Dristan Cold Non-Drowsy, Contac Sinus, Sinutab Regular Strength, Sudogest Sinus Maximum Strength, Tylenol Sinus Maximum Strength, Genapap Sinus, Suphedrin Plus, Phenapap, Pseudoephedrine Sinus, Sinarest Sinus, Sinutab Maximum Strength, Actifed Cold and Sinus, HistaFlex, Panritis Forte, Benadryl Allergy Sinus Headache, Allerest No Drowsiness, Flextra-DS, BP Poly-650, RhinoFlex, Alpain, Flextra-650, Hyflex-650, Hyflex-DS, RhinoFlex 650, Acuflex, Lagesic, Zgesic, Ali-Flex, Q Flex, Ornex Maximum Strength, Vistra, BeFlex, Zflex, Duraxin, Be-Flex Plus, Ed-Flex, By-Ache, Trycet, Sinus Maximum Strength, Suphedrin Sinus, Vanacet, Panacet, LarkaDrin, Delsym Children’s Cough+ Cold Night Time, Pharbetol PM, Non-Aspirin PM Extra Strength, Aceta-Gesic, Tylenol Severe Allergy, Anacin PM Aspirin Free, Dimetapp Children's Multi-Symptom Cold & Flu, Tylenol Plus Children's Cold & Allergy, Sudafed PE Severe Cold, Theraflu Warming Relief Nighttime Severe Cold & Cough, Mucinex Sinus-Max Night Time Congestion & Cough, Coricidin Night Time Cold Relief, Night Time Severe Cold and Cough, Suphedrine PE Severe Cold, Maxiflu CD, Robitussin Multi-Symptom Cold Night Time, Mucinex Children's Night Time Multi-Symptom Cold, Mucinex Fast-Max Night Time Cold & Flu, Mucinex Sinus-Max Day & Night (Night), Sudafed PE Nighttime Cold, Theraflu Warming Relief Flu & Sore Throat, Benadryl Severe Allergy Plus Sinus Headache, Tylenol Sore Throat Nighttime, Pain Reliever PM, Tylenol Allergy Multi-Symptom Nighttime, Migrin-A, Diacetazone, Migrazone, Isocom, Migrapap, Mitride, Migquin, Midchlor, Migrex, Iso-Acetazone, Epidrin, Duradrin, Sominex Pain Relief Formula, Bayer Select Max Strength Night Time Pain, ConRx PM, Night Time Pain, Percogesic Original Strength, Unisom PM Pain, Genapap PM, Mapap PM, Counteract PM Extra Strength, Midol PM, Headache Formula PM, Severe Allergy and Sinus Headache, CVS Allergy & Sinus Headache, Vicodin HP, Mucinex Sinus-Max Day Time Severe Congestion Relief, Mucinex Sinus-Max Severe Congestion Relief, ConRx Sinus, Histenol-Forte II, Mucinex Sinus-Max Day & Night (Day), Theraflu Warming Relief Cold and Chest Congestion, Emagrin Forte, Tylenol Cold Head Congestion Severe, Sudafed PE Triple Action, Coldonyl, Tylenol Sinus Severe Congestion Daytime, Mucinex Fast-Max Cold & Sinus, Sudafed Triple Action, Duocet, Duradyne DHC, Hydrogesic, Margesic H, T-Gesic, Zydone, Lorcet Plus, Lorcet 10/650, Hy-Phen, Mucinex Sinus-Max Pressure & Pain, LuSonex Plus, Children's Tylenol Plus Cold And Allergy, Tylenol Allergy Complete NightTime, Robitussin Severe Multi-Symptom Cough Cold + Flu Nighttime, Theraflu Warming Relief Sinus & Cold, Theraflu ExpressMax Nighttime Severe Cold & Cough, Theraflu ExpressMax Flu, Cough & Sore Throat, Benadryl Allergy Plus Cold, Theraflu Nighttime Multi-Symptom Severe Cold With Lipton Flavors, Benadryl Allergy Plus Sinus Headache, Benadryl Cold, Contac Day and Night Allergy, Sudafed Sinus Nighttime Plus Pain, Benadryl Severe Allergy & Sinus Headache, Duratuss-A, Actifed Sinus Day and Night, Vicks QlearQuil Nighttime Sinus & Congestion, Alka-Seltzer Plus Severe Allergy Sinus Congestion & Headache, Vicks Sinex Nighttime, Tylenol Sinus NightTime, Tylenol Sinus Day/Night Convenience Pack, Tylenol Chest Congestion, Theraflu Flu & Chest Congestion, Comtrex Deep Chest Cold, Beechams All-in-One, Maxiflu CDX, Allergy Sinus PE Pain Relief, Phenflu CD, Paracetamol Ivax, Uniserts, Efferalganodis, Silapap Childrens, Expandox, Dolono Infant, Geluprane, Ed-APAP, Paracetamol EG, St. Joseph Aspirin-Free, Country Chemists Paracetamol, Paracetamol Merck, Pain-Eze, Liquiprin, Paracetamol Qualimed, Paracetamol RPG, DG Health Pain Reliever, Paracetamol Sandoz, Paracetamol Sandoz Conseil, Tycolene, Lloydspharmacy Paracetamol Six Plus, Paracetamol Winthrop, Triaminic Fever Reducer Pain Reliever, Lloydspharmacy Paracetamol Infant, Efferalgan Pediatrique, James Dean Pharmacy Paracetamol, Atasol Forte, Dolono, Tempol, Herron Paracetamol Capseals, Tempra 3, Herron Paracetamol Capseals Handy Pack, Pharbetol, Herron Paracetamol Handy Pack, Apra, Q-Nol, Claradol, Anacin Aspirin Free, Conacetol, Doliprane Adultes, Vicks Formula 44 Custom Care Body Aches, Coles Paracetamol, Genapap Extra Strength, Doliprane Sans Sucre, Dolitabs, Home Brand Paracetamol, Q-Pap Extra Strength, Dolko, ICN Paracetamol, Redutemp, Dolko Enfants, Dolotec, Triaminic Infant Drops, Paralyoc, Herron Paracetamol, Duatrol SR, Mid West Products Numol Paracetamol, Parmol, Silapap Infants, Cuprofen for Children, Mapap Infant Drops, Mandanol Infant, Cetafen Extra, Mandanol 6+, Lemsip Childrens Cold & Flu, Fennings Childrens Cooling, Aldi Hedanol Paracetamol, Parahexal, Under Ten Care Infant, Alphapharm Paracetamol, No Frills Paracetamol, Tylenol Sore Throat Daytime, Nova Paracetamol, Mapap Meltaway, Numark Paracetamol, Amcal Childrens Paracetamol 1-5 Years, Nyal Paracetamol, Medi-Tabs, Amcal Childrens Paracetamol 5-12 Years, Febridol, Paralgin, Tylenol Cool Caplet Extra Strength, Infantaire Drops, Perfalgan Nourrissons Et Enfants, Mapap Rapid Tabs, Jr. Tylenol, Elixsure Fever/Pain, Infadrops, Disprol Soluble Paracetamol, Disprol Paracetamol, Galpamol, Paldesic, Medinol Paediatric, Medinol Under 6, Lemsip Pharmacy Non-Decongestant Formula, Panamax 240, Aminofen, Calpol Six Plus, Medinol Over 6, Nortemp Children's, Paracets, Anadin Paracetamol, UN-Aspirin Extra Strength, Actimol Children's, Dakota Paracetamol, Umphamol, Remedol, Tempra 2, Panamol, Mapap Arthritis Pain, Capital Chemist Paracetamol, Bristol Pharma Paracetamol, Sigma Paracetamol, Actimol Infant, ConRx Extra Strength, PediaCare Infants' Acetaminophen Fever Reducer/Pain Reliever, PediaCare Children's Acetaminophen Fever Reducer/Pain Reliever, Pharmacy Health Paracetamol Colour Free Childrens, PediaCare Smooth Melts Acetaminophen Fever Reducer/Pain Reliever, Pharmacy Health Paracetamol Colour Free Infants and Childrens Drops 1 Month-4 Years, Mapap Children's, Lemsip Cold and Flu Liquid Capsule, Paracetamol Soluble, Children's Silapap, Febrol Solution, Pharmacy Health Own Name Paracetamol for Children, Febridol Infant Drops, Accidental Rapatabs, Chem Mart Chemadol Children 1 to 5 Years, Chem Mart Chemadol Colourfree, Chem Mart Chemadol Colourfree Children 5-12 Years, Chemists Own Chiildrens Paracetamol 5-12 Years, Lemsip Headcold, Lemsip Max, Vitapap, Abenol, Lemsip Original, Paraspen Drops, Terry White Chemists Paracetamol, Terry White Chemists Paracetamol Colourfree Children 5-12 Years, Tylenol Childrens Paracetamol, Conney Aspirin-Free, Priceline Paracetamol, Panadol Gel Caps, Pharmore Paracetamol, Basics Paracetamol, Genapap, Sigma Pain Relief, Pain Clear Paracetamol, Panadol Colourfree Drops, Blooms the Chemist Paracetamol, Pharmacist Paracetamol Infant Drops, Pharmacist Paracetamol Infant Drops Colour Free, Bi-Lo Paracetamol, Pain-Eze Paracetamol Infant Drops Colour Free, Pharmaction Paracetamol, Biochemie Paracetamol, Healthsense Pain Relief Drops Children 1 Month to 2 Years, Black And Gold Paraceatmol, Pharmacist Advice Paracetamol Infant Drops, Black and Gold Paracetamol, Hexal Comfarol, Chemists Own Paracetamol, Chemists Own Paracetamol Capseals, Tylenol Regular Strength, Guardian Paracetamol Tabsules, Panadol Rapid Handipak, Panadol Soluble, Paralgin Paracetamol Tabsules, Pharmacist Childrens Paracetamol Colourfree 1-5 Years, Pharmacist Childrens Paracetamol Colourfree 5-12 Years, Pharmacy Health Colour Free Childrens Paracetamol, Gold Cross Paracetamol, Tylenol Cold Sore Throat, Alpha First Aid Supplies Paracetamol, Guardian Childrens Paracetamol 5-12 Years, Guardian Paracetamol, Rex Paracetamol, Febridol Clear Effervescent, Feverall, Topcare Arthritis Pain Relief, Accidental First Aid Supplies Paracetamol, Panadol Childrens, Panadol Jr, Flu Strength Hot Lemon Powders, Paineze Paracetamol, Health Care Chemist Paracetamol Infant Drops Colour Free, Genebs, Buckley's Complete, Herron Gold Paracetamol Tabsules, Herron Paracetamol Tabsules, Help I Have A Headache, Chemists Own Paracetamol Pain & Fever 1 Month to 2 Years, Leader 8 Hour Pain Reliever, Chemists Own Paracetamol Pain & Fever 1 to 5 Years, Chemists Own Paracetamol Pain and Fever 5 to 12 Years, A-Pak Laboratories Paediatric Analgesic Paracetamol, Chemplus Paracetamol, Chemworld Colourfree Childrens Paracetamol Double Strength 5-12 Years, Chemworld Colourfree Childrens Paracetamol Junior 1-5 Years, Chemworld Paracetamol, Chemworld Paracetamol Infant Colour Free, HyVee Health 8 Hour Pain Relief, Bydol, Chem Mart Chemadol, Children's ElixSure, Childrens Panadol 5 - 12 Years, Cipla Genpharm Paracetamol, Little Fevers, Arthritis Pain Relief, Benylin Sore Throat, Fawns & McAllan Paracetamol, Zee Unaspirin ES, Chem Mart Chemadol Colourfree Childrens 1-5 Years, Midol Long Lasting Relief, Childrens Panadol 1 - 5 Years Colourfree, Childrens Panadol 1 - 5 Years, Childrens Panadol 5 - 12 Years Colourfree, Orajel Maximum Strength Toothache, Amcal Paracetamol Pain Relief, Phenflu CDX, Comtrex Maximum Strength Cold Relief, Multi Symptom Cold (Night Formula), Multi Symptom Cold Relief, Alka-Seltzer Plus Maximum Strength Cold & Cough Liquid Gels, Alka-Seltzer Plus Severe Cold & Flu Formula Effervescent Tablets, Alka-Seltzer Plus Flu Formula, Alka-Seltzer Plus Severe Sinus & Cold Hot Drink Mix, Dimetapp Children's Nighttime Flu, Theraflu Warming Relief Nighttime Multi-Symptom Cold Caplets, Triaminic Multi-Symptom Fever & Cold, Comtrex Cold and Flu Maximum Strength, Contac Severe Cold and Flu Maximum Stength, XL-3 Xtra Cold and Cough, Theraflu Flu, Cold and Cough Powder, Comtrex Day and Night, Cough Formula M Multi-Symptom, Comtrex Cold and Flu Maximum Strength Tablet, Comtrex Cold and Flu Maximum Strength Liquid, Genacol Maximum Strength, Contac Cold and Flu Maximum Strength, Theraflu Flu & Cough, Co-Apap, Theracaps Multi-Symptom Cough & Cold Reliever, Alka-Seltzer Plus-D Multi-Symptom Sinus & Cold Liquid Gels, Cold Multi-Symptom (Nighttime), Comtrex Nighttime Cold & Cough, Gelpirin-CCF, Vicks Formula 44 Custom Care Cough & Cold PM, Ninjacof-A, Congestant, 999 Cold Remedy Granular, Cotabflu, Colrex Compound, Colrex, Vicks NyQuil Cold & Flu Nighttime Relief (Alcohol Free), Triaminic Multi-Symptom Fever, PediaCare Cough & Runny Nose Plus Acetaminophen, Coricidin HBP Maximum Strength Flu, Mapap Cough & Sinus Formula, Flu Relief BP, Tylenol Cold Head Congestion Day and Night, Coricidin HBP Multi-Symptom Cold (Night), Coricidin HBP Day & Night Multi-Symptom Cold, Tylenol Cold and Flu Severe Day & Night, Dimetapp Children's Multi-Symptom Cold & Flu (old formulation), Tylenol Children’s Cold + Flu, PediaCare Multi-Symptom Cold Plus Acetaminophen, Alka-Seltzer Plus Cold & Cough Formula Liquid, PediaCare Flu Plus Acetaminophen, Tylenol Cold Multi-Symptom Nighttime, Comtrex Cold & Cough Day Night, Theraflu Nighttime Severe Cold & Cough Caplets, Triaminic Flu, Cough & Fever, Contac Cold + Flu (Night Formula), Menstrual Complete, Comtrex Allergy Sinus Night and Day, Comtrex Sinus and Nasal, Comtrex Nighttime Flu Therapy, Tricom, Comtrex Allergy Sinus, Codimal, Kolephrin, Allerest Sinus, Tylenol Allergy Sinus, Sinutab Ex-Strength, Comtrex Allergy Sinus Maximum Strength, Allerest Headache Strength, Sinulin, Sinarest Extra Strength, Triaminicin, Sinutab Maximum Strength Caplets, Allergy Sinus Maximum Strength, Actifed Cold & Sinus, Tavist Allergy/Sinus/Headache, EZ III, Phenaphen with Codeine, Capital with Codeine Suspension, Capital w/Codeine, Cocet, Chlor-Trimeton Sinus, Duadacin, ConRx Allergy Sinus, Comtrex Flu Therapy, Allergy Pain Relief, PX Allergy Sinus PE, Allergy Multi-Symptom, Pyrroxate, Robitussin Peak Cold Nighttime Nasal Relief, GNP Cold Relief Plus, Super Strength Sinadrin, Gendecon, Dristan Cold Multi Symptom Formula, Tylenol Sinus Congestion & Pain Nighttime, Comtrex Severe Cold & Sinus, Tylenol Plus Children's Cold, Alumadrine, Protid, Hybrid CF, Sine-Off Sinus/Cold, Tylenol Sinus Congestion and Pain Cool Burst Day Night, Alka-Seltzer Plus Cold & Flu, HEB Allergy, Dryphen, Covangesic, Norel SR, Trital SR, Rhinogesic, Rid-A-Pain Compound, Menstrual Relief, Ordov Febrigesic Paracetamol, Anacin Advanced Headache Formula, Terry White Chemists Colour Free Paracetamol Infant Drops, Goody's Body Pain, Excedrin Back & Body, Bayer Migraine Formula, Excedrin Menstrual Complete, Arthriten, ConRx Pain Reliever, Uricalm Intensive, Genace, Supac, Arthriten Inflammatory Pain Formula, Terry White Chemists Colour Free Paracetamol 1-5 Years, PainAid Extra-Strength Formula, Medique Pain-Off, Extra Pain Relief, Saleto, Excedrin PM Headache, Rhinocaps, Apadaz, Staflex, Comtrex Acute Head Cold, Dristan Cold Maximum Strength, Phrenilin Forte (old formulation), Pharmacist Paracetamol, Pharmacy Health Paracetamol, Triaprin, RP Scherer Paracetamol Liquid-Filled Capsules, Topcare 8 Hour Pain Relief, Amcal Paracetamol Infant Drops 1 Month to 2 Years, Pain-Eze Paracetamol Infant Drops, Febridol Syrup for Children, Amcal Paracetamol Tabsules, Pharmacist Advice Colourfree Childrens Paracetamol Double Strength, Guardian Childrens Paracetamol, Pharmacist Formula Paracetamol, Pharmacist Formula Infants, Paraspen, RP Scherer Paracetamol, Savings Paracetamol, Panadol Mini Caps, Signature Range Paracetamol, Dymadon, Soul Pattinson Childrens Paracetamol Elixir, Soul Pattinson Colour Free Paracetamol 1-5 Years, Soul Pattinson Colour Free Paracetamol Drops, Soul Pattinson Colourfree Childrens Paracetamol, Panadol Gel Tabs, API Healthcare Coloufree Childrens Paracetamol, Soul Pattinson Paracetamol, API Healthcare Colourfree Childrens Paracetamol Double Strength, Soul Pattinson Paracetamol Clear Effervescent, Orbivan CF, Sedapap, Menstrual Relief Maximum Strength, Zerlor, Dolgic LQ, Phrenilin with Caffeine and Codeine, Excedrin Mild Headache, Valorin Extra, Excedrin Quick Tab, Hycomine Compound, Sinapils, Panlor DC, Panlor SS, Panlor, DHC Plus, Emagrin Forte (old formulation), Vanatol S, MigraTen, KneeRelief, Combiflex ES, Durabac Forte, Cafgesic Forte, Saleto-D, Flextra Plus, Combiflex, Cafgesic, Durabac, Menstrual Relief Extra Strength, Dolgic Plus, Nonbac, Marten-Tab, Femcet, Prominol, Butex Forte, Promacet, Alagesic LQ, Isocet, Pharmagesic, Anoquan, Two-Dyne, Tenake, Margesic, Anolor 300, Geone, Americet, Tencet, Fiorpap, Dolmar, Endolor, Ide-cet, G-1, Medigesic, Minotal, Mygracet, Pacaps, Alagesic, Tramapap

Medically reviewed on November 30, 2017

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

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. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Hide