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Acetaminophen use while Breastfeeding

Drugs containing Acetaminophen: Tylenol, Percocet, Norco, Vicodin, Fioricet, Lortab, Paracetamol, Excedrin, Tylenol with Codeine #3, Ultracet, Show all 1004 »Endocet, Mapap, Excedrin Migraine, Tylenol with Codeine, Percocet 5/325, Panadol, Tylenol Arthritis Pain, Percocet 10/325, Midrin, Esgic, Roxicet, Lorcet, Tylenol PM, Tylenol Extra Strength, Bupap, Alka-Seltzer Plus Cold, Mapap Arthritis Pain, Tylenol with Codeine #4, Ofirmev, Tylox, Migraine Relief, Tramapap, Darvocet-N 100, Hycet, Darvocet-N 50, Acetaminophen PM Extra Strength, Fioricet with Codeine, Trezix, Percocet 7.5/325, Midol PMS, Coricidin HBP Cold & Flu, Cephadyn, Vicodin ES, Anexsia, Acephen, Hydrocet, Vicks Dayquil Daytime Cold/Flu, Vicks Nyquil D Cold and Flu Nighttime Relief, Arthritis Pain Relief, Vicks NyQuil Severe Cold & Flu, Xolox, Tylenol Sinus Severe Congestion Daytime, Vanatol LQ, Nodolor, Vicks NyQuil Cold & Flu Nighttime Relief, Norel AD, Tactinal, Q-Pap, Panamax, Dologesic, Children's Tylenol, Percogesic, Cough & Cold Relief, Xartemis XR, Tylenol Cold & Flu Severe, Sinarest, Paracetamol Teva, Headache Relief, Frenadol, Capacet, Efferalgan, Doliprane, Acetadryl, Altenol, Excedrin Tension Headache, Vanquish, Perfalgan, Amidrine, Panadol Osteo, Dafalgan, Goody's Extra-Strength Headache Powders, Coricidin D, Zebutal, Pain Relief PM Extra Strength, Bayer Migraine Formula, Tylenol Cold, Cipla Genpharm Paracetamol, Anabar, Tylenol with Codeine #2, Sinus Relief, Aceta w/ Codeine, Vicks Dayquil Cold & Flu Relief, Triaminic Multi-Symptom Fever, Tencet, Excedrin Extra Strength, Prodrin, Vistra, Excedrin PM, Pamprin Multi-Symptom Menstrual Relief, Tencon, Pamprin Maximum Pain, Dolono, Vicodin HP, Epidrin, Singlet, Feverall, Flextra-650, Oxycet, Relagesic, Tylenol Sinus + Headache Day, Sudafed PE Pressure + Pain, Talacen, Vicks DayQuil Severe Cold & Flu, CVS Allergy & Cold, Sedapap, Allzital, Headache Relief PM, Backaid Inflammatory Pain Formula, Promacet, Phrenilin, IDA, Duradrin, Ide-cet, Arthriten, Theraflu Nighttime Severe Cold & Cough, Lorcet HD, Lorcet 10/650, Stagesic, Robitussin Cold Cough and Flu, Neocitran Non Drowsy Extra Strength Cold and Flu, Benadryl Allergy Plus Sinus Headache, Combiflex, Comtrex Cold and Cough Maximum Strength, Protid, Percocet 7.5/500, Paracetamol Merck, Capital w/Codeine, Silapap Childrens, Pseudoephedrine Sinus, Actamin, Orajel Maximum Strength Toothache, Darvocet A500, Balacet, Pain-Eze, Aminofen, Aceta, Q-Pap Extra Strength, Tempra, Sinutab Ex-Strength, Pharbetol, Contact Cold and Sore Throat, Topcare Cough and Sore Throat, Dologen, Adprin B, Liquiprin, Panlor SS, Tylenol Cold & Cough Daytime, Home Brand Paracetamol, Triaminic Cough & Sore Throat, Paracetamol Ranbaxy, Drixoral Cold/Flu, Levacet, Theraflu (pseudoephedrine) Daytime Severe Cold, Theraflu Flu, Cold and Cough Powder, Migralam, Hy-Phen, Aceta-Gesic, Allpanto-S, Headache Formula PM, Wal-Nadol PM Extra Strength, Paracetamol Almus, Country Chemists Paracetamol, Zolvit, Expandox, Redutemp, Zydone, Maxidone, Vanacet, Migraine Formula, Percogesic Extra Strength, Triaminic Fever Reducer Pain Reliever, Febridol, Parmol, Mandanol 6+, Flextra Plus, Remedol, Theraflu ExpressMax Daytime Severe Cold & Cough, Umphamol, Equate Allergy & Sinus Headache, CVS Allergy & Sinus Headache, Congestant, Amadol Paracetamol, Colrex, Alphapharm Paracetamol, Children's Tylenol Plus Cold And Allergy, Topcare 8 Hour Pain Relief, Sudafed PE Pressure+Pain+Cough, Theraflu Multi-Symptom Severe Cold with Lipton Flavors, Coles Paracetamol, Mapap Extra Strength Rapid Burst, Tylenol Sinus Severe Day, Tusnel-A, Duraflu, DG Health Pain Reliever, Flutabs, Calpol Infant, Calpol Paediatric, Theraflu Daytime Severe Cold & Cough, Vicks Nyquil Sinus, Panritis Forte, Anadin Paracetamol, Alvedon, Actifed Cold and Sinus, Goody's Headache Powders, Claradol, Anolor 300, Arcet, Mucinex Children's Multi-Symptom Cold & Fever, Triad, Theraflu Flu & Sore Throat, Dolmar, Fiorpap, Cold Head Congestion, PMS Formula Multi-Symptom, Panadol Extend, Vitapap, Tylophen, Pharmacist Advice Paracetamol, Menstrual Pain Relief, Menstrual PMS, Endolor, Ezol, Norel SR, Isocom, Migquin, Migrazone, Alpain, Duadacin, Alumadrine, Midchlor, Migrex, Vicks Dayquil Sinus, Esgic-Plus, Dilotab II, Alka-Seltzer Plus Cold and Sinus, Iso-Acetazone, Orbivan, Lemsip Cold and Flu Liquid Capsule, Sigma Pain Relief, Wygesic, Propacet 100, Ornex, Topcare Arthritis Pain Relief, Excedrin Mild Headache, Dolorex, Chemists Own Paracetamol Pain & Fever 1 Month to 2 Years, Sinutab Regular Strength, Pamprin Cramp Menstrual Pain Relief, Prominol, Herron Gold Paracetamol Tabsules, Taminol, Axocet, Codrix, Tylenol Allergy Multi-Symptom, Onset Forte, Roxilox, Chemists Own Paracetamol Pain & Fever 1 to 5 Years, Narvox, Percocet 10/650, Lemsip Original, Cramp Tabs, Magnacet, Primlev, Percocet 2.5/325, Theraflu Warming Relief Daytime Multi-Symptom Cold Caplets, Theraflu Warming Relief Daytime Severe Cold & Cough, Day Relief Cold and Flu, Comtrex Non Drowsy Liquigel, Flu & Severe Cold & Cough Daytime Powder, Tylenol Cold Non-Drowsy Gelcaps, Alka-Seltzer Plus Severe Sinus Congestion & Cough (Day Formula), Alka-Seltzer Plus Day & Night Cold & Flu Formula Liquid Gels (Day Formula), Cold Multi-Symptom (Daytime), Alka-Seltzer Plus Severe Sinus Congestion & Cough Liquid Gels, Theraflu Flu Cold & Cough, Tylenol Cold Max Day, Daytime Cold and Flu Relief, Tylenol Cold Head Congestion Daytime, Daytime Non-Drowsy, Comtrex Non-Drowsy, Day Time Multi Symptom, Non-Drowsy Super Strength Contac Complete, Contac Severe Cold and Flu Non Drowsy, Alka-Seltzer Plus Flu/Body, Theraflu Max-D Severe Cold & Flu, Mucinex Children's Cold, Cough & Sore Throat, Contac Cold + Flu (Night) Cooling Relief Liquid, Delsym Cough+ Cold Day Time, Mucinex Fast-Max Day Time Severe Cold, Mucinex Fast-Max Severe Cold, Delsym Night Time Cough & Cold, Robitussin Cold + Flu (Nighttime), Night Time Cold & Flu, Tylenol Cold & Cough Nighttime, Vicks Nature Fusion Cold & Flu Nighttime Relief, Coricidin HBP Nighttime Multi-Symptom Cold, Tylenol Cold Multi-Symptom Severe, Non-Pseudo Cold Relief, CounterAct Day, Tylenol Cold Head Congestion Severe (old formulation), Mucinex Fast-Max Cold, Flu & Sore Throat, Mucinex Fast-Max Severe Congestion & Cold, Mucinex Fast-Max Cold, Flu & Sore Throat Liquid Gels, Sudafed PE Cold & Cough, Severe Cold Multi-Symptom, Robitussin Peak Cold Nighttime Cold + Flu, Contac Day and Night Cold and Flu, Respa C&C IR, Multi Symptom NiteTime, All-Nite Multi-Symptom Cold/Flu Relief, Alka-Seltzer Plus Day & Night Cold Formula (Night Cold) Liquid Gels, 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), Vicks Nyquil Cold & Flu Symptom Relief Plus Vitamin C, Clear Cough PM Multi-Symptom, Delsym Night Time Multi-Symptom, Tylenol Cold Multi-Symptom Nighttime Liquid, Mucinex Sinus-Max Day & Night, Mucinex Fast-Max Day & Night, Mucinex Fast-Max Night Time Cold & Flu Liquid Gels, Alka-Seltzer Plus Night Cold & Flu Formula Liquid Gels, Alka-Seltzer Plus Severe Cold+Cough Night Liquid, Night Time Multi Symptom Cold/Flu Relief, Multi-Symptom Nighttime, NyCair, Tylenol Severe Cold & Flu Night Time, All-Nite Cold, Alka-Seltzer Plus Severe Sinus Congestion, Allergy & Cough Liquid Gels, Alka-Seltzer Plus Night Severe Cold+Flu Hot Drink Mix, Alka-Seltzer Plus Day & Night Cold & Flu Formula Liquid Gels (Night Formula), Tylenol Cough & Sore Throat Nightime, Decorel Forte Plus, Alka-Seltzer Plus Severe Cough, Mucus & Congestion Liquid Gels, Robitussin Peak Cold Daytime Cold + Flu, Drixoral Sinus, Daytime Cold & Flu, Contac Complete Cough, Cold & Flu Extra Strength, Tylenol Plus Children's Cold & Cough, Maxiflu DM, Alka-Seltzer Plus Night Cold Formula Liquid Gels, Hexaflu, Tylenol Cold Severe Congestion Daytime, Phlemgesic, Balminil Cough and Flu Sugar Free, Robitussin Cold + Flu (Daytime), Comtrex Cold & Cough, Day Relief PE, Vicks Dayquil Cold & Flu Symptom Relief Plus Vitamin C, Day Time Multi-Symptom Cold/Flu Relief, Multi Symptom Cold (Day Formula), Vicks Nature Fusion Cold & Flu Multi-Symptom Relief, Alka-Seltzer Plus Multi-Symptom Cold & Flu (Day Formula), Mapap Cold Formula, Alka-Seltzer Plus Day Non-Drowsy Cold Formula Liquid Gels, Alka-Seltzer Plus Day & Night Cold Formula (Day Cold) Liquid Gels, Little Colds Multi-Symptom, Anatuss, Tylenol Cough & Severe Congestion Daytime, Diabetic Tussin Night Time Formula, Diabetic Tussin Night Time Cold & Flu, Children's Triacting, Tylenol Plus Children's Cough & Sore Throat, Respa C&C, Cold Multi-Symptom Severe, Alka-Seltzer Plus Severe Sinus, Cold & Cough Liquid Gels, Phenflu DM, Alka-Seltzer Plus Severe Cold, Mucus & Congestion, Alka-Seltzer Plus Day Severe Cold+Flu Hot Drink Mix, Triaminic Softchews Cough & Sore Throat, Tylenol Cough and Sore Throat Daytime, Mucus Relief Plus, Cold & Cough PE Multi-Symptom, Suphedrine PE Cold & Cough, Sudafed PE Pressure+Pain+Cold, Mucus Relief Complete, Adult Cold, Flu & Sore Throat, Drixoral Cough/Sore Throat, PediaCare Cough & Sore Throat Plus Acetaminophen, ConRx Cold, Robitussin Severe Multi-Symptom Cough Cold + Flu, Alka-Seltzer Plus Day Non-Drowsy Cold & Flu Formula Liquid Gels, Mucinex Sinus-Max Day & Night (Night), Vicks QlearQuil Daytime Sinus & Congestion, Robitussin Peak Cold Nasal Relief, Excedrin Sinus Headache, D-Time Sinus, Suphedrine PE Sinus Headache, Tylenol Plus Children's Cold & Stuffy Nose, Scot-Tussin Original, Theraflu Sinus & Cold, Contac Cold + Flu (Day Formula), Sinus Congestion and Pain Daytime Cool Ice, Day Relief Sinus PE, Congespirin Aspirin Free, Major-gesic, Phenylgesic, Apagesic, Duogesic, Dologesic DF, Aceta-Gesic (old formulation), Mapap Sinus Congestion and Pain, Non-Pseudo Sinus Pain & Pressure, Sinutab Sinus Maximum Strength, Theraflu Cold & Sore Throat, PMS Relief, Anolor DH5, Liquicet, Back Quell, Otis Clapp Back Quell, Theracodophen Low 90, Dolacet, Xodol, Dolagesic, Zyfrel, Zamicet, Perloxx, Midol Maximum Strength Teen Formula, Midol PMS Maximum Strength, Premsyn PMS, Menstrual Relief Multi-Symptom, Syncol, Lurline PMS, Backaid Max, Tylenol Women's Menstrual Relief, Panadol Menstrual Relief, PainAid Premenstrual Formula, Phenagesic, Genasec, Tavist Sinus, Sinutab Maximum Strength Non Drowsy, Bayer Select Sinus Pain Formula, Ephed Plus, Benadryl Allergy Sinus Headache, Sudogest Sinus Maximum Strength, Sinus Maximum Strength, Suphedrin Sinus, Ornex Maximum Strength, Allerest No Drowsiness, Alka-Seltzer Cold and Sinus, Dristan Cold Non-Drowsy, Phenapap, Sinarest Sinus, Sinutab Maximum Strength, HistaFlex, Suphedrin Plus, Genapap Sinus, Contac Sinus, Sine-Off Maximum Strength, Tylenol Sinus Maximum Strength, Trycet, By-Ache, Hyflex-DS, RhinoFlex 650, Acuflex, Lagesic, Hyflex-650, RhinoFlex, Q-Gesic, Uni-Perr, Vitoxapap, Flextra-DS, Myophen, Zgesic, Duraxin, Be-Flex Plus, Ed-Flex, Lobac, Zflex, BeFlex, Ali-Flex, BP Poly-650, Q Flex, Panacet, Lorcet Plus, Theraflu Warming Relief Nighttime Severe Cold & Cough, Delsym Cough+ Cold Night Time, Delsym Children’s Cough+ Cold Night Time, Mucinex Sinus-Max Night Time Congestion & Cough, Sudafed PE Severe Cold, Tylenol Plus Children's Cold & Allergy, Non-Aspirin PM Extra Strength, Tylenol Severe Allergy, Anacin PM Aspirin Free, Dimetapp Children's Multi-Symptom Cold & Flu, Night Time Severe Cold and Cough, Suphedrine PE Severe Cold, Sudafed PE Nighttime Cold, Theraflu Warming Relief Flu & Sore Throat, Benadryl Severe Allergy Plus Sinus Headache, Severe Allergy and Sinus Headache, Drixoral Cold and Flu, Mucinex Fast-Max Night Time Cold & Flu, CounterAct Night, Robitussin Multi-Symptom Cold Night Time, Mucinex Children's Night Time Multi-Symptom Cold, Pharbetol PM, Tylenol Sore Throat Nighttime, Alidrin, Migrin-A, Bayer Select Max Strength Night Time Pain, ConRx PM, Mitride, Migratine, Migragesic IDA, LarkaDrin, Diacetazone, Migrapap, Night Time Pain, Percogesic Original Strength, Sominex Pain Relief Formula, Pain Reliever PM, Legatrin PM, Coricidin Night Time Cold Relief, Midol PM, Counteract PM Extra Strength, Unisom PM Pain, Genapap PM, Mapap PM, Tylenol Allergy Multi-Symptom Nighttime, Robitussin Severe Multi-Symptom Cough Cold + Flu Nighttime, Emagrin Forte, Tylenol Cold Head Congestion Severe, Sudafed PE Triple Action, Sinus Congestion & Pain, Theraflu Warming Relief Cold and Chest Congestion, Mucinex Sinus-Max Day & Night (Day), Mucinex Sinus-Max Pressure & Pain, Mucinex Sinus-Max Severe Congestion Relief, ConRx Sinus, Histenol-Forte II, Coldonyl, Sudafed PE Pressure+Pain+Mucus, Duradyne DHC, Hydrogesic, Margesic H, T-Gesic, Duocet, Co-Gesic, Mucinex Sinus-Max Day Time Severe Congestion Relief, Sudafed Triple Action, Verdrocet, Mucinex Fast-Max Cold & Sinus, LuSonex Plus, Benadryl Cold, Contac Day and Night Allergy, Sudafed Sinus Nighttime Plus Pain, Tylenol Allergy Complete NightTime, Theraflu Nighttime Multi-Symptom Severe Cold With Lipton Flavors, Benadryl Allergy Plus Cold, Theraflu Warming Relief Sinus & Cold, Theraflu ExpressMax Nighttime Severe Cold & Cough, Theraflu ExpressMax Flu, Cough & Sore Throat, Benadryl Severe Allergy & Sinus Headache, Actifed Sinus Day and Night, Theraflu Flu & Chest Congestion, Comtrex Deep Chest Cold, Beechams All-in-One, Duratuss-A, Tylenol Chest Congestion, Tylenol Sinus Day/Night Convenience Pack, Vicks QlearQuil Nighttime Sinus & Congestion, Alka-Seltzer Plus Severe Allergy Sinus Congestion & Headache, Tylenol Sinus NightTime, Daytime Cold, Allergy Multi-Symptom, Tycolene, Paracetamol Sandoz Conseil, Lloydspharmacy Paracetamol Six Plus, Paracetamol Winthrop, Lloydspharmacy Paracetamol Infant, Paracetamol Sandoz, Tempra Quicklets, Paracetamol Ivax, St. Joseph Aspirin-Free, Paracetamol Qualimed, BF-Paradac, Paracetamol RPG, Atasol, Paracetamol Zydus, Jr. Tylenol, Mapap Rapid Tabs, Infant's Tylenol, Elixsure Fever/Pain, Infadrops, Acetaminophen-odan, Perfalgan Nourrissons Et Enfants, Triaminic Infant Drops, Atasol Forte, Paralyoc, Tylenol Cool Caplet Extra Strength, Paracetamol EG, Ed-APAP, Doliprane Adultes, Conacetol, Genapap Extra Strength, Doliprane Sans Sucre, Dolitabs, Anacin Aspirin Free, Q-Nol, Tempra 3, Herron Paracetamol Capseals, Herron Paracetamol Capseals Handy Pack, Herron Paracetamol Handy Pack, Apra, Dolko, ICN Paracetamol, Dolono Infant, Efferalganodis, Geluprane, Paracetamol Arrow, Paracetamol Biogaran, Uniserts, Efferalgan Pediatrique, Dolko Enfants, Dolotec, Vicks Formula 44 Custom Care Body Aches, James Dean Pharmacy Paracetamol, Disprol Soluble Paracetamol, Disprol Paracetamol, No Frills Paracetamol, Under Ten Care Infant, Tylenol Sore Throat Daytime, Nova Paracetamol, Mapap Meltaway, Aldi Hedanol Paracetamol, Duatrol SR, Mandanol Infant, Mapap Infant Drops, Cetafen Extra, Lemsip Childrens Cold & Flu, Fennings Childrens Cooling, Numark Paracetamol, Amcal Childrens Paracetamol 1-5 Years, Febridol Syrup for Children, Pain-Eze Paracetamol Infant Drops, Amcal Paracetamol Tabsules, Pharmacist Advice Colourfree Childrens Paracetamol Double Strength, Guardian Childrens Paracetamol, Amcal Paracetamol Infant Drops 1 Month to 2 Years, Ordov Febrigesic Paracetamol, Nyal Paracetamol, Medi-Tabs, Amcal Childrens Paracetamol 5-12 Years, Amcal Paracetamol Pain Relief, Cuprofen for Children, Silapap Infants, Calpol Six Plus, Calpol Fastmelts, Masophen, Medinol Over 6, Nortemp Children's, Cetafen, Lemsip Pharmacy Non-Decongestant Formula, Paldesic, Galpamol, Medinol Paediatric, Medinol Under 6, Infantaire Drops, Paracets, Hedex, Panamax 240, Panadol ActiFast, Paralgin, Parahexal, Mid West Products Numol Paracetamol, Miradol, Dakota Paracetamol, UN-Aspirin Extra Strength, Mandanol, Valorin, Actimol Children's, Tempol, Tempra 2, PediaCare Children's Acetaminophen Fever Reducer/Pain Reliever, PediaCare Infants' 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, ConRx Extra Strength, Actimol Infant, Abenol, Blooms the Chemist Paracetamol, Paracetamol Soluble, Bristol Pharma Paracetamol, Sigma Paracetamol, Mapap Children's, Capital Chemist Paracetamol, Chem Mart Chemadol Colourfree Children 5-12 Years, Chem Mart Chemadol Colourfree, Chemists Own Chiildrens Paracetamol 5-12 Years, Lemsip Headcold, Chemists Own Childrens Paracetamol 1-5 Years, Chem Mart Chemadol Children 1 to 5 Years, Accidental Rapatabs, Children's Silapap, Febrol Solution, Pharmacy Health Own Name Paracetamol for Children, Febridol Infant Drops, Hexal Comfarol, Black and Gold Paracetamol, Pharmore Paracetamol, Pacimol Caplets, Basics Paracetamol, Genapap, Pain Clear Paracetamol, Panadol Gel Caps, Priceline Paracetamol, Terry White Chemists Paracetamol Colourfree Children 5-12 Years, Terry White Chemists Paracetamol, Paracare, Tylenol 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Panamol, Herron Paracetamol, Health Care Chemist Paracetamol Infant Drops Colour Free, Paineze Paracetamol, Accidental First Aid Supplies Paracetamol, Panadol Childrens, Panadol Jr, Flu Strength Hot Lemon Powders, Febridol Clear Effervescent, Help I Have A Headache, Chemworld Paracetamol Infant Colour Free, Chemworld Paracetamol, HyVee Health 8 Hour Pain Relief, Bydol, Chem Mart Chemadol, Chemworld Colourfree Childrens Paracetamol Junior 1-5 Years, Chemworld Colourfree Childrens Paracetamol Double Strength 5-12 Years, Chemists Own Paracetamol Capseals, Chemists Own Paracetamol Pain and Fever 5 to 12 Years, A-Pak Laboratories Paediatric Analgesic Paracetamol, Chemplus Paracetamol, Leader 8 Hour Pain Reliever, Children's ElixSure, Childrens Panadol 1 - 5 Years, Childrens Panadol 1 - 5 Years Colourfree, Childrens Panadol 5 - 12 Years Colourfree, Childrens Panadol 5 - 12 Years, Equaline Pain Relief, Chem Mart Chemadol Colourfree Childrens 1-5 Years, Zee Unaspirin ES, Little Fevers, Mapap Rapid Release Gelcaps, Benylin Sore Throat, Fawns & McAllan Paracetamol, Pharmacist Formula Paracetamol, Pharmacist Formula Infants, Childrens Tylenol Cold Plus Cough, Genacol Maximum Strength, Contac Cold and Flu Maximum Strength, Theraflu Flu & Cough, Co-Apap, Comtrex Cold and Flu Maximum Strength Liquid, Comtrex Cold and Flu Maximum Strength Tablet, Comtrex Maximum Strength Cold Relief, Comtrex Cold and Flu Maximum Strength, Contac Severe Cold and Flu Maximum Stength, Comtrex Day and Night, Cough Formula M Multi-Symptom, Theracaps Multi-Symptom Cough & Cold Reliever, Alka-Seltzer Plus-D Multi-Symptom Sinus & Cold Liquid Gels, PX Allergy Sinus PE, Allergy Sinus PE Pain Relief, Pyrroxate, Robitussin Peak Cold Nighttime Nasal Relief, Relief-PE, Allergy Pain Relief, ConRx Allergy Sinus, Triaminic Flu, Cough & Fever, Gelpirin-CCF, Contac Cold + Flu (Night Formula), Medicidin-D, Triaminic Multi-Symptom Fever & Cold, Theraflu Warming Relief Nighttime Multi-Symptom Cold Caplets, Alka-Seltzer Plus Cold & Cough Formula Liquid, PediaCare Multi-Symptom Cold Plus Acetaminophen, PediaCare Flu Plus Acetaminophen, Codral Cold and Flu + Cough Day and Night, Tylenol Cold Multi-Symptom Nighttime, Alka-Seltzer Plus Cold & Cough Formula Liquid Gels, Tylenol Plus Children's Flu, Coricidin HBP Day & Night Multi-Symptom Cold, Tylenol Plus Children's Cough & Runny Nose, Tylenol Cold and Flu Severe Day & Night, Dimetapp Children's Multi-Symptom Cold & Flu (old formulation), Tylenol Plus Children's Multi-Symptom Cold, Tylenol Cold Head Congestion Nighttime, Comtrex Cold & Cough Day Night, Alka-Seltzer Plus Severe Cold & Flu Formula Effervescent Tablets, Multi Symptom Cold Relief, Alka-Seltzer Plus Flu Formula, Alka-Seltzer Plus Severe Sinus & Cold Hot Drink Mix, Dimetapp Children's Nighttime Flu, Multi Symptom Cold (Night Formula), Cold Multi-Symptom (Nighttime), Theraflu Nighttime Severe Cold & Cough Caplets, Tylenol Cold Head Congestion Day and Night, Comtrex Nighttime Cold & Cough, XL-3 Xtra Cold and Cough, GNP Cold Relief Plus, Super Strength Sinadrin, Cold Medicine Plus, Allergy Sinus Maximum Strength, Actifed Cold & Sinus, Tavist Allergy/Sinus/Headache, EZ III, Sinutab Maximum Strength Caplets, Triaminicin, Comtrex Allergy Sinus Maximum Strength, Tylenol Allergy Sinus, Comtrex Allergy Sinus Night and Day, Allerest Headache Strength, Sinarest Extra Strength, Phenaphen with Codeine, Capital with Codeine Suspension, Dologen 325, G-Dologen, Actidogesic, Complete Sinus Relief, Sinadrin Plus, Maxiflu CDX, Maxiflu CD, Cocet Plus, Cocet, Phenflu CDX, Phenflu CD, Allerest Sinus, Kolephrin, Hybrid CF, XL-3 Cold Medicine, Sine-Off Sinus/Cold, Tylenol Sinus Congestion and Pain Cool Burst Day Night, Alka-Seltzer Plus Cold & Flu, Tylenol Plus Children's Cold, Comtrex Flu Therapy, Gendecon, Dristan Cold Multi Symptom Formula, Tylenol Sinus Congestion & Pain Nighttime, Comtrex Severe Cold & Sinus, HEB Allergy, Dryphen, Simplet, Comtrex Nighttime Flu Therapy, Tricom, Comtrex Allergy Sinus, Codimal, Comtrex Sinus and Nasal, Chlor-Trimeton Sinus, Covangesic, Trital SR, Rhinogesic, Sinulin, Coricidin HBP Multi-Symptom Cold (Night), Flu Relief BP, Medique Pain-Off, CVS Extra Strength Headache Relief, Extra Pain Relief, Saleto, Exaprin, PainAid Extra-Strength Formula, Arthriten Inflammatory Pain Formula, Genace, Uricalm Intensive, Supac, Goody's Extra Strength, Anacin Advanced Headache Formula, Painaid, Excedrin PM Headache, Bucet, Phrenilin Forte, Dolgic, Marten-Tab, Butex Forte, Triaprin, Orbivan CF, Rhinocaps, Staflex, Comtrex Acute Head Cold, Dristan Cold Maximum Strength, ConRx Pain Reliever, Pamprin Max Menstrual Pain Relief, Soul Pattinson Colour Free Paracetamol 1-5 Years, Promax, Soul Pattinson Colour Free Paracetamol Drops, Soul Pattinson Colourfree Childrens Paracetamol, Panadol Gel Tabs, Soul Pattinson Childrens Paracetamol Elixir, Dymadon, RP Scherer Paracetamol, Paraspen, RP Scherer Paracetamol Liquid-Filled Capsules, Savings Paracetamol, Signature Range Paracetamol, API Healthcare Coloufree Childrens Paracetamol, Soul Pattinson Paracetamol, Terry White Chemists Colour Free Paracetamol Infant Drops, Pharmacist Paracetamol, Goody's Body Pain, Excedrin Back & Body, Excedrin Menstrual Complete, Terry White Chemists Colour Free Paracetamol 1-5 Years, Pharmacy Health Paracetamol, API Healthcare Colourfree Childrens Paracetamol Double Strength, Soul Pattinson Paracetamol Clear Effervescent, Panadol Mini Caps, API Healthcare Paracetamol, Alagesic LQ, Isocet, Cafgesic, Flextra, Durabac, Menstrual Relief Extra Strength, Menstrual Relief Maximum Strength, Saleto-D, Cafgesic Forte, MigraTen, Emagrin Forte (old formulation), KneeRelief, Combiflex ES, Durabac Forte, Menstrual Relief, Midol Maximum Strength Menstrual, PediaCare Cough & Runny Nose Plus Acetaminophen, Vicks NyQuil Cold & Flu Nighttime Relief (Alcohol Free), Coricidin HBP Maximum Strength Flu, Mapap Cough & Sinus Formula, Vicks Formula 44 Custom Care Cough & Cold PM, Colrex Compound, Cotabflu, Menstrual Complete, Rid-A-Pain Compound, Ninjacof-A, 999 Cold Remedy Granular, Zerlor, DHC Plus, Repan, Geone, G-1, Medigesic, Minotal, Femcet, Margesic, Pharmagesic, Anoquan, Two-Dyne, Tenake, Mygracet, Pacaps, Excedrin Quick Tab, Valorin Extra, Hycomine Compound, Sinapils, Panlor DC, Phrenilin with Caffeine and Codeine, Dolgic LQ, Alagesic, Americet, Nonbac, Dolgic Plus, Drixoral Allergy Sinus

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

20170411

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