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Acetaminophen use while Breastfeeding

Drugs containing Acetaminophen: Tylenol, Percocet, Norco, Vicodin, Fioricet, Lortab, Paracetamol, Tylenol with Codeine #3, Excedrin, Ultracet, Show all 990 »Endocet, Percocet 5/325, Percocet 10/325, Aceta, Excedrin Migraine, Tylenol with Codeine, Mapap, Panadol, Midrin, Tylenol Arthritis Pain, Roxicet, Tylenol Extra Strength, Lorcet, Darvocet-N 50, Esgic, Tylenol PM, Tylenol with Codeine #4, Darvocet-N 100, Percocet 7.5/325, Tylox, Fioricet with Codeine, Alka-Seltzer Plus Cold, Hycet, Primlev, Xartemis XR, Coricidin HBP Cold & Flu, Vicks Dayquil Daytime Cold/Flu, Trezix, Vanquish, Lorcet 10/650, Vicks NyQuil Cold & Flu Nighttime Relief, Vicodin ES, Dologesic, Ofirmev, Bupap, Q-Pap, Perfalgan, Excedrin Extra Strength, Vicks Nyquil D Cold and Flu Nighttime Relief, Migraine Relief, Percogesic, Arthritis Pain Relief, CVS Allergy & Cold, Prodrin, Midol PMS, Coricidin D, Panadol Osteo, Narvox, Dafalgan, Esgic-Plus, Nodolor, Theraflu Flu, Cold and Cough Powder, Zebutal, Doliprane, Singlet, Anexsia, Midol Maximum Strength Menstrual, Tencon, Percocet 7.5/500, Tylenol Cold & Flu Severe, IDA, Cipla Genpharm Paracetamol, Children's Tylenol, Mucinex Fast-Max Night Time Cold & Flu, Vicks NyQuil Severe Cold & Flu, Robitussin Cold Cough and Flu, Flextra, Acephen, Mapap Arthritis Pain, Legatrin PM, Migraine Formula, Xodol, Darvocet A500, Tylenol Cold, Allpanto-S, Sinarest, Pain Relief PM Extra Strength, Triad, Talacen, Vicodin HP, Percogesic Extra Strength, Repan, Vistra, Headache Relief, Anabar, Calpol Six Plus, Vicks Dayquil Cold & Flu Relief, Goody's Extra-Strength Headache Powders, Paracetamol Teva, Alvedon, Amidrine, Aminofen, Tactinal, Efferalgan, Dologen, Promax, Actamin, Lorcet Plus, Percocet 10/650, Coricidin HBP Maximum Strength Flu, Dologesic DF, Ali-Flex, Goody's Headache Powders, Epidrin, Dolmar, Atasol, Wygesic, Sinus Relief, Propacet 100, Setamol, Dolorex, Taminol, Balacet, Unisom PM Pain, Feverall, Calpol Infant, Calpol Paediatric, Orajel Maximum Strength Toothache, Alka-Seltzer Cold and Sinus, Pharbetol, CVS Allergy & Sinus Headache, Congestant, Amadol Paracetamol, Buckley's Complete, Panamax, Paracetamol Zydus, Excedrin PM, Zamicet, Xolox, Menstrual PMS, Syncol, Pamprin Maximum Pain, Claradol, Vicks DayQuil Severe Cold & Flu, Maxidone, Q-Pap Extra Strength, Sudafed PE Cold & Cough, Cough & Cold Relief, Panadol Rapid Handipak, Relagesic, Capacet, Exaprin, Vanatol LQ, Backaid Inflammatory Pain Formula, Percocet 2.5/325, Cough Formula M Multi-Symptom, Vicks Nyquil Sinus, Phrenilin, Ornex, Non-Aspirin PM Extra Strength, Cocet, Norel AD, Tylenol Sinus Severe Congestion Daytime, Tylenol Childrens Paracetamol, Lemsip Max, Tylenol 8 Hour, Bydol, Goody's Body Pain, Triaminic Multi-Symptom Fever, Tramapap, Alpain, Herron Paracetamol, Duogesic, Vicks NyQuil Cold & Flu Nighttime Relief (Alcohol Free), Night Time Pain, Midol PM, Staflex, Zolvit, Acetadryl, CounterAct Night, Flutabs, Genace, Uricalm Intensive, Arthriten, Bayer Migraine Formula, Sudafed Sinus Nighttime Plus Pain, Goody's Extra Strength, Duraflu, Theraflu Multi-Symptom Severe Cold with Lipton Flavors, Combiflex, Sudafed PE Pressure+Pain+Cough, Mucinex Sinus-Max Pressure & Pain, Durabac, Coldonyl, Levacet, Painaid, Delsym Cough+ Cold Night Time, Severe Allergy and Sinus Headache, Co-Gesic, Duocet, Vanacet, Stagesic, Children's Tylenol Plus Cold And Allergy, Benadryl Allergy Plus Cold, Headache Relief PM, Acetaminophen PM Extra Strength, XL-3 Xtra Cold and Cough, Codral Cold and Flu + Cough Day and Night, Excedrin Back & Body, Hydrocet, Dilotab II, Diabetic Tussin Night Time Cold & Flu, Night Time Cold & Flu, Diacetazone, Tylenol Cold & Cough Daytime, Excedrin Mild Headache, Pharmacist Advice Colourfree Childrens Paracetamol Double Strength, Panadol Mini Caps, Terry White Chemists Colour Free Paracetamol 1-5 Years, Migrex, Iso-Acetazone, Trycet, GNP Cold Relief Plus, Capital with Codeine Suspension, Ephed Plus, Sinutab Regular Strength, Migrin-A, Panlor SS, Amcal Childrens Paracetamol 1-5 Years, Cuprofen for Children, Silapap Childrens, Geluprane, Paracetamol Almus, Dolotec, Apra, Panadol Gel Caps, Equaline Pain Relief, Tempol, Paracetamol Arrow, Paracetamol EG, Calpol Fastmelts, Paracets, Panadol ActiFast, Infant's Tylenol, Paracetamol Winthrop, Paracetamol Ranbaxy, Paracetamol Sandoz, Duraxin, Capital w/Codeine, Sinutab Ex-Strength, Kolephrin, Codimal, Comtrex Allergy Sinus Maximum Strength, Adult Cold, Flu & Sore Throat, Vitoxapap, Phenagesic, Alka-Seltzer Plus Cold and Sinus, Menstrual Pain Relief, MigraTen, Mucinex Fast-Max Day Time Severe Cold, CounterAct Day, Trital SR, Sudafed PE Pressure + Pain, Robitussin Peak Cold Nasal Relief, Sinus Congestion and Pain Daytime Cool Ice, Pamprin Multi-Symptom Menstrual Relief, Flextra-650, Delsym Night Time Multi-Symptom, Migralam, Roxilox, Magnacet, Marten-Tab, Sedapap, Protid, Allzital, Bucet, Orbivan, Americet, Cephadyn, KneeRelief, Two-Dyne, Lagesic, Margesic, Anolor 300, Theraflu Warming Relief Daytime Multi-Symptom Cold Caplets, Cold Multi-Symptom (Daytime), Alka-Seltzer Plus Day & Night Cold & Flu Formula Liquid Gels (Day Formula), Tylenol Cold Non-Drowsy Gelcaps, Tylenol Cold Head Congestion Daytime, Contac Severe Cold and Flu Non Drowsy, Flu & Severe Cold & Cough Daytime Powder, Comtrex Non Drowsy Liquigel, Comtrex Non-Drowsy, Theraflu Flu Cold & Cough, Tylenol Cold Max Day, Day Time Multi Symptom, Day Relief Cold and Flu, Alka-Seltzer Plus Flu/Body, Contact Cold and Sore Throat, Non-Drowsy Super Strength Contac Complete, Theraflu Warming Relief Daytime Severe Cold & Cough, Alka-Seltzer Plus Severe Sinus Congestion & Cough (Day Formula), Decorel Forte Plus, Mucinex Fast-Max Night Time Cold & Flu Liquid Gels, Alka-Seltzer Plus Night Cold & Flu Formula Liquid Gels, Alka-Seltzer Plus Severe Sinus Congestion, Allergy & Cough Liquid Gels, Alka-Seltzer Plus Night Severe Cold+Flu Hot Drink Mix, Alka-Seltzer Plus Severe Sinus Congestion & Cough (Night Formula), Alka-Seltzer Plus Multi-Symptom Cold & Flu (Night Formula), 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, Alka-Seltzer Plus Day & Night Cold & Flu Formula Liquid Gels (Night Formula), All-Nite Cold, Delsym Cough+ Cold Day Time, Mucinex Fast-Max Severe Cold, Tylenol Cold Multi-Symptom Severe, Non-Pseudo Cold Relief, Mucinex Children's Multi-Symptom Cold & Fever, Mucinex Children's Cold, Cough & Sore Throat, Tylenol Severe Cold & Flu Night Time, Multi-Symptom Nighttime, NyCair, All-Nite Multi-Symptom Cold/Flu Relief, Mucinex Sinus-Max Day & Night, Mucinex Fast-Max Day & Night, Respa C&C IR, Contac Day and Night Cold and Flu, Robitussin Peak Cold Nighttime Cold + Flu, Contac Cold + Flu (Night) Cooling Relief Liquid, Respa C&C, Diabetic Tussin Night Time Formula, Triaminic Softchews Cough & Sore Throat, Tylenol Plus Children's Cough & Sore Throat, Children's Triacting, Topcare Cough and Sore Throat, Delsym Night Time Cough & Cold, Robitussin Cold + Flu (Nighttime), Alka-Seltzer Plus Severe Cold+Cough Night Liquid, Tylenol Cough & Sore Throat Nightime, Vicks Nyquil Cold & Flu Symptom Relief Plus Vitamin C, Clear Cough PM Multi-Symptom, Night Time Multi Symptom Cold/Flu Relief, Multi Symptom NiteTime, Coricidin HBP Nighttime Multi-Symptom Cold, Vicks Nature Fusion Cold & Flu Nighttime Relief, Tylenol Cold & Cough Nighttime, Mucinex Fast-Max Cold, Flu & Sore Throat Liquid Gels, Tylenol Cold Head Congestion Severe (old formulation), Robitussin Cold + Flu (Daytime), Comtrex Cold & Cough, Mapap Cold Formula, Alka-Seltzer Plus Day Non-Drowsy Cold Formula Liquid Gels, Neocitran Non Drowsy Extra Strength Cold and Flu, Tylenol Plus Children's Cold & Cough, Tusnel-A, Robitussin Peak Cold Daytime Cold + Flu, Daytime Cold & Flu, Contac Complete Cough, Cold & Flu Extra Strength, Alka-Seltzer Plus Day & Night Cold Formula (Day Cold) Liquid Gels, Little Colds Multi-Symptom, Vicks Dayquil Cold & Flu Symptom Relief Plus Vitamin C, Day Time Multi-Symptom Cold/Flu Relief, Multi Symptom Cold (Day Formula), Alka-Seltzer Plus Day Non-Drowsy Cold & Flu Formula Liquid Gels, Day Relief PE, Comtrex Cold and Cough Maximum Strength, Alka-Seltzer Plus Multi-Symptom Cold & Flu (Day Formula), Theraflu Multi-Symptom Severe Cold, Vicks Nature Fusion Cold & Flu Multi-Symptom Relief, Theraflu Daytime Severe Cold & Cough, Maxiflu DM, Theraflu Max-D Severe Cold & Flu, Alka-Seltzer Plus Day Severe Cold+Flu Hot Drink Mix, Cold Head Congestion, Cold Multi-Symptom Severe, ConRx Cold, Alka-Seltzer Plus Severe Cold, Mucus & Congestion, Phenflu DM, Mucinex Fast-Max Cold, Flu & Sore Throat, Mucinex Fast-Max Severe Congestion & Cold, Alka-Seltzer Plus Severe Cough, Mucus & Congestion Liquid Gels, Alka-Seltzer Plus Severe Sinus, Cold & Cough Liquid Gels, Robitussin Severe Multi-Symptom Cough Cold + Flu, Mucus Relief Complete, Anatuss, Tylenol Cold Severe Congestion Daytime, Phlemgesic, Balminil Cough and Flu Sugar Free, Tylenol Cough & Severe Congestion Daytime, Sudafed PE Pressure+Pain+Cold, Mucus Relief Plus, Cold & Cough PE Multi-Symptom, Suphedrine PE Cold & Cough, Alka-Seltzer Plus Severe Sinus Congestion & Cough Liquid Gels, Night Time Severe Cold and Cough, Contac Cold + Flu (Day Formula), Tylenol Plus Children's Cold & Stuffy Nose, Suphedrine PE Sinus Headache, Vicks QlearQuil Daytime Sinus & Congestion, Theraflu Sinus & Cold, Scot-Tussin Original, PMS Relief, Theraflu Cold & Sore Throat, Theraflu Flu & Sore Throat, Excedrin Sinus Headache, Vicks Dayquil Sinus, Tylenol Sinus + Headache Day, Sinutab Sinus Maximum Strength, Aceta-Gesic (old formulation), Major-gesic, Non-Pseudo Sinus Pain & Pressure, Mapap Sinus Congestion and Pain, D-Time Sinus, Day Relief Sinus PE, Congespirin Aspirin Free, PMS Formula Multi-Symptom, Premsyn PMS, Anolor DH5, Liquicet, Back Quell, Otis Clapp Back Quell, Theracodophen Low 90, Dolacet, Panacet, Dolagesic, Zyfrel, Pamprin Cramp Menstrual Pain Relief, Oxycet, Cramp Tabs, Backaid Max, Lurline PMS, Midol PMS Maximum Strength, PainAid Premenstrual Formula, Panadol Menstrual Relief, Perloxx, Midol Maximum Strength Teen Formula, Tylenol Women's Menstrual Relief, Phenylgesic, Apagesic, Bayer Select Sinus Pain Formula, Dristan Cold Non-Drowsy, Contac Sinus, Sine-Off Maximum Strength, Sinutab Maximum Strength Non Drowsy, Tavist Sinus, Allerest No Drowsiness, Sudogest Sinus Maximum Strength, Benadryl Allergy Sinus Headache, Tylenol Sinus Maximum Strength, Genapap Sinus, Actifed Cold and Sinus, HistaFlex, Panritis Forte, Frenadol, Sinutab Maximum Strength, Sinarest Sinus, Suphedrin Plus, Phenapap, Pseudoephedrine Sinus, Ornex Maximum Strength, Suphedrin Sinus, Hyflex-650, Hyflex-DS, RhinoFlex 650, Acuflex, RhinoFlex, Flextra-DS, Genasec, Q-Gesic, Uni-Perr, Myophen, Zgesic, Ed-Flex, Lobac, By-Ache, Sinus Maximum Strength, Be-Flex Plus, Zflex, BP Poly-650, Q Flex, BeFlex, Hy-Phen, Lorcet HD, Pharbetol PM, Aceta-Gesic, Tylenol Severe Allergy, Anacin PM Aspirin Free, Tylenol Sore Throat Nighttime, Coricidin Night Time Cold Relief, Headache Formula PM, Sominex Pain Relief Formula, Pain Reliever PM, Dimetapp Children's Multi-Symptom Cold & Flu, Tylenol Plus Children's Cold & Allergy, Suphedrine PE Severe Cold, Robitussin Multi-Symptom Cold Night Time, Mucinex Children's Night Time Multi-Symptom Cold, Mucinex Sinus-Max Day & Night (Night), Tylenol Cough and Sore Throat Daytime, Mucinex Sinus-Max Night Time Congestion & Cough, Sudafed PE Severe Cold, Theraflu Warming Relief Nighttime Severe Cold & Cough, Delsym Children’s Cough+ Cold Night Time, Wal-Nadol PM Extra Strength, Counteract PM Extra Strength, LarkaDrin, Migrazone, Isocom, Migrapap, Migragesic IDA, Daytime Cold, Daytime Non-Drowsy, Theraflu (pseudoephedrine) Daytime Severe Cold, Severe Cold Multi-Symptom, Migratine, Mitride, ConRx PM, Percogesic Original Strength, Genapap PM, Mapap PM, Bayer Select Max Strength Night Time Pain, Duradrin, Migquin, Midchlor, Alidrin, Sudafed PE Nighttime Cold, Theraflu Nighttime Severe Cold & Cough, Theraflu Warming Relief Cold and Chest Congestion, Emagrin Forte, Tylenol Cold Head Congestion Severe, Sudafed PE Triple Action, Mucinex Sinus-Max Day & Night (Day), Histenol-Forte II, Mucinex Fast-Max Cold & Sinus, Mucinex Sinus-Max Severe Congestion Relief, ConRx Sinus, Sinus Congestion & Pain, Tylenol Sinus Severe Day, Hydrogesic, Margesic H, T-Gesic, Zydone, Duradyne DHC, Verdrocet, Sudafed PE Pressure+Pain+Mucus, Mucinex Sinus-Max Day Time Severe Congestion Relief, Sudafed Triple Action, LuSonex Plus, Duratuss-A, Theraflu Warming Relief Sinus & Cold, Benadryl Allergy Plus Sinus Headache, Benadryl Cold, Contac Day and Night Allergy, Robitussin Severe Multi-Symptom Cough Cold + Flu Nighttime, Tylenol Allergy Multi-Symptom Nighttime, Theraflu Warming Relief Flu & Sore Throat, Benadryl Severe Allergy Plus Sinus Headache, Equate Allergy & Sinus Headache, Tylenol Allergy Complete NightTime, Benadryl Severe Allergy & Sinus Headache, Tylenol Chest Congestion, Theraflu Flu & Chest Congestion, Comtrex Deep Chest Cold, Beechams All-in-One, Tylenol Sinus Day/Night Convenience Pack, Tylenol Sinus NightTime, Actifed Sinus Day and Night, Vicks QlearQuil Nighttime Sinus & Congestion, Alka-Seltzer Plus Severe Allergy Sinus Congestion & Headache, Daytime Cold and Flu Relief, Robitussin Peak Cold Nighttime Nasal Relief, Paracetamol Merck, Paracetamol Ivax, Liquiprin, Paracetamol Qualimed, Adprin B, Country Chemists Paracetamol, St. Joseph Aspirin-Free, Expandox, Efferalganodis, Dolono Infant, Paracetamol Biogaran, Ed-APAP, BF-Paradac, Paracetamol RPG, Triaminic Infant Drops, Lloydspharmacy Paracetamol Infant, Atasol Forte, Paralyoc, Tylenol Cool Caplet Extra Strength, Triaminic Fever Reducer Pain Reliever, Lloydspharmacy Paracetamol Six Plus, DG Health Pain Reliever, Tempra Quicklets, Paracetamol Sandoz Conseil, Tycolene, Uniserts, Efferalgan Pediatrique, Q-Nol, Herron Paracetamol Handy Pack, Anacin Aspirin Free, Conacetol, Dolono, Herron Paracetamol Capseals Handy Pack, Tempra 3, Tylenol Regular Strength, Panamol, Tempra 2, Herron Paracetamol Capseals, Doliprane Adultes, Coles Paracetamol, Dolko Enfants, Redutemp, Vicks Formula 44 Custom Care Body Aches, James Dean Pharmacy Paracetamol, Pain-Eze, ICN Paracetamol, Dolko, Genapap Extra Strength, Doliprane Sans Sucre, Dolitabs, Home Brand Paracetamol, Perfalgan Nourrissons Et Enfants, Acetaminophen-odan, Silapap Infants, Parmol, Mapap Infant Drops, Mandanol Infant, Cetafen Extra, Mid West Products Numol Paracetamol, Febridol, Remedol, Panamax 240, Paralgin, Parahexal, Mandanol 6+, Lemsip Childrens Cold & Flu, Nova Paracetamol, Tylenol Sore Throat Daytime, Mapap Meltaway, Numark Paracetamol, Nyal Paracetamol, No Frills Paracetamol, Alphapharm Paracetamol, Fennings Childrens Cooling, Duatrol SR, Aldi Hedanol Paracetamol, Under Ten Care Infant, Umphamol, Miradol, Galpamol, Disprol Paracetamol, Paldesic, Medinol Paediatric, Medinol Under 6, Disprol Soluble Paracetamol, Infadrops, Mapap Rapid Tabs, Jr. Tylenol, Mapap Extra Strength Rapid Burst, Elixsure Fever/Pain, Infantaire Drops, Lemsip Pharmacy Non-Decongestant Formula, Mandanol, UN-Aspirin Extra Strength, Valorin, Actimol Children's, Dakota Paracetamol, Hedex, Anadin Paracetamol, Cetafen, Masophen, Medinol Over 6, Nortemp Children's, Herron Gold Paracetamol Tabsules, Tempra, Actimol Infant, Sigma Paracetamol, ConRx Extra Strength, PediaCare Infants' Acetaminophen Fever Reducer/Pain Reliever, PediaCare Children's Acetaminophen Fever Reducer/Pain Reliever, Bristol Pharma Paracetamol, Vitapap, Blooms the Chemist Paracetamol, Panadol Extend, Abenol, Paracetamol Soluble, Pharmacy Health Paracetamol Colour Free Childrens, PediaCare Smooth Melts Acetaminophen Fever Reducer/Pain Reliever, Pharmacy Health Own Name Paracetamol for Children, Febrol Solution, Febridol Infant Drops, Accidental Rapatabs, Chem Mart Chemadol Children 1 to 5 Years, Children's Silapap, Lemsip Cold and Flu Liquid Capsule, Pharmacy Health Paracetamol Colour Free Infants and Childrens Drops 1 Month-4 Years, Altenol, Mapap Children's, Capital Chemist Paracetamol, Hexal Comfarol, Black and Gold Paracetamol, Pharmore Paracetamol, Pacimol Caplets, Tylophen, Basics Paracetamol, Genapap, Priceline Paracetamol, Conney Aspirin-Free, Terry White Chemists Paracetamol, Pharmacist Advice Paracetamol, Terry White Chemists Paracetamol Colourfree Children 5-12 Years, Paracare, Sigma Pain Relief, Pain Clear Paracetamol, Biochemie Paracetamol, Pharmaction Paracetamol, Healthsense Pain Relief Drops Children 1 Month to 2 Years, Black And Gold Paraceatmol, Pharmacist Advice Paracetamol Infant Drops, Pain-Eze Paracetamol Infant Drops Colour Free, Bi-Lo Paracetamol, Paraspen Drops, Panadol Colourfree Drops, Pharmacist Paracetamol Infant Drops, Pharmacist Paracetamol Infant Drops Colour Free, Chem Mart Chemadol Colourfree, Chem Mart Chemadol Colourfree Children 5-12 Years, Pharmacist Childrens Paracetamol Colourfree 5-12 Years, Pharmacist Childrens Paracetamol Colourfree 1-5 Years, Pharmacy Health Colour Free Childrens Paracetamol, Gold Cross Paracetamol, Tylenol Cold Sore Throat, Paralgin Paracetamol Tabsules, Panadol Soluble, Childrens Panadol 5 - 12 Years, Help I Have A Headache, Febridol Clear Effervescent, Herron Paracetamol Tabsules, Alpha First Aid Supplies Paracetamol, Guardian Childrens Paracetamol 5-12 Years, Flu Strength Hot Lemon Powders, Panadol Jr, Paineze Paracetamol, Health Care Chemist Paracetamol Infant Drops Colour Free, Genebs, Panadol Childrens, Accidental First Aid Supplies Paracetamol, Guardian Paracetamol, Guardian Paracetamol Tabsules, Rex Paracetamol, Topcare Arthritis Pain Relief, Childrens Panadol 5 - 12 Years Colourfree, Childrens Panadol 1 - 5 Years, Chemists Own Paracetamol Pain & Fever 1 to 5 Years, Chemists Own Paracetamol Pain & Fever 1 Month to 2 Years, Chemists Own Paracetamol Pain and Fever 5 to 12 Years, A-Pak Laboratories Paediatric Analgesic Paracetamol, Chemplus Paracetamol, Chemists Own Paracetamol Capseals, Lemsip Original, Chemists Own Chiildrens Paracetamol 5-12 Years, Lemsip Headcold, Chemists Own Childrens Paracetamol 1-5 Years, Chemists Own Paracetamol, Chemworld Colourfree Childrens Paracetamol Double Strength 5-12 Years, Chemworld Colourfree Childrens Paracetamol Junior 1-5 Years, Benylin Sore Throat, Mapap Rapid Release Gelcaps, Fawns & McAllan Paracetamol, Chem Mart Chemadol Colourfree Childrens 1-5 Years, Childrens Panadol 1 - 5 Years Colourfree, Little Fevers, Children's ElixSure, Chemworld Paracetamol, Chemworld Paracetamol Infant Colour Free, Chem Mart Chemadol, Leader 8 Hour Pain Reliever, Medi-Tabs, Amcal Childrens Paracetamol 5-12 Years, Alka-Seltzer Plus-D Multi-Symptom Sinus & Cold Liquid Gels, Co-Apap, Triaminic Flu, Cough & Fever, Gelpirin-CCF, Contac Cold + Flu (Night Formula), Theraflu Flu & Cough, Contac Cold and Flu Maximum Strength, Comtrex Cold and Flu Maximum Strength Tablet, Comtrex Day and Night, Comtrex Cold and Flu Maximum Strength Liquid, Genacol Maximum Strength, Childrens Tylenol Cold Plus Cough, ConRx Allergy Sinus, Allergy Pain Relief, Tylenol Allergy Multi-Symptom, Dristan Cold Multi Symptom Formula, Tylenol Sinus Congestion & Pain Nighttime, Comtrex Severe Cold & Sinus, Comtrex Flu Therapy, Gendecon, Onset Forte, Allergy Sinus PE Pain Relief, Allergy Multi-Symptom, Pyrroxate, Relief-PE, Contac Severe Cold and Flu Maximum Stength, Comtrex Maximum Strength Cold Relief, PediaCare Flu Plus Acetaminophen, Alka-Seltzer Plus Cold & Cough Formula Liquid, Tylenol Cold Multi-Symptom Nighttime, Tylenol Cold Head Congestion Nighttime, Comtrex Cold & Cough Day Night, PediaCare Multi-Symptom Cold Plus Acetaminophen, Alka-Seltzer Plus Cold & Cough Formula Liquid Gels, Coricidin HBP Day & Night Multi-Symptom Cold, Dimetapp Children's Multi-Symptom Cold & Flu (old formulation), Tylenol Plus Children's Multi-Symptom Cold, Tylenol Plus Children's Flu, Theraflu Nighttime Severe Cold & Cough Caplets, Tylenol Cold Head Congestion Day and Night, Dimetapp Children's Nighttime Flu, Alka-Seltzer Plus Severe Sinus & Cold Hot Drink Mix, Theraflu Warming Relief Nighttime Multi-Symptom Cold Caplets, Triaminic Multi-Symptom Fever & Cold, Comtrex Cold and Flu Maximum Strength, Alka-Seltzer Plus Flu Formula, Alka-Seltzer Plus Severe Cold & Flu Formula Effervescent Tablets, Comtrex Nighttime Cold & Cough, Cold Multi-Symptom (Nighttime), Multi Symptom Cold (Night Formula), Multi Symptom Cold Relief, Tylenol Plus Children's Cold, XL-3 Cold Medicine, Cocet Plus, Aceta w/ Codeine, Codrix, Phenflu CDX, Phenflu CD, Tylenol with Codeine #2, Phenaphen with Codeine, Cold Medicine Plus, Actifed Cold & Sinus, Tavist Allergy/Sinus/Headache, EZ III, Maxiflu CD, Maxiflu CDX, Drixoral Sinus, Drixoral Cold and Flu, Hexaflu, PediaCare Cough & Sore Throat Plus Acetaminophen, Triaminic Cough & Sore Throat, Drixoral Allergy Sinus, Sinadrin Plus, G-Dologen, Dologen 325, Drixoral Cold/Flu, Complete Sinus Relief, Allergy Sinus Maximum Strength, Sinutab Maximum Strength Caplets, Norel SR, Covangesic, Rhinogesic, Alumadrine, Duadacin, Dryphen, HEB Allergy, Hybrid CF, Sine-Off Sinus/Cold, Tylenol Sinus Congestion and Pain Cool Burst Day Night, Alka-Seltzer Plus Cold & Flu, Sinulin, Chlor-Trimeton Sinus, Comtrex Allergy Sinus Night and Day, Tylenol Allergy Sinus, Allerest Headache Strength, Sinarest Extra Strength, Triaminicin, Allerest Sinus, Comtrex Allergy Sinus, Comtrex Sinus and Nasal, Comtrex Nighttime Flu Therapy, Simplet, Tricom, Tylenol Plus Children's Cough & Runny Nose, Coricidin HBP Multi-Symptom Cold (Night), Anacin Advanced Headache Formula, Supac, Arthriten Inflammatory Pain Formula, PainAid Extra-Strength Formula, CVS Extra Strength Headache Relief, ConRx Pain Reliever, Pamprin Max Menstrual Pain Relief, Pharmacy Health Paracetamol, Pharmacist Paracetamol, Terry White Chemists Colour Free Paracetamol Infant Drops, Excedrin Menstrual Complete, Medique Pain-Off, Extra Pain Relief, Triaprin, Orbivan CF, Phrenilin Forte, Dolgic, Prominol, Dristan Cold Maximum Strength, Comtrex Acute Head Cold, Saleto, Excedrin PM Triple Action, Excedrin PM Headache, Rhinocaps, API Healthcare Paracetamol, Soul Pattinson Paracetamol Clear Effervescent, Guardian Childrens Paracetamol, Amcal Paracetamol Tabsules, Pharmacist Formula Paracetamol, Pharmacist Formula Infants, Paraspen, Febridol Syrup for Children, Pain-Eze Paracetamol Infant Drops, Amcal Paracetamol Pain Relief, Ordov Febrigesic Paracetamol, Topcare 8 Hour Pain Relief, Amcal Paracetamol Infant Drops 1 Month to 2 Years, RP Scherer Paracetamol, RP Scherer Paracetamol Liquid-Filled Capsules, Panadol Gel Tabs, Soul Pattinson Colourfree Childrens Paracetamol, API Healthcare Coloufree Childrens Paracetamol, Soul Pattinson Paracetamol, API Healthcare Colourfree Childrens Paracetamol Double Strength, Soul Pattinson Colour Free Paracetamol Drops, Soul Pattinson Colour Free Paracetamol 1-5 Years, Savings Paracetamol, Signature Range Paracetamol, Dymadon, Soul Pattinson Childrens Paracetamol Elixir, Butex Forte, Promacet, Combiflex ES, Emagrin Forte (old formulation), Durabac Forte, Cafgesic Forte, Saleto-D, Zerlor, DHC Plus, Excedrin Quick Tab, Hycomine Compound, Sinapils, Panlor DC, Flextra Plus, Cafgesic, PediaCare Cough & Runny Nose Plus Acetaminophen, Colrex, Mapap Cough & Sinus Formula, Vicks Formula 44 Custom Care Cough & Cold PM, Flu Relief BP, Colrex Compound, Cotabflu, Menstrual Relief, Menstrual Complete, Rid-A-Pain Compound, Ninjacof-A, Valorin Extra, Excedrin Tension Headache, Femcet, Tenake, Geone, Tencet, Fiorpap, Anoquan, Pharmagesic, Axocet, Alagesic LQ, Arcet, Isocet, Endolor, Ezol, Nonbac, Alagesic, Dolgic Plus, Dolgic LQ, Phrenilin with Caffeine and Codeine, Pacaps, Mygracet, Ide-cet, G-1, Medigesic, Minotal, Drixoral Cough/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

20160204

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