Zyrtec-D (cetirizine and pseudoephedrine) has been shown to pass through breast milk, and the drug's label recommends that the medication not be used while breastfeeding. However, every woman's situation is different. You and your healthcare provider may decide that taking Zyrtec-D and breastfeeding is right for you. If this is the case, be sure to watch for side effects in your child.
Zyrtec-D and Breastfeeding: An Overview
Zyrtec-D® (cetirizine and pseudoephedrine) is a non-prescription medication used to treat allergies. Because Zyrtec-D passes through breast milk, the product labeling warns that it is not recommended for use during breastfeeding. Therefore, if you are nursing a child, you should talk with your healthcare provider before taking Zyrtec-D.
Zyrtec-D and Breastfeeding: What Does the Research Say?
Studies have shown that both components of Zyrtec-D (cetirizine and pseudoephedrine) pass through breast milk. Pseudoephedrine passes through breast milk in humans, and cetirizine passes through breast milk in mice and dogs. If your healthcare provider recommends taking Zyrtec-D while breastfeeding, be sure to watch for any side effects in your child. In adults, the drug can cause insomnia, so watch for any irritability or sleep changes in your child.
Talking With Your Healthcare Provider About Zyrtec-D and Breastfeeding
You should talk with your healthcare provider about Zyrtec-D and breastfeeding. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision about Zyrtec-D and breastfeeding that is right for you.
Written by/reviewed by: Kristi Monson, PharmD;Arthur Schoenstadt, MD
Last reviewed by: KristiMonson, PharmD;
List of references (click here):
Zyrtec Web site. Available at: http://www.zyrtec.com/. Accessed February 7, 2008.
Zyrtec-D 12 Hour [package insert]. New York, NY: Pfizer, Inc.;2003 August.
Briggs GG, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation. 7th ed. Philadelphia (PA): Lippincott Williams & Wilkins;2005.
National Library of Medicine (US). Drugs and Lactation Database (LactMED). NLM Web site. Available at: http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT. Accessed February 7, 2008.
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