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Headaches During Breastfeeding
Posted June 2000

Like pregnant women, women who are breastfeeding should minimize taking medication. If they get headaches that require medication, they may take, as needed, acetaminophen, caffeine, and NSAIDs. If necessary, they may also take a narcotic painkiller. Because of sedation, Fioricet or Esgic are used with caution. Antihistamines are not used. Prochlorperazine (Compazine) is the antinausea drug of choice. Ergots and triptans are best avoided. Preventively, beta-blockers, calcium blockers, and Depakote can be used.

Women may take steroids in limited situations for limited periods of time. Antidepressants are utilized with caution, although the SSRIs (selective serotonin reuptake inhibitors, such as Prozac, Zoloft and Paxil) have been widely used during this period.