Can I Take Midol While Breastfeeding?

Menstrual pains can be some of the most intense and frustrating discomfort menstruating individuals experience on a regular basis. Whether your period comes every month or less frequently, the aches and pains can be dreadful regardless. And while you won’t menstruate while pregnant, your period will eventually return postpartum.

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While you might be tempted to turn to the same pain relief that you used before pregnancy, there are more things to consider now than before, especially if you’re breastfeeding. Because it’s possible to transfer your medications to your breastmilk, it’s important to be careful with what you’re putting into your body.

Midol, a popular pain reliever that people take to alleviate period discomfort from cramps and bloating, might be top of mind when those aches return post-baby. While experts say it’s safe for breastfeeding individuals to take at the recommended dosage, they have a few precautions they want you to keep in mind.

What Is Midol?

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Midol is an over-the-counter drug designed to relieve discomfort while on your period. It’s most commonly used to target cramps and bloating during a menstrual cycle, but the different Midol products can help with different pains.

Midol Complete contains three active ingredients: acetaminophen, caffeine, and Pyrilamine maleate.1 The acetaminophen serves as the pain relief, the caffeine works as a diuretic to target bloating, and the Pyrilamine maleate is an antihistamine. Pyrilamine maleate is commonly used in cold medications to cause drowsiness,2 however, Midol says it uses the ingredient to target bloating.3

Is It Safe to Take Midol While Breastfeeding?

Though breastfeeding individuals may not necessarily get their periods right away after giving birth, they may still experience period-like symptoms such as cramping and bloating. If this happens, Sherry Ross, MD, OBGYN, a women’s health expert at Providence Saint John’s Health Center in Santa Monica, says it’s OK for you to take Midol if you choose. However, she recommends always checking with your healthcare provider before taking any medication, even over-the-counter products.

“Women can take safely take Midol while breastfeeding to treat cramps, bloating, fatigue, headaches, and backaches,” Dr. Ross says. “Midol is made up of acetaminophen, caffeine, and pyrilamine to help treat many disruptive symptoms while breastfeeding.”

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Yana Paulson, PharmD, chief pharmacy officer at L.A. Care Health Plan, points out why lactating parents have a difference in menstruation after giving birth. “It is normal for women who are breastfeeding after childbirth to experience changes and likely delays related to their periods (sometimes upwards of several months to a year),” she says. “This is as a result of their body producing higher levels of the hormone prolactin, which usually means they won’t ovulate or release eggs.”

“Acetaminophen as a product is the only listed ingredient [in Midol products] that is likely safe for breastfeeding mothers, and so a product like Midol Long-Lasting Relief [which doesn’t contain active ingredients that Midol Complete does] might serve a purpose for this demographic,” she says. She notes, though, that overall she believes Midol to be safe for breastfeeding people as long as they speak with their healthcare providers first.

As with any drug, there’s a risk of side effects, most commonly an allergic reaction. This can manifest as hives or a rash, but you could also experience swelling. If you experience any kind of reaction after consuming Midol, you should stop taking it immediately and contact your healthcare provider.

Other common but lesser side effects could be drowsiness, constipation, or stomach irritation. These side effects are possible whether or not you’re breastfeeding, but because of the changes your body has gone through in childbirth, you could experience reactions you didn’t previously.

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