Is Dextromethorphan compatible with breastfeeding? Do we have alternatives for Dextromethorphan?

Dextromethorphan

March 22, 2018 (Very Low Risk)

Cough suppressant related with morphine and codeine which is lacking of analgesic or sedative properties. Commonly prescribed by pediatricians.

On latest update relevant data on breastfeeding was not found.

Because reported low toxicity and mild side effect it is considered to be safe while breastfeeding.

Frequently associated to caffeine and other products that are usually compatible with breastfeeding. Avoid use of multiple drug and alcohol containing medication.

Alternatives

We do not have alternatives for Dextromethorphan since it is relatively safe.

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.

Writings

  • Δεξτρομεθορφάνη (Greek)
  • ديكستروميثورفان (Arabic)
  • Декстрометорфан (Cyrillic)
  • 右美沙芬 (Chinese)
  • デキストロメトルファン (Japanese)
  • C18 H25 NO (Molecular formula)
  • (+)-3-Methoxy-9a-methylmorphinan; (9S,13S,14S)-6,18-Dideoxy-7,8-dihydro-3-O-methylmorphine (Chemical name)
  • R05DA09 (ATC Code/s)

Drug trade names

References

  1. Dextromethorphan Pre-Review Report WHO 2012 Full text (in our servers)
  2. Dextrometorfan Ficha técnica 2012 Full text (in our servers)
  3. WHO / UNICEF. BREASTFEEDING AND MATERNAL MEDICATION Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs. Department of Child and Adolescent Health and Development (WHO/UNICEF) 2002 Full text (link to original source) Full text (in our servers)
  4. Nice FJ, Snyder JL, Kotansky BC. Breastfeeding and over-the-counter medications. J Hum Lact. 2000Abstract
  5. Bem JL, Peck R. Dextromethorphan. An overview of safety issues. Drug Saf. 1992Abstract