Medically reviewed by Debra rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — written by Jayne Leonard on September 13, 2018

In April 2020, the Food and Drug administration (FDA) asked for that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be eliminated from the U.S. Market. They do this recommendation due to the fact that unacceptable levels of NDMA, a probable carcinogen (or cancer-causing chemical), were current in part ranitidine products. People taking prescription ranitidine must talk with their doctor about safe alternate options prior to stopping the drug. Civilization taking OTC ranitidine have to stop taking the drug and also talk v their healthcare provider about alternative options. Rather of acquisition unused ranitidine assets to a drug take-back site, a human being should dispose of them according to the product’s instructions or by following the FDA’s guidance.

You are watching: Can you take pepto while breastfeeding

Pepto-Bismol helps relieve several digestive concerns that pregnant and also breastfeeding women frequently experience, including gas, heartburn, and also nausea.

Many women might be aware that they must avoid taking Pepto-Bismol during pregnancy, yet what around while breastfeeding?

It is unclear whether Pepto-Bismol is safe to take while breastfeeding, but most specialists recommend preventing it. Read on to find out more.

Is it safe?

Share top top PinterestBreastfeeding women have to use alternatives to Pepto-Bismol.
Pepto-Bismol’s active ingredient is bismuth subsalicylate, a type of salicylate. Aspirin’s other name is acetylsalicylic acid, i beg your pardon is another type of salicylate.

Researchers space unsure if bismuth subsalicylate passes into a woman’s breast milk. Other varieties of salicylates, consisting of aspirin, do enter the chest milk, and also they deserve to have harmful impacts on a arising baby.

Some research into aspirin use reports the serum levels of salicylates in breastfeeding infants deserve to reach about 40 percent the the dose taken by the woman.

As a result, the American Academy the Pediatrics recommend that doctors use caution when recommending medications containing salicylates come breastfeeding women.

The national Institutes of wellness in the unified States indicate that breastfeeding ladies use choices to Pepto-Bismol since the energetic ingredient might pass right into breast milk.


The dangers of making use of Pepto-Bismol while breastfeeding room not well-documented. However, in an extremely rare cases, salicylates have actually been linked to Reye’s syndrome in children.

Reye’s syndrome is a severe and potentially fatal condition that reasons swelling that the brain and liver.

Due come the risk of Reye’s syndrome, experts recommend the breastfeeding ladies seek choices to medications that save on computer salicylate, such together Pepto-Bismol.

Other risks associated with Pepto-Bismol usage include:

a black, hairy appearance come the tongueblack stoolinternal bleeding

These impacts are temporary and go far within a couple of days of preventing use.

In rarely cases, Peptol-Bismol can reason ringing in the ears. If a human experiences this side effect, they have to stop acquisition the medication and also see a medical professional immediately.

Also, Pepto-Bismol may interact with other medications, such as:

angiotensin converting enzyme inhibitors, or ACE inhibitorsaspirin and other varieties of salicylateblood thinnerssome antiseizure drugs

Speak come a doctor before taking Pepto-Bismol, particularly if pregnant, breastfeeding, or taking other medications.

Diarrhea usually clears up within a few days without treatment. To reduce symptoms and also discomfort during this time, a person should:

Stay hydrated

Diarrhea reasons the body to lose fluid. Staying hydrated is crucial while breastfeeding because dehydration can reduce the milk supply.

To replace any kind of lost fluids, drink many of liquids. Healthful choices include:

waterdiluted fruit juicesclear brothsrehydrating solutionsisotonic drinks, i m sorry include plenty of sports drinks

Avoid problem foods

Some foodstuffs can do diarrhea worse. These trigger foods vary from human being to person, yet some of the most typical culprits include:

fatty foodsfried foodsspicy mealsdairy products

See a doctor

If diarrhea persists for much more than 2 days, watch a doctor. Castle can aid determine the cause and administer treatment options.

A doctor may recommend a medication that includes loperamide, such as Imodium, Maalox Antidiarrheal, or Pepto Diarrhea Control. This are normally safe to take it while breastfeeding.

However, it is finest to consult a doctor before taking any kind of antidiarrheal preparation, including Pepto-Bismol.

Treating nausea

Some women endure nausea while breastfeeding. The may result from hormone changes, gentle dehydration, or low blood sugar.

To treat nausea in ~ home, the can aid to try:

wearing antinausea or seasickness bands ~ above the wristsdrinking many of fluids to avoid dehydrationeating frequent, nutritious meals to avoid low blood sugar

Treating acid reflux or heartburn

Share on PinterestSleeping ~ above the left next of the human body may aid relieve heartburn.

Lifestyle changes can often provide far-reaching relief native heartburn. This are likewise the safest choices for pregnant and breastfeeding women.

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If residence remedies do not work, a doctor deserve to recommend for sure medications.

Lifestyle changes

To minimize heartburn and acid reflux, a breastfeeding woman deserve to try:

eating several tiny meals a day, rather of three huge onesdrinking water between meals, fairly than through mealschewing food thoroughlynot eating for 2–3 hours prior to bed.avoiding fatty, spicy, or acidic foods, carbonated drinks, chocolate, and also caffeinenot lying down during or after ~ mealsgoing because that a light stroll after eat to encourage digestionensuring that clothes is loosened around the stomachsleeping on the left side of the bodyelevating the head with pillows or bed risers


Some heartburn medicines may be safe to usage while breastfeeding. Talk to her doctor prior to using over-the-counter medications, including: