Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/15/2025

Breastfeeding and Cough Suppression

Medication Safety

  • The American Academy of Pediatrics and other medical societies recommend avoiding medications without established safety profiles in breastfeeding when alternative treatments exist 1
  • Non-pharmacologic approaches such as humidification, adequate hydration, and honey are safe first-line options for cough suppression during breastfeeding 2
  • Acetaminophen or ibuprofen are compatible with breastfeeding and can address associated discomfort or fever, according to the American College of Obstetricians and Gynecologists 2, 3
  • The "pump and dump" method does not eliminate the risk of unsafe medications, as they remain in maternal circulation, as advised by the Academy of Breastfeeding Medicine 3

REFERENCES

2

Cyclobenzaprine Use During Breastfeeding: Safety and Alternatives [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

3

Metoclopramide for Lactation Enhancement [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025