i have a 20 month old and a 3 month old and being groggy and sedated and having a migraine is not a good combo, i am not sure what the best thing is for me. i also tried nortryptiline and that made me feel like i had a really bad hangover and fog-brained and i STILL had the headaches. kept telling me it was safe but the more i read about it, the more i think otherwise. I took fioricet one time and it knocked me out and kept my baby up ALL night and i was trying to nurse him while half asleep/ i probably shouldn't have done that, but the dr.
Caffeine may cause irritability and insomnia in a breastfeeding infant if taken in moderate to large doses (greater than 1 cup of coffee daily). It also should not be taken regularly since barbiturates also have the potential for addiction. Fioricet has a long half-life of 40 to 140 hours so it would be in your system for an extended period but is probably compatible with breastfeeding. Butalbital compound (Fioricet) consists of three medications, acetaminophen, caffeine and butalbital. Hydrocodone is a narcotic, and therefore, has the potential for addiction if taken daily. Talk with your physician about preventive therapies available. If you need preventative migraine medication, there are several that are compatible with breastfeeding such as nortriptyline or nifedipine. If you are having migraine headaches daily, Vicodin probably wouldn't be the drug of choice. We are open Monday through Friday, 8 to 5 CDT. If you have further questions, please call us at the InfantRisk Center at 80. If you take oral Imitrex, then you should wait at least 8 hours from your dose before returning to breastfeeding. Hale recommends to wait at least 4 hours from an intramuscular injection of sumatriptan, and your flushing and dizziness have resolved, before returning to breastfeeding. Sumatriptan is a serotonin receptor agonist used for the treatment of migraine headaches. Sumatriptan succinate (Imitrex) is also compatible with breastfeeding. If noted, wait longer from your dose before breastfeeding again.
The time the medication will be highest in your breastmilk is one hour after you take your dose so avoid that time to decrease risk for your infant. Since your child is 2 months of age, you should not exceed 40 mg of hydrocodone in 24 hours and not more than 3000 mg in 24 hours of acetaminophen. Waiting 4 hours from your dose will allow one half-life (time it takes for half of the medication to be eliminated from your system) to pass. Only a small amount of the hydrocodone enters your breastmilk. Vicodin is a combination of hydrocodone and acetaminophen (Tylenol).
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