Migraine Medications in Breast Feeding

Aka: Migraine Medications in Breast Feeding, Headache Medications in Lactation

II. Indications

  1. Postpartum Migraine Headaches while lactating

III. Management: Abortive medications considered Lactation compatible

  1. Acetaminophen (Tylenol)
  2. Caffeine
  3. Ibuprofen or Naproxen
  4. Prednisone (or Prednisolone)
  5. Magnesium Sulfate
  6. Sumatriptan
  7. Metoclopramide (Reglan)
  8. Prochlorperazine
  9. Diphenhydramine (Benadryl)

IV. Management: Prophylactic medications considered Lactation compatible

  1. Propranolol
  2. Nadolol
  3. Timolol
  4. Verapamil
  5. Valproic Acid

V. References

  1. (1994) Pediatrics 93:137-50 [PubMed]
  2. Mayans (2018) Am Fam Physician 97(4): 243-51 [PubMed]
  3. Silberstein (2004) Neurol Clin 22:727-56 [PubMed]

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