What painkillers should I take for toothache?
The drug ibuprofen is considered to be the remedy of choice for toothache in the lactation period. Due to its additional anti-inflammatory effect it is also very popular. The maximum daily dose stated in the package insert should not be exceeded.
No significant concentrations of the active ingredient or its breakdown products in breast milk could be detected under this dosage. Consequently, there is no particular risk to the infant. Dental drugs for local anaesthesia, which are administered as injections, only enter the breast milk in very small quantities and are not considered harmful to children who are breastfed, except for prilocaine. Stronger painkillers, such as opiates, must not be used during breastfeeding, as they have a respiratory and circulatory depressive effect and could lead to respiratory and circulatory arrest in the infant through breast milk.
Which painkillers are recommended for the aftermath?
The afterpains are caused by the regression of the uterus to its original size. Especially during breastfeeding, strong afterpains can occur. This is caused by the hormone oxytocin, which is released when the baby is placed against the breast.
On the one hand, oxytocin ensures that the flow of milk is stimulated and that the baby can be supplied with sufficient breast milk. On the other hand, the hormone also triggers contractions of the uterus, which lead to the regression of the uterus. The afterpains weaken over time.
If the afterpains are particularly prolonged, a gynaecologist should be consulted, as this could be a dysfunction of the uterus. To reduce the pain of the after-effects, special breathing exercises are recommended during breastfeeding. The application of warmth to the abdomen using cherry pit pillows or warm compresses can help relieve the cramps and ease the pain.
Midwives recommend the homeopathic remedy Spascupreel for severe afterpain. Ibuprofen can of course also be used to treat the pain. However, it should not be used daily during the nursing period. A doctor should be consulted if the pain persists.
