Tylenol Cold & Flu Severe use while Breastfeeding. Important: Tylenol Cold & Flu Severe is a drug containing multiple ingredients. Please check each of the links below, where breastfeeding (lactation) information is available. Pediatricians advise against its use in breastfeeding moms. The potential for Reyes and the availability of safer alternatives make its use undesirable when breastfeeding. Motrin or Tylenol are the preferred choices for pain relief for breastfeeding moms. These drugs are not safe for breastfeeding moms to take. Ask your healthcare provider if there is a safer alternative you can take. Ask your healthcare provider if there is a safer alternative you can take. Don't worry about it. After I had my baby, the hospital had me on Motrin 600 and Tylenol 3 (rotated every 4 hours) and obviously they knew I was breastfeeding. QUESTION In light of the recent evidence of adverse events in infants whose mothers use codeine medication, we have been struggling with the issue of how to manage codeine analgesia in our postpartum patients. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site. In breastfeeding mothers, the ultra-rapid conversion of codeine to morphine and tramadol to M1 can result in high and unsafe levels of morphine and M1 in blood and breast milk. 5. Breastfeeding & Tylenol PM. A new mother may find herself up at all hours of the night suffering from the sore and swollen breasts that come along with breastfeeding, even when the baby is fast asleep. Tylenol PM claims to provide relief from pain and sleeplessness, but it has side effects for the baby. Tylenol, or acetaminophen and Advil,or ibuprofen are approved for use while breastfeeding. Benadryl and other allergy medications may reduce your milk supply and also may make the baby drowsy. Antihistamines and decongestants, including Dimetapp and Sudafed, are not recommended while breastfeeding, as they may substantially decrease your milk supply. See Dr. Thomas Hale’s Echinacea is generally recognized to be safe for nursing moms. Garlic eaten raw, cooked, or taken as a supplement can help. Raw is always best, though it's hardest to get down. Garlic eaten raw, cooked, or taken as a supplement can help.