Pregnancy and breastfeeding
Choice of medicine by stage of pregnancy and clinical situation.
During pregnancy
Lareb lists paracetamol as first choice when analgesia is needed. Use the lowest effective dose for the shortest time. Discuss any alternative with the treating clinician. Avoid over-the-counter NSAIDs from 20 weeks of pregnancy. Check gestational age and the specific product information before prescribing.
During breast-feeding
For pain, first choose paracetamol. If an NSAID is needed, Lareb lists ibuprofen as the first-choice NSAID during breastfeeding when the infant is healthy and was born at term. Assess separately if the infant was born prematurely or is unwell.
Prescription options
Determine the dose and duration for each patient. Consult the product information for paracetamol and, if an NSAID is needed during breastfeeding, for ibuprofen.
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- Moeders van Morgen Lareb · De behandeling van acute pijn tijdens de zwangerschap · Paracetamol, NSAID’s en overleg bij andere pijnstillers
- Moeders van Morgen Lareb · Paracetamol tijdens de borstvoedingsperiode · Middel van eerste keuze bij pijn
- Moeders van Morgen Lareb · NSAID’s of salicylaten bij pijn tijdens borstvoeding · Voorkeursmiddelen bij een gezonde, voldragen zuigeling
- Farmacotherapeutisch Kompas · Ibuprofen (systemisch) · Contra-indicaties, interacties en zwangerschap