Propranolol and Breastfeeding

Although propranolol does pass through breast milk, it does so in small amounts, which means that problems are unlikely to occur if you take this medicine while nursing. While the Academy of Pediatrics considers it safe to breastfeed while taking propranolol, it's a good idea to watch your infant for any signs of serious problems.

Breastfeeding and Propranolol: An Overview

Propranolol (Inderal®) passes through breast milk in humans. This drug is a beta blocker medication that can lower blood pressure and decrease the heart rate; it could potentially cause problems in a nursing infant. Therefore, you should talk with your healthcare provider before taking propranolol if you are breastfeeding or plan to start.
 

Can I Take Propranolol While Breastfeeding?

Only a small amount of the drug passes through breast milk. However, problems such as a dangerously slow heart rate or very low blood pressure could occur. Therefore, if your healthcare provider decides that it is okay for you to take this medicine while breastfeeding, your infant should be monitored to make sure that no serious problems occur.
 
The Academy of Pediatrics considers propranolol to be compatible with breastfeeding.
 

Talking With Your Healthcare Provider

You should talk with your healthcare provider about breastfeeding while taking propranolol.
 Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
 
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;