Hi all-I would like a discussion on antihistamine use please? : ) When a mom has a URI, and much discomfort with congestion, what is the best thing to use? Decongestants like pseudoephedrine are ok, but if mom has an acute otitis, for example, the physician would usually like to have her on an antihistamine. The only one I have seen with a "compatible with breastfeeding" rating by the American Academy of Pediatrics is Dexbrompheniramine, which is combined with Pseudoephedrine in formulations such a Drixoral, an over the counter med. I hesitate to recommend antihistamines of any sort, since they frequently really decrease supply. I'd appreciate comments from you guys, esp. you pharmacy types! Thanks : ) Denise Mollenkopf, RNC, IBCLC [log in to unmask]