These are very large doses...I would be surprised if this woman can stay
awake at all!
I would keep nursing and watch for sedation in the infant. According to the
latest Hale, only 3% of maternal dose of Zyrtec gets into the milk.
Benadryl is far more likely to cause drowsiness IF a lot gets into the
milk...which we do not know. IF the allergist chose Benadryl thinking it is
safer for breastfeeding, Zyrtec is actually a better choice.
I would also warn her to watch for a decrease in her milk supply.
Kathy Leeper, MD, IBCLC
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