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When consuming cold or allergy medications while breastfeeding it is best to avoid combination products to reduce the unnecessary drug exposure common in these medications. Nasal sprays are preferable to pills as they reach the milk in significantly lesser quantities. Most antihistamines are safe for the baby, but may cause a reduction in milk supply for mom. Decongestants are preferable in the nasal sprays, but pseudoephadrine in small doses, after your infant is six weeks old, is normally acceptable.