17/03/2026
Dihydrocodeine, should be used sparingly in breastfeeding mothers.
Both the BNF and NHS England state that Dihydrocodeine should only be used at its lowest dosage and for the shortest period possible if other alternatives are available to women who are breastfeeding.
The BNF also states that ‘Specialist sources indicate caution—use the lowest effective dose for the shortest possible duration; monitor infant for adverse effects, including sedation, breathing difficulties, constipation, difficulty feeding and poor weight gain.’
It is concerning to me that trust are sending home women with this opioid, without discussing this information properly and therefore interrupting breastfeeding journeys and possibly putting babies at risk.
I have discussed with my local NHsS trust, whom have welcomed the feedback and are taking this seriously and educating their team going forward.
As it would be impossible for me to contact each and every trust I wanted to get it out there to the families that are wanting to breastfeed their babies.
&breastfeeding