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Pregnancy, breastfeeding and fertility while taking codeine

Codeine and pregnancy

Codeine can be taken in pregnancy, although long-term use is not recommended.

If you take codeine at the end of pregnancy there's a risk that your baby will be used to having codeine. This means that they may have withdrawal symptoms. If this happens, your baby may need extra time in hospital after delivery for observation.

It is important to treat pain in pregnancy. For some pregnant women with severe pain, codeine might be the best option. Your doctor can help you decide what's right for you and your baby.

Codeine and breastfeeding

Do not take codeine if you're breastfeeding. Small amounts of codeine pass into breast milk and can cause breathing problems in your baby and make them feel drowsy.

Talk to your doctor or pharmacist, as they will be able to recommend a more suitable painkiller.

Codeine and fertility

If you're taking codeine for a short time and at normal doses, there's no evidence that it reduces fertility in either men or women.

However, if you've been taking it for a long time and you're concerned about your fertility, or you're trying to get pregnant, speak to a pharmacist or your doctor.

Non-urgent advice: Tell your doctor if you're:

  • trying to get pregnant
  • pregnant
  • breastfeeding

Page last reviewed: 31 January 2022
Next review due: 31 January 2025