Taken a co-codamol by accident - breastfeeding!

[pastabest]

DP seems to have put a blister pack of co-codamol he got a while ago for back pain back in a box of ibuprofen. He was taking them at the same time so it will have been accidental and done in a fog of pain/tiredness.

I popped what I thought was 1 ibuprofen at about 6.30 just to take the edge off some period pain, and poured myself a large glass of wine

I've just noticed (when I went to top up the wine) that it was co-codamol, and never haven taken it before googled and now know that you shouldn't drink or breastfeed if you take it.

I feel fine.... so it doesn't look like it's reacted with the alcohol much.

'baby' is 18 months old and will probably wake up somewhere between 12 -1pm wanting a feed. Will scream the house down if one is not available (I'm trying to wean her off but she's not having it).

I don't need to worry too much do I? Or should I be preparing for a bad night if I can't feed her?

The half life of codeine is 3-4 hours, and unless it was prescribed co-codomal the codeine amount is fairly low in over the counter.

There are risks, but increased with newborns, mine were all born before the change in guidelines. The main thing I avoided was decongestants as they can reduce milk supply.

@Elbowedout that’s interesting but must surely be very, very rare? Codeine is regularly used for woman who are in labour and so could imminently be feeding a newborn. I would have thought if it’s ok to take while pregnant then it’s ok to take while breastfeeding?

Yes it is very rare, but given that the potential outcone for those who are unlucky enough to be affected is so dreadful the current advice us to avoid unless there really is no alternative and to use the lowest effective dose for the shortest possible time if you must.
Here is a Breastfeeding Network article on the topic. www.breastfeedingnetwork.org.uk/analgesics/
Generally codeine is not recommended in pregnancy either, especially in the later stages, though for slightly different reasons.
www.nhs.uk/medicines/codeine/
It is also no longer supposed to be used for children under the age of 12. I can't manage to post a link to the article I wanted to share but if you google "RCoA paediatric codeine" you should find a starement on the subject from thecrelevant medical Royal Colleges from 2013 when the guidance was changed.
Of course it is a drug that has been widely used for many years and the proven deaths are very, very few, but it has been suggested that there may have been more problems, just that they weren't recognised as being related to codeine at the time. Current thinking is that maybe it isn't quite as inocuous a drug as has been traditionally thought.

Sounds like OP popped the pill last night; & if harm was going to happen it would have happened by midnight yesterday.

No harm done, so seems OP is not an ultra-metaboliser etc. Nothing to worry about (for OP).

Breastfeed but don't bed share.

I'm pretty sure I'm not a ultra-metaboliser. Not only did it do nothing for the pain but I had very little sleep. DD woke up about 50 billion times from 10pm onwards (normal) and was her usual self.

stargirl DD hates sleeping anywhere other than in her cot bed so no danger of me accidentally falling asleep in there. I've tried.

Thanks all!