The Basics

What is Psyllium?

Fiber laxative that is used to treat occasional constipation or bowel irregularity.

Brand names for Psyllium

Hydrocil, Konsyl, Laxmar, Metamucil

How Psyllium is classified

Cathartics, Gastrointestinal Agents, Laxatives

Psyllium During Pregnancy

Psyllium pregnancy category

Category N/A
Note that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Psyllium while pregnant

Can you take psyllium husk while pregnant? Generally safe.

Taking Psyllium While Breastfeeding

What are recommendations for lactation if you're taking Psyllium?

Is psyllium husk safe while breastfeeding? Few data are available on psyllium use during breastfeeding. However, the drug is not absorbed from the gastrointestinal tract, so it cannot enter the breastmilk. Psyllium is acceptable to use during breastfeeding.[1][2]

Maternal / infant drug levels

Few data are available on psyllium use during breastfeeding. However, the drug is not absorbed from the gastrointestinal tract, so it cannot enter the breastmilk. Psyllium is acceptable to use during breastfeeding.[1][2]

Possible effects of Psyllium on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to Psyllium

(Constipation) Bisacodyl, Docusate, Magnesium Hydroxide, Sodium Phosphate; (Irritable Bowel Syndrome) Linaclotide, Lubiprostone, Plecanatide, Prucalopride.

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/

1. Lewis JH, Weingold AB and the Committee of FDA-Related Matters, American College of Gastroenterology. The use of gastrointestinal drugs during pregnancy and lactation. Am J Gastroenterol. 1985;80:912-23. PMID: 2864852
2. Hagemann TM. Gastrointestinal medications and breastfeeding. J Hum Lact. 1998;14:259-62. PMID: 10205441
3. Faber P, Strenge-Hesse A. Relevance of rhein excretion into breast milk. Pharmacology. 1988;36 (Suppl 1):212-20. PMID: 336852

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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