. Author manuscript; available in PMC: 2022 Apr 13.

Published in final edited form as: J Am Coll Cardiol. 2021 Apr 13;77(14):1799–1812. doi: 10.1016/j.jacc.2021.01.057

Table 5.

Antihypertensives & Breast Feeding

Medication Class	Preferred Agents
Calcium Channel Blockers	Nifedipine, Verapamil, Diltiazem
Beta Blockers	Labetalol, Metoprolol, and Propranolol are preferred
ACE-I	Captopril, Enalapril, Benazepril, Quinapril
Diuretics	Hydrochlorothiazide, Spironolactone Safe, can decrease milk production *Exception - chlorthalidone due to risk of fetal jaundice, thrombocytopenia, hypoglycemia and electrolyte abnormalities
Methyldopa	Caution! May exacerbate postpartum depression
ARBs	Insufficient data to recommend their use during breast feeding
Clonidine transdermal patch	Caution! Possible infant/lactation effects