What are some of the main medical treatments for breast engorgement?

Most of the treatments for breast engorgement can be done at home and are centered around effective removal of milk through frequent (but not excessive) breastfeeding or pumping with proper technique. Medical management usually isn’t required, especially for self-limiting cases of primary engorgement. Over-the-counter pain relievers, such as ibuprofen and acetaminophen, can be taken at the appropriate dose to reduce symptoms and improve comfort. These medications are safe to take while breastfeeding.^[1] Antibiotics are not appropriate for breast engorgement, although they may be used to treat some cases of mastitis.