What antidepressants are safe for breastfeeding?

Are any antidepressants safe while breastfeeding?

Antidepressants. Antidepressants in general are considered to be relatively safe for use during breastfeeding when clinically warranted, and SSRIs in particular are one of the best studied classes of medications during breastfeeding.

Which antidepressant is contraindicated in breastfeeding?

It is often recommended that when possible, fluoxetine and citalopram should be avoided or used with caution due to the higher infant plasma levels than for other drugs and the possible risk of adverse effects in the infant [7, 29, 40].

Can antidepressants affect milk supply?

“Common antidepressant drugs like fluoxetine, sertraline and paroxetine are known as selective serotonin reuptake inhibitor (SSRI) drugs and while they can affect mood, emotion and sleep they may also impact serotonin regulation in the breast, placing new mothers at greater risk of a delay in the establishment of a …

Is Zoloft safe during breastfeeding?

In general, Zoloft is considered fairly safe for people who are breastfeeding. When thinking about the safety of a medication, doctors will consider the ramifications of not prescribing a medication.

Can you breastfeed on anxiety medication?

If you and your doctor decide that prescribed medication is the best route for you, there are several options which you can take and continue breastfeeding. They include, in no particular order: SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity.

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Which SSRI is best for breastfeeding?

Sertraline and paroxetine (among SSRIs) and nortriptyline and imipramine (among TCAs) are the most evidence-based medications for use during breastfeeding because of similar findings across multiple laboratories, usually undetectable infant serum levels and no reports of short term adverse events.

What can you take for anxiety while breastfeeding?

Zoloft appears to be a safe anxiety medication while breastfeeding. Paxil may also be safe, and Prozac would probably be the last choice among SSRIs for use during breastfeeding. Even with Prozac, known risks and adverse effects are minimal, and only include instances of colic in infants.

Is lorazepam safe for breastfeeding?

Lorazepam has low levels in breastmilk, a short half-life relative to many other benzodiazepines, and is safely administered directly to infants. Evidence from nursing mothers indicates that lorazepam does not cause any adverse effects in breastfed infants with usual maternal dosages.

How much sertraline is in breastmilk?

Drug Levels

Maternal Levels. In a pooled analysis of serum levels from published studies and 4 unpublished cases, the authors found that 15 mothers taking an average daily dosage of 83 mg (range 25 to 200 mg) had an average breastmilk sertraline level of 45 mcg/L (range 7 to 207 mcg/L).

Does serotonin increase milk supply?

Studies with human mammary cells and with mice show that the concentration of serotonin builds up in mammary glands as they fill with milk. The increase in serotonin inhibits further milk synthesis and secretion by suppressing expression of milk protein genes, according to physiologist Nelson D.

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What medications decrease milk supply?

Which medications limit your milk supply?

  • Antihistamines like diphenhydramine (Benadryl) and cetirizine (Zyrtec)
  • Birth control pills containing estrogen.
  • Decongestants and other medications containing pseudoephedrine, like Sudafed, Zyrtec-D, Claritin-D and Allegra-D.
  • Fertility medications like clomiphene (Clomid)

Can Lexapro cause low milk supply?

Summary of Use during Lactation

Limited information indicates that maternal doses of escitalopram up to 20 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months.