When a mother takes sertraline, only a small amount of the drug passes into the breast milk. Very small amounts of sertraline and its breakdown product, norsertraline, are found in breast milk. Most published reports on sertraline and breastfeeding reported no harmful effects on the nursing infant.
Are there any antidepressants safe during breastfeeding?
Breastfeeding and antidepressant treatments are not mutually exclusive. Sertraline, paroxetine, nortriptyline and imipramine are the most evidence-based medications for use during breastfeeding.
How much sertraline can I take while breastfeeding?
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 In a pooled analysis of serum levels from published studies and 4 unpublished cases, the authors found that 15 mothers taking an average daily dosage of 83 mg (range 25 to 200 mg) had an average breastmilk sertraline level of 45 mcg/L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).
When does sertraline peak in breast milk?
Conclusion: These data indicate that sertraline levels in breast milk vary substantially over 24 hours and appear to be lowest within the 2 hours before and 1 hour after ingestion of the medication, with the peak probably occurring between Hours 1 and 9 postingestion.
Will sertraline hurt my baby?
Certain selective serotonin reuptake inhibitors (SSRIs).
SSRIs are generally considered an option during pregnancy, including citalopram (Celexa) and sertraline (Zoloft). Potential complications include maternal weight changes and premature birth. Most studies show that SSRIs aren’t associated with birth defects.
What is the safest antidepressant while breastfeeding?
According to Dr. Berens, Zoloft is the best-studied antidepressant among breastfeeding moms, and it is undetectable in the blood of the breastfeeding infant. Paxil is also undetectable in most cases.
Can you breastfeed on anxiety medication?
Most importantly, antidepressants should only be taken during breastfeeding under the supervision and direction of your healthcare provider. 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.
Does Zoloft get into breast milk?
Yes, Zoloft can pass into breast milk. While more research is needed in this area, current research indicates that only a very small amount passes through. (Peak levels in the hindmilk were typically found 8 to 9 hours after a dose.)
How does sertraline make you feel?
How will it make me feel? Antidepressants like sertraline help to jump start your mood so you feel better. You may notice that you sleep better and get on with people more easily because you’re less anxious. You’ll hopefully take in your stride little things that used to worry you.
Can antidepressants affect milk supply?
Antidepressants’ Impact on Milk Production
It has been observed that increases in serotonin levels cause early involution of mammary glands, thereby reducing milk production, which has led to theoretical concerns about milk supply in nursing mothers taking antidepressants with serotonergic properties.
Can you eat bananas with sertraline?
Tyramine-Rich Food Products:Interaction between sertraline and tyramine-rich foods like cheese, milk, beef, chicken liver, meat extract, avocados, bananas, canned figs, soy beans and excess chocolate can result in a sudden and dangerous increase in blood pressure.
Why does sertraline make you gain weight?
It’s also possible that sertraline and other SSRIs may block the effects of hormones that control sodium and fluid in your body, resulting in fluid retention. In short, while weight gain is a known side effect of sertraline and several other antidepressants, experts aren’t yet completely sure why.
What happens if you drink alcohol with sertraline?
Mixing Zoloft with alcohol can exacerbate the symptoms of an upset stomach, possibly resulting in vomiting. Alcohol is a central nervous system depressant that by itself can cause depression. The consumption of alcohol can also worsen the symptoms of depression and make Zoloft less effective in treating these symptoms.
Does sertraline cross the placenta?
Placental passage of sertraline to the infant is low. However, the interindividual variation in maternal concentrations during pregnancy is huge, why therapeutic drug monitoring might assist in finding the poor metabolizers at risk for adversity and increase the safety of the treatment.
How do I wean myself off of sertraline?
One method that people use to quit SSRIs is a medication taper. If you were to taper sertraline, you would gradually reduce your dose over the course of several weeks or months.
- Exercise. Getting about 45 minutes of moderate activity three times a week can improve mood and reduce stress.
- Sleep. …
Is Zoloft safe during third trimester?
Could taking sertraline in the second or third trimester cause other pregnancy complications? Some studies suggest that use of SSRIs, like sertraline, during pregnancy can contribute to pregnancy complications like low birth weight and premature delivery (delivery before 37 weeks of pregnancy).