“All antidepressants are excreted into breast milk, but most are found at very low or undetectable levels in infant serum,” says Dr. Rebecca Berens, assistant professor of Family and Community Medicine at Baylor College of Medicine in Houston.
Can antidepressants affect breast 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.
Does Lexapro affect breast 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.
Do SSRIs affect milk production?
“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 …
What medications affect breast 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)
When is Zoloft highest 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.
Can Zoloft cause low milk supply?
Potential side effects of Zoloft include: a slight decrease in milk production (however, this is generally correctable with increased feeds or pumping between feeds)
What antidepressant is safe 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.
Can you take anti anxiety meds while breastfeeding?
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.
Is there serotonin in breast milk?
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.
How can I increase my milk supply quickly?
How to Boost Your Milk Supply Fast – Tips From a Twin Mom!
- Nurse on Demand. Your milk supply is based on supply and demand. …
- Power Pump. …
- Make Lactation Cookies. …
- Drink Premama Lactation Support Mix. …
- Breast Massage While Nursing or Pumping. …
- Eat and Drink More. …
- Get More Rest. …
- Offer Both Sides When Nursing.
Can you take serotonin while breastfeeding?
Data suggest that serotonin may affect mother’s milk production. A 2010 study examined the effects of SSRI drugs on lactation using laboratory studies of human and animal cell lines and lactating mice.