Frequent question: What is the best antidepressant while 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 I use antidepressants while breastfeeding?

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.

Is it safe to breastfeed while taking Zoloft?

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 anxiety medications safe for breastfeeding?

Safe medication in breastfeeding

They include, in no particular order: SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity. They take 4 to 6 weeks to exert full benefit. Tri-cyclic antidepressants e.g. amitriptyline, imipramine.

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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.

Which drugs are contraindicated during breastfeeding?

Drugs contraindicated during breastfeeding include anticancer drugs, lithium, oral retinoids, iodine, amiodarone and gold salts. An understanding of the principles underlying the transfer into breast milk is important, as is an awareness of the potential adverse effects on the infant.

Which antidepressant may be prescribed to a new mother diagnosed with depression?

Antidepressant Medications

The class of medications prescribed for postpartum depression is known as selective serotonin-reuptake inhibitors (SSRIs), which includes fluoxetine and sertraline. Also effective is venlafaxine, a serotonin-norepinephrine reuptake inhibitor (SNRI).

How much Zoloft can I take while breastfeeding?

In a pooled analysis of serum levels from published studies and 4 unpublished cases, the authors found that 15 mothers taking an average daily dosage of 83 mg (range 25 to 200 mg) had an average breastmilk sertraline level of 45 mcg/L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 anxiety pass through breast milk?

When you experience stress, your body responds by releasing cortisol, adrenaline and norepinephrine. While these hormones can temporarily help your body deal with a stressful situation, over time, they can have a negative effect on your body both physically and emotionally. Stress doesn’t directly affect milk supply.

Why do I get anxiety while breastfeeding?

When women breastfeed, dopamine (a hormone associated with reward) levels decrease for prolactin (milk producing hormone) levels to rise. Heise suggests that, for some women, dopamine drops excessively, and the resulting deficit causes a range of symptoms, including anxiety, anger and self-loathing.

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What anti anxiety medication is safe for pregnancy?

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.

Will Zoloft decrease my 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) fatigue.

Is Xanax bad while breastfeeding?

Breastfeeding while taking Xanax could cause a baby to be more sedated, affecting their breathing. Xanax also can reduce the risks for seizures, so when a baby withdraws from Xanax, they could have a seizure. Most doctors won’t recommend taking Xanax while breastfeeding unless absolutely necessary.

Psychoactive drugs and substances