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.
Can antidepressants affect breast 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 …
Which antidepressant is safe during 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.
Is Zoloft OK to take while breastfeeding?
For the most part, yes: Zoloft is a safe antidepressant to take while breastfeeding, according to G. Thomas Ruiz, MD, OB-GYN lead at MemorialCare Orange Coast Medical Center. “If you have to medicate someone with postpartum depression or anxiety [who is also nursing], most doctors will go to Zoloft first,” he says.
Will Zoloft affect my milk supply?
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.)
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.
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)
What can Breastfeeding moms take for anxiety?
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.
Can breastfeeding cause anxiety?
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.
Can stress hormones get into breast milk?
Maternal illnesses, along with the medications that are prescribed for these illnesses, can also cause stress and reduce milk supply. One of the hormones, cortisol, can enter into your breastmilk, affecting its contents.
Can Zoloft hurt my baby?
Some studies have indicated babies who are exposed to Zoloft in the womb may develop birth defects such as heart defects. However, most studies show that women who use Zoloft during pregnancy are just as likely to give birth to babies with birth defects as those who do not use Zoloft during pregnancy.
How much Zoloft can you 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 zoloft make you gain weight?
Experts say that for up to 25% of people, most antidepressant medications — including the popular SSRI (selective serotonin reuptake inhibitor) drugs like Lexapro, Paxil, Prozac, and Zoloft — can cause a weight gain of 10 pounds or more.