“My doctor wants me to take antidepressants and suggests that I wean my baby, but I don’t want to give up on breastfeeding. ”Yes, but antidepressants should be used with caution. Antidepressant medications currently in use include the serotonin reuptake inhibitors (SRI’s), lithium, tricyclic antidepressants, and St. You might also consider alternatives to medication for depression alternatives to medication for depression. However, there are good reasons not to wean even if your depression must be treated with medication. The most commonly used antidepressants belong to a group of medicines collectively known as SRIs (serotonin reuptake inhibitors), such as Prozac (fluoxetine), Paxil (paroxetine), and Zoloft (sertraline). All these medications act similarly by boosting brain levels of the natural mood-elevating neurochemical, serotonin; they differ mainly in the strength of their action and in possible side effects. Some people do better on one of these drugs than on another. Zoloft seems to be the safest to take while breastfeeding. I was on two antidepressants while I was pregnant with my second son: Zoloft and Wellbutrin. I had a history of depression as a child, and I had also suffered from prenatal depression during my first pregnancy. I was worried about taking both when I was pregnant, but I knew they were generally regarded as safe, so I weighed the risks and benefits and ultimately felt OK about my decision. I did, however, stress out about taking antidepressants while breastfeeding, even though I don't regret my choice to do so. When I took them alone, the Zoloft turned me into a zombie (the psychiatrists call it “flat affect”), and the Wellbutrin didn’t adequately treat my anxiety. I started seeing my new doctor mid-pregnancy, after my previous doctor had refused to refill my Wellbutrin due to what she claimed was a risk of seizure. (There have been case reports of babies having seizures after their mothers took Wellbutrin while breastfeeding.) My new doctor told me what to expect about taking two drugs while breastfeeding. According to one study, she said, Wellbutrin is undetectable in the blood of breastfeeding infants, and Zoloft is also purported to be the safest antidepressant to take while breastfeeding. My new doctor also knew about the case reports of seizures, but she brushed off the study, saying it was too small to be conclusive. She was one of the best in the field, and I trusted her opinion. Once my doctor cleared me for safety, she told me that I should time nursing around the drugs to ensure that the baby received as little of the drugs as possible.
WARNING: SUICIDALITY AND ANTIDEPRESSANT DRUGS ZOLOFT and other antidepressant medicines may increase suicidal thoughts or actions in some people 24 years of age and younger, especially within the first few months of treatment or when the dose is changed. Watch for these changes and call your healthcare provider right away if you notice new or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe. Pay particular attention to such changes when ZOLOFT is started or when the dose is changed. Depression or other serious mental illnesses are the most important causes of suicidal thoughts or actions. Watch for these changes and call your healthcare provider right away if you notice new or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe. Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms. Before taking ZOLOFT, tell your doctor and pharmacist about all prescription and over-the-counter medications and supplements you take or plan to take including: those to treat migraines, psychiatric disorders (including other antidepressants or amphetamines) to avoid a potentially life-threatening condition called serotonin syndrome; aspirin, other NSAID pain relievers, or other blood thinners because they may increase the risk of bleeding. Many women receive advice on the termination of breastfeeding when they need treatment. Conscious continuation of breastfeeding while taking medication is much more important than the possible risk of getting this medication through the mother’s milk. This decision affects many aspects related to the child, the family, and society as a whole. So, what is better: weaning or breastfeeding while taking medications? The traces of the majority of medicinal products are found in breast milk. Some drugs can affect the health of the baby even in small doses but most medications are compatible with breastfeeding. If you are told that you should stop breastfeeding because of the incompatibility of medications, ask your doctor to check the compatibility of the drugs according to the reliable sources. We have mentioned that most drugs can be found in milk only in small quantities. The concentration of substances in breast milk depends on their concentration in the mother’s blood which is measured in micro- or nanograms per milliliter. For comparison, a nursing mother can take the medicine in milligrams or even grams.
Dec 10, 2018. But are these drugs good to have during breastfeeding? If you are gnawing about this, consider reading this MomJunction post about zoloft and. Need to take an antidepressant while nursing? Here's what you need to know about Zoloft and breastfeeding.