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Breastfeeding Moms Breastfeeding Moms

zoloft and bf

Posted by on Jun. 29, 2012 at 12:42 PM
  • 4 Replies

 Doctor said its safe, opinions?

by on Jun. 29, 2012 at 12:42 PM
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Replies (1-4):
gdiamante
by Group Mod - Gina on Jun. 29, 2012 at 1:00 PM

Wow, an educated doctor! Keep that one! Yes, safe.

maggiemom2000
by Ruby Member on Jun. 29, 2012 at 4:44 PM

Yes, safe!

From http://kellymom.com/bf/can-i-breastfeed/meds/antidepressants-hale10-02/

The effects of an untreated depressed mom on the infant are significant and hazardous; but the marginal effects of any medication usually are less hazardous than those effects. Treating a mom with postpartum depression (PPD) is much preferable to not treating, since a baby has a better outcome generally (as measured by Bayley scores, measuring interaction skills and speech and language development) when being cared for by a non-depressed parent.

Zoloft is the “best drug choice so far”. It has a low, low transfer rate to breastmilk (17-173 ug/liter) in mothers taking up to 150 mg/day. In one excellent study of 11 mother/infant pairs, the zoloft was undetectable in 7 of the 11 breastfeeding infants’ serum and minimal in the other infants. In two other studies of one and three mother/infant pairs respectively, zoloft was undetectable in the plasma of all 4 infants. A theoretical concern with Zoloft is that some babies may not gain weight as rapidly or as well when breastfed by moms on Zoloft; so weight gain should be monitored and dosage tweaked as necessary.

Drug Hierarchy

When choosing a medication SSRIs are generally the preferred choice for a breastfeeding mother. Side effects from SSRIs are most common in the first 3 months postpartum; so with an older baby, there is little concern. Hale’s “choice hierarchy” is as follows:

  • Zoloft
  • Paxil
  • Celexa
  • Effexor
  • Prozac


aehanrahan
by Group Mod - Amy on Jun. 29, 2012 at 7:32 PM
What they said. ^^^
Posted on CafeMom Mobile
aehanrahan
by Group Mod - Amy on Jun. 29, 2012 at 7:32 PM
What they said. ^^^
Posted on CafeMom Mobile
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