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Can I breastfeed while taking Prozac?

Understanding Prozac and Breastfeeding
Prozac, known generically as fluoxetine, is a commonly prescribed antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs). It is frequently used to treat conditions such as depression, anxiety, and obsessive-compulsive disorder. However, for breastfeeding mothers, the question of whether it is safe to continue taking Prozac while nursing is a significant concern.
Safety of Prozac During Breastfeeding
Research indicates that fluoxetine is secreted in breast milk, but the levels are generally low. According to studies, the concentration of fluoxetine in breast milk is about 1.5 to 5% of the maternal dosage. This means that while some medication does transfer to the infant through breast milk, the amounts are typically considered to be minimal.
The American Academy of Pediatrics (AAP) categorizes fluoxetine as usually compatible with breastfeeding, suggesting that the benefits of breastfeeding often outweigh the potential risks associated with medication exposure. However, it is important to note that each situation is unique, and the decision should be made on a case-by-case basis.
Potential Risks and Considerations
While many mothers can safely breastfeed while taking Prozac, there are important factors to consider:
1. Infant Sensitivity: Infants metabolize medications differently than adults, and factors such as age, weight, and overall health can influence how a baby responds to fluoxetine. Newborns, particularly those under six weeks of age, may be more sensitive to medications.
2. Side Effects: Some infants may experience side effects from exposure to fluoxetine through breast milk, such as irritability, feeding difficulties, or sleep disturbances. It’s crucial for mothers to monitor their infants for any unusual behaviors.
3. Consultation with Healthcare Providers: It is essential for breastfeeding mothers to discuss their medication regimen with a healthcare provider. A doctor can provide personalized advice, considering both the mother’s mental health needs and the infant’s well-being.
Conclusion
In summary, while it is generally considered safe to breastfeed while taking Prozac, each situation should be carefully assessed. Mothers are encouraged to maintain an open dialogue with their healthcare providers to ensure that both their mental health and their infant’s health are prioritized. The decision to continue medication should always balance the benefits of breastfeeding with the potential risks of medication exposure.

Is Prozac good for postpartum?

Prozac for Postpartum Depression User Reviews. Prozac has an average rating of 9.8 out of 10 from a total of 4 reviews for the treatment of Postpartum Depression. 100% of reviewers reported a positive experience, while 0% reported a negative experience.

What happens to breastfed babies on antidepressants?

There are also two reports of excessive somnolence, decreased feeding and weight loss in breastfed infants. In studies no adverse effects on the babies were noted. If the baby shows less than expected weight gain it might be prudent to discontinue the drug and change to another SSRI.

What is the best anxiety medication to take while 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.

Can I breastfeed while on Prozac?

If your doctor or health visitor says your baby is healthy, you can take fluoxetine while breastfeeding. Fluoxetine passes into breast milk, usually in fairly small amounts. It has been linked with side effects in a few breastfed babies, but has been used by many breastfeeding mothers without any problems.

Is Zoloft better than Prozac for breastfeeding?

Depressed mothers, in part, do not breastfeed because of their concern about potentially negative effects of antidepressants on their infants. Although sertraline (Zoloft) and paroxetine (Paxol) concentrations are not detectable in infants’ sera, fluoxetine (Prozac) and citalopram (Celexa) do have detectable levels.

What is the best anxiety medication for breastfeeding mothers?

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.

Do newborns withdraw from Prozac?

According to observational studies and meta-analyses of observational studies, approximately one third of the neonates of mothers treated with SSRIs/venlafaxine during pregnancy develop a withdrawal syndrome (Shea et al., 2021; Wang & Cosci, 2021).

How much weight does Prozac make you gain?

Studies: Weight Changes with Prozac
In studies looking at weight changes with Prozac (fluoxetine), weight loss has ranged from about 0.2% of body weight to a gain of about 1%.

What is the safest antidepressant to take while breastfeeding?

Paroxetine and sertraline are the SSRIs of choice during breastfeeding. More evidence is available on the use of SSRIs during breastfeeding than other antidepressant groups and limited data show encouraging outcomes when considering longer term effects on infants.

How does Prozac affect babies?

While reproductive psychiatrists generally agree that SSRIs do not pose a major risk to the developing fetus, there may be a risk of a short-term adaptation syndrome for the newborn as well as a very small risk of preterm birth, low birth weight and persistent pulmonary hypertension of the newborn.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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