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Can I take Ativan when breastfeeding?

Understanding Ativan and Breastfeeding
When it comes to the use of Ativan (lorazepam) during breastfeeding, the conversation often revolves around safety for both the mother and the infant. Ativan is a benzodiazepine commonly prescribed for anxiety, and its effects on lactation and infant health are critical considerations for nursing mothers.
Safety Profile of Ativan in Breastfeeding
Research indicates that lorazepam has low levels in breast milk, which is a reassuring factor for breastfeeding mothers. Studies have shown that the medication does cross into breast milk, but the concentrations are generally low enough that they are not expected to cause adverse effects in breastfed infants when taken at usual maternal dosages.
The short half-life of lorazepam compared to other benzodiazepines also plays a significant role in its safety profile. This means that the drug is metabolized and eliminated from the body relatively quickly, reducing the potential for accumulation in breast milk.
Recommendations for Use
While lorazepam is considered moderately safe for breastfeeding mothers, it is essential to approach its use with caution. Health professionals often recommend that mothers wait a certain period after taking Ativan before breastfeeding to minimize any potential exposure to the infant. This waiting period can vary, but it is typically suggested to wait at least two to four hours after taking the medication before nursing.
Monitoring and Consultation
Despite the reassuring data, it is crucial for breastfeeding mothers to consult with their healthcare providers before starting or continuing Ativan. Individual circumstances, such as the mother’s overall health, the dosage of lorazepam, and the infant’s health, can influence the decision. Healthcare providers can offer personalized advice and may suggest alternative treatments if necessary.
Conclusion
In summary, while Ativan can be taken during breastfeeding, it is essential to do so under medical guidance. The low levels of lorazepam in breast milk and its short half-life suggest that it is generally safe, but careful monitoring and timing of doses are vital to ensure the well-being of both mother and child. Always consult with a healthcare professional to make informed decisions regarding medication use while breastfeeding.

Is Ativan safe while breastfeeding?

Briittneyc, Ativan is rated an L3-limited data probably compatible. The amount that transfers into breast milk is 2.6-2.9% of your dose. We recommend avoiding the first 2 hours after a dose to nurse as this is when it is most concentrated in the breast milk. This is a low dose so probably ok especially just to travel.

What anxiety medication is safe while breastfeeding?

Safe medication in breastfeeding

  • SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity.
  • Tri-cyclic antidepressants e.g. amitriptyline, imipramine.
  • Beta blockers e.g. propranolol act to reduce heart rate and slow the body and act very quickly.

What medication is used for anxiety in nursing?

Benzodiazepines most commonly used to treat anxiety disorders are clonazepam (Rivotril)*, alprazolam (Xanax) and lorazepam (Ativan). Also used are bromazepam (Lectopam), oxazepam (Serax), chlordiazepoxide (once marketed as Librium), clorazepate (Tranxene) and diazepam (Valium).

Who should avoid Ativan?

Do not use Ativan if you are pregnant. Lorazepam can cause birth defects or life-threatening withdrawal symptoms in a newborn. You should not use this medicine if you have narrow-angle glaucoma, severe respiratory insufficiency, myasthenia gravis, or if you are allergic to Valium or a similar medicine.

What are the effects of Ativan on baby?

When a pregnant woman takes Ativan, the fetus may be at risk for side effects, especially if the benzodiazepine is taken during thelate third trimester. Babies born shortly after the mother has taken a benzodiazepine have hadsymptoms like: Sedation. Slowed breathing.

How long after conscious sedation can I breastfeed?

In summary, the evidence suggests that after a single episode of sedation with midazolam, the level of the drug in breastmilk poses very little risk to the breastfed child and that breastfeeding can therefore be resumed as soon as the mother feels able.

What is a natural anti anxiety while breastfeeding?

Studies show that passion flower and oat are as effective as prescription anxiety medications. Plus, oats can help boost the metabolism of fats and increase milk production for nursing mamas. Melissa (Lemon Balm). Melissa, a member of the mint family, helps ease anxiety and depression and is an effective antiviral.

Which drug is usually avoided with breastfeeding?

Table. Examples of drugs contraindicated in breastfeeding.

Drug Comment
Iodine High doses (>150 micrograms daily) lead to risk of infant hypothyroidism
Lithium Breastfeeding only feasible with rigorous monitoring
Radiopharmaceuticals Contact obstetric information service
Retinoids (oral) Potential for serious adverse effects

Which sedative is safe in breastfeeding?

This includes the benzodiazepines and antihistamines such as promethazine. However, the ‘z- drugs’ (zolpidem and zopiclone) are preferred for the short-term management of insomnia during breastfeeding, as they have shorter half-lives than the benzodiazepines and appear to pass into breast milk in small amounts.

What are nursing considerations for Ativan?

Benzodiazepines cross the placenta and may produce respiratory depression, hypotonia and sedation in neonates. Monitor neonates exposed to Ativan during pregnancy or labor for signs of sedation, respiratory depression, hypotonia, and feeding problems.

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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