Can I take bupropion while breastfeeding?

Understanding Bupropion and Breastfeeding
Bupropion, commonly known by its brand name Wellbutrin, is an antidepressant that is sometimes prescribed to help manage depression and anxiety. For breastfeeding mothers, the question of whether it is safe to take bupropion while nursing is crucial, as it directly impacts both maternal mental health and infant safety.
Current Research and Recommendations
The available research on bupropion and breastfeeding is limited but suggests that it can be used with caution. Studies indicate that when taken at maternal doses of up to 300 mg daily, bupropion produces low levels in breast milk. These levels are generally not expected to cause adverse effects in breastfed infants. However, the data on its effects in newborns and preterm infants is sparse, leading some experts to recommend alternative medications, especially for those in the early stages of breastfeeding.
Monitoring for Side Effects
While the risk appears low, it is essential for breastfeeding mothers taking bupropion to monitor their infants closely for any potential side effects. Reports have indicated that some infants may experience symptoms such as sedation, mood changes, feeding difficulties, or weight fluctuations. Additionally, there have been isolated case reports of seizures in infants, although these instances are rare.
The Importance of Maternal Mental Health
It’s important to recognize that maternal mental health is a significant factor in the overall well-being of both mother and child. For many women, the benefits of treating depression or anxiety with bupropion may outweigh the potential risks associated with breastfeeding. Experts emphasize that if bupropion is necessary for a nursing mother, it should not automatically lead to the discontinuation of breastfeeding.
Conclusion
In summary, while bupropion can be taken during breastfeeding, it is advisable to do so under the guidance of a healthcare provider. Close monitoring of the infant for any adverse effects is crucial, and mothers should feel empowered to discuss their mental health needs with their doctors to find the best treatment plan that supports both their well-being and that of their child.

Is Wellbutrin for anxiety or ADHD?

Technically, the use of Wellbutrin to treat ADHD is what’s called an “off-label” use. Officially, it is only approved by the FDA to treat depression, bipolar disorder, and as a smoking cessation aid. But doctors also sometimes recommend it to help with symptoms of anxiety and ADHD.

Is it safe to take bupropion while breastfeeding?

Summary of Use during Lactation
Limited information indicates that maternal bupropion doses of up to 300 mg daily produce low levels in breastmilk and would not be expected to cause any adverse effects in breastfed infants.

Can antidepressants decrease milk supply?

Serotonin plays an important role in human breast milk volume homeostasis within the mammary gland during lactation. Previous research has demonstrated that women taking antidepressants have lower rates of breastfeeding intention and initiation, and are more likely to experience delayed secretory activation.

Does Wellbutrin dry up breast milk?

Some women experiences changes in the milk supply while on Wellbutrin. Therefore, tell your doctor if you see this drug is causing suppressed milk production.In conclusion, always take your medication as prescribed by your doctor.

What medication is not safe for breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

• codeine phosphate.
• decongestants that come as tablets, liquids or powders that you swallow.
• some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
• aspirin for pain relief.

When should you not take bupropion?

Bupropion should not be taken with or within two weeks of taking monoamine oxidase inhibitors (MAOIs). These include phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), rasagiline (Azilect®), and selegiline (Emsam®).

How much weight do people lose on Wellbutrin?

The average weight loss on Wellbutrin is around 5-10 pounds. However some patients can lose up to 20 pounds, depending on the dosage and intended use.

What is the safest antidepressant while 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.

Does Wellbutrin affect the baby?

There is no evidence that use of bupropion in pregnancy causes miscarriage, stillbirth, preterm birth, or low infant birth weight.

When does Wellbutrin peak in breast milk?

Results: After a 100-mg dose, the peak bupropion breast milk concentration measured at two hours was 0.189 micrograms/mL. Milk-to-plasma ratios ranged from 2.51 to 8.58 over a six-hour interval.