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Can you breastfeed after taking clonazepam?

Can You Breastfeed After Taking Clonazepam?
Breastfeeding while taking medications can be a complex issue, particularly with drugs like clonazepam, a benzodiazepine commonly prescribed for anxiety and seizure disorders. As of December 2024, the consensus among healthcare professionals is nuanced, balancing the benefits of breastfeeding against potential risks to the infant.
Clonazepam and Breast Milk Transfer
Clonazepam does pass into breast milk, which raises concerns about its effects on breastfeeding infants. Studies indicate that while the drug can be used cautiously during lactation, it is essential to monitor the infant for any adverse effects, such as sedation or drowsiness. The potential for these side effects is particularly heightened if the mother is taking other central nervous system depressants alongside clonazepam.
Guidelines and Recommendations
The product labeling for clonazepam generally advises against its use during breastfeeding. However, some experts argue that the benefits of managing maternal health conditions with clonazepam may outweigh the risks associated with breastfeeding . For instance, low-dose clonazepam has been deemed acceptable for specific conditions like refractory restless leg syndrome during lactation .
Healthcare providers often recommend a careful assessment of the situation. This includes considering the mother’s mental health needs, the dosage of clonazepam, and the infant’s health. Regular monitoring of the infant’s weight and behavior is crucial to ensure they are not adversely affected by the medication.
Conclusion
In summary, while breastfeeding after taking clonazepam is not outright contraindicated, it requires a cautious approach. Mothers should engage in thorough discussions with their healthcare providers to weigh the benefits of breastfeeding against the potential risks posed by the medication. Close monitoring of the infant is essential to ensure their safety and well-being during this period.

Do anxiety meds pass through breast milk?

From the available data, it appears that all medications, including antidepressants, antipsychotic agents, mood stabilizers, and benzodiazepines, are secreted into the breast milk. However, concentrations of these agents in breast milk vary considerably.

Can I breastfeed with clonazepam?

Clonazepam and breastfeeding
It does not usually cause side effects in breastfed babies. If you take clonazepam for a long time, in high doses, or with other medicines, your baby may be more likely to get side effects, although this is still rare.

What is the safest benzodiazepine while breastfeeding?

Lorazepam and oxazepam are the preferred benzodiazepines during breast feeding, if clinically appropriate. Recommendations apply to full term, healthy infants.

Can you have a baby on clozapine?

Your baby’s growth will be more closely monitored in later pregnancy as clozapine use might be linked to increased birth weight. If you have taken clozapine around the time of delivery your baby may require extra monitoring after birth because of the possible risk of neonatal withdrawal.

Is it safe to take clozapine while breastfeeding?

Information about the use of clozapine during breastfeeding is very limited. Some resources suggest that clozapine is concentrated in breastmilk. Drowsiness (being sleepier than usual) was reported in 1 infant exposed to clozapine in breastmilk.

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

How long does Klonopin stay in your breastmilk?

Klonopin and Breastfeeding
Because of its long half-life, Klonopin will likely be present in breastmilk for 1–2 weeks after taking a dose.

What anxiety meds are safe 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.

How long do I need to wait to breastfeed after taking Xanax?

Summary of Use during Lactation
If alprazolam is used long term, monitor the infant for sedation, poor feeding and poor weight gain. After a single dose of alprazolam, there is usually no need to wait to resume breastfeeding.

What are nursing considerations for clonazepam?

Klonopin use during pregnancy may cause adverse effects in the fetus and it is secreted in breast milk. Breastfeeding while taking Klonopin is not recommended. If Klonopin is discontinued abruptly after long term use, it may lead to seizures, tremors, muscle cramping, vomiting, and/or sweating.

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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