Can you breastfeed while on psych meds?

Can You Breastfeed While on Psych Meds?
Breastfeeding while on psychiatric medications is a nuanced topic that raises concerns for many new mothers. The intersection of mental health treatment and infant care is critical, as it involves balancing the well-being of both the mother and her child.
Understanding the Risks and Benefits
Research indicates that while there are valid concerns regarding the potential transfer of medications through breast milk, the overall risk of adverse effects on nursing infants is relatively low. Many studies have shown that the benefits of breastfeeding, which include nutritional and emotional advantages for the infant, often outweigh the risks associated with maternal medication use.
The American College of Obstetricians and Gynecologists (ACOG) has acknowledged these complexities, emphasizing that while there are risks associated with psychotropic medications during lactation, the guidelines support the continuation of breastfeeding when clinically appropriate. This is particularly important for mothers who rely on these medications to manage their mental health conditions effectively.
Types of Medications and Their Impact
The types of psychiatric medications that mothers may be prescribed include antidepressants, antipsychotics, and mood stabilizers. Each class of medication has different implications for breastfeeding. For instance, selective serotonin reuptake inhibitors (SSRIs), commonly prescribed for depression, have been studied extensively. Evidence suggests that the levels of these medications in breast milk are generally low, and the risk of significant side effects in infants is minimal.
However, it is crucial for mothers to consult with their healthcare providers to evaluate the specific medications they are taking. Strategies can be implemented to minimize infant exposure, such as timing doses to coincide with breastfeeding sessions or considering alternative medications that may be safer during lactation.
The Importance of Support and Monitoring
Mothers on psychiatric medications should be closely monitored by healthcare professionals throughout their breastfeeding journey. This includes regular assessments of both the mother’s mental health and the infant’s development. The collaboration between psychiatrists, pediatricians, and lactation consultants can provide a comprehensive approach to care, ensuring that both mother and child thrive.
In conclusion, while breastfeeding while on psychiatric medications can be complex, it is often feasible with proper medical guidance. The key is to weigh the benefits of breastfeeding against the potential risks of medication exposure, ensuring that both the mother’s mental health and the infant’s safety are prioritized.

Can you take bipolar meds while breastfeeding?

Lithium and valproate can be used during breastfeeding, after consideration of some specific issues. Recommendations apply to full term and healthy infants.

Can I breastfeed on psych meds?

During lactation, SSRIs can be used with moderate safety. Among mood stabilizers, valproate and carbamazepine are considered safe. Regarding antipsychotics, whenever possible, use of clozapine should be restricted.

Is it safe to breastfeed while on antidepressants?

Antidepressants while breastfeeding
It may be safe to take antidepressant medications while breastfeeding. Although many medications pass into breast milk, most have little or no effect on milk supply or infant well-being.

Which drugs is usually avoided with 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.

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

Can psych meds cause lactation?

Conventional antipsychotics, risperidone, zotepine, and amisulpride are known to elevate prolactin more than other atypical antipsychotic medications. The median time to onset of galactorrhea is 20 days (range, 7–75 days) after commencement of an antipsychotic medication.

Is it OK to breastfeed while on Zoloft?

Zoloft is considered one of the safest antidepressants to take while breastfeeding. Paxil, Pamelor, and Tofranil are also recommended options. Prozac, Celexa, and Effexor may be connected to more possible short-term side effects, but if they’ve worked for you in the past, they might still be worth considering.

Can you breastfeed on antipsychotics?

All antipsychotics pass into breastmilk, but mostly in small amounts. The level of antipsychotics which pass to the baby through breastmilk is lowest for Olanzapine and Quetiapine. This does not mean that you can’t breastfeed with other antipsychotics.

Can you have a baby on bipolar meds?

Some medicines used to treat bipolar disorder carry risks for the baby. Lithium may increase the risk of heart defects and other congenital abnormalities in the baby, though these complications are rare. Some people will need these medications during pregnancy to stay well.

Is it OK to breastfeed on Lexapro?

The study shows that escitalopram is safe for use during breastfeeding. Because its absolute infant dose is lower than that for an equivalent antidepressant dose of rac-citalopram, it may be preferred over rac-citalopram in treating depression in lactating women.