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Can you take anxiety medication when breastfeeding?

Can You Take Anxiety Medication While Breastfeeding?
The question of whether anxiety medication can be safely taken while breastfeeding is a complex one, involving considerations of both maternal mental health and infant safety. As many new mothers experience anxiety, particularly postpartum anxiety, understanding the implications of medication use during this period is crucial.
Understanding the Risks and Benefits
Breastfeeding mothers may be prescribed various medications to manage anxiety, including selective serotonin reuptake inhibitors (SSRIs) like Zoloft, which is often recommended for postpartum depression and anxiety due to its favorable safety profile for breastfeeding mothers. Other medications that might be considered include propranolol and certain tricyclic antidepressants. Short-term use of benzodiazepines, such as diazepam or lorazepam, may also be prescribed, but these require careful monitoring.
The primary concern with any medication taken during breastfeeding is the potential transfer of the drug into breast milk and its subsequent effects on the infant. While some medications are deemed safe, others may pose risks. For instance, lorazepam has been shown to have minimal adverse effects on breastfed infants when used at standard maternal dosages, although monitoring for signs of sedation or feeding difficulties is recommended.
Monitoring and Consultation
Healthcare providers typically weigh the benefits of treating maternal anxiety against the potential risks to the infant. It is essential for mothers to have open discussions with their healthcare providers about their symptoms and treatment options. In some cases, the use of medication may be necessary to ensure the mother’s well-being, which in turn supports her ability to care for her child.
For mothers who are prescribed anxiety medications, regular monitoring of the infant is advised. This includes observing for any signs of sedation, poor feeding, or weight gain issues, particularly when benzodiazepines are involved. The decision to use medication should always be individualized, taking into account the specific circumstances of the mother and her baby.
Conclusion
In summary, while it is possible to take anxiety medication while breastfeeding, it is crucial to do so under the guidance of a healthcare professional. Medications like SSRIs and certain benzodiazepines can be used safely, but they require careful consideration and monitoring. The overarching goal is to ensure that both the mother’s mental health and the infant’s safety are prioritized, allowing for a healthier breastfeeding experience.

Should you avoid breastfeeding if you are 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.

What medication is best for postpartum anxiety?

SSRIs (selective serotonin reuptake inhibitors) are the most widely used and most researched medication for postpartum anxiety and postpartum depression.

What medication is used for anxiety in nursing?

Anxiolytics Nursing Interventions

  • Lorazepam.
  • Diazepam.
  • Alprazolam.
  • Clonazepam.

How to stop feeling overwhelmed with breastfeeding?

Practice mindfulness by noticing how your baby’s skin feels, the sounds they are making as they nurse, any scent that you may smell, and the rise and fall of their chest as they breathe. Mindfulness is a form of stress management that you can do while breastfeeding and at other times.

What medications affect milk supply?

For example, antihistamines like Benadryl, Zyrtec, Allegra, etc, or decongestants like Sudafed, can decrease your milk supply. So please call us if you are breastfeeding and need clarification on the safety of a medication or to see if a medication you are taking may be affecting your milk supply while breastfeeding.

What anxiety meds can I take 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.

What to do for anxiety while breastfeeding?

Self-care is crucial for nursing moms’ mental health. Accortt encourages active relaxation, such as deep breathing, gentle yoga poses or a grounding meditation, before each breastfeeding shift. These techniques power down the body’s fight-or-flight instinct, lowering the stress hormone cortisol.

Can you pass anxiety through breast milk?

In line with the fetal programming hypothesis, it might be argued that, when the environment is stressful, mothers could physiologically signal this information to their infants via breast milk cortisol, and infants could subsequently adjust their behavioral phenotype to their (future) environment.

What do nurses take for anxiety?

Antidepressants. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used as first-line treatments for anxiety.

Is it safe to take Xanax while breastfeeding?

A safety scoring system finds alprazolam possible to use during breastfeeding. [1] Because of reports of effects in infants, including sedation, alprazolam is probably not the best benzodiazepine for repeated use during nursing, especially with a neonate or premature infant.

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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