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Can you take one Xanax while breastfeeding?

Understanding Xanax and Breastfeeding
Xanax, known generically as alprazolam, is a medication commonly prescribed for anxiety and panic disorders. As a member of the benzodiazepine class, it works by enhancing the effects of a neurotransmitter in the brain, leading to a calming effect. However, for breastfeeding mothers, the question of whether it is safe to take Xanax is complex and requires careful consideration.
The Transfer of Xanax into Breast Milk
Research indicates that Xanax can indeed transfer into breast milk, albeit in small amounts. This means that when a breastfeeding mother takes Xanax, her infant may ingest trace amounts of the drug through breastfeeding. While many mothers report using Xanax without noticeable issues, there are potential risks involved. Infants exposed to Xanax may experience symptoms such as drowsiness, agitation, or feeding difficulties.
Short-Term Use vs. Long-Term Use
For mothers considering a single dose of Xanax, the consensus among healthcare professionals is generally reassuring. After taking a single dose, there is typically no need to wait before resuming breastfeeding . However, if Xanax is used long-term, it is crucial to monitor the infant for signs of sedation, poor feeding, or inadequate weight gain. This monitoring is essential because prolonged exposure to the drug can lead to more significant health concerns for the baby.
Weighing Risks and Benefits
The product labeling for alprazolam advises against its use during breastfeeding due to the potential risks to the infant. However, healthcare providers often emphasize that the benefits of treating severe anxiety or panic disorders may outweigh these risks in certain situations. Each case is unique, and mothers are encouraged to discuss their specific circumstances with their healthcare providers to determine the best course of action.
Conclusion
In summary, while taking one Xanax while breastfeeding may not pose immediate risks, it is essential for mothers to approach this decision with caution. The potential for the drug to affect the infant, particularly with long-term use, necessitates careful monitoring and consultation with healthcare professionals. Ultimately, the decision should be made collaboratively, considering both the mother’s mental health needs and the baby’s well-being.

Can you take Xanax when breastfeeding?

While you’re taking other types of benzodiazepines, doses that make you high, or pills that aren’t from a pharmacy, it isn’t safe to chest/breastfeed. Benzodiazepines like Valium (diazepam), Xanax (alprazolam), Klonopin (clonazepam) and Ativan (lorazepam) are “downers”.

When should Xanax not be taken?

Taking Xanax with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

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.

Which drugs cannot be taken when breastfeeding?

ANSWER: Only a few drugs pose a clinically significant risk to breastfed babies. In general, antineoplastics, drugs of abuse, some anticonvulsants, ergot alkaloids, and radiopharmaceuticals should not be taken, and levels of amiodarone, cyclosporine, and lithium should be monitored.

Does anxiety pass through breast milk?

Cortisol is your body’s primary stress hormone, and it controls much of your feelings. Studies have shown that breast milk from distressed mothers may contain higher levels of cortisol.

What can I take for anxiety 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.

What medication is used for anxiety in nursing?

Anxiolytics Nursing Interventions

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

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.

What are nursing considerations for Xanax?

Nursing Considerations of Alprazolam Usage. Before starting alprazolam therapy, assess the patient for the degree of anxiety, drowsiness, dizziness, light-headedness, and motor and autonomic responses, and initiate fall precautions. Check if the patient has agitation, trembling, cold, and clammy hands with diaphoresis.

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.

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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