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Can you take Wellbutrin with breastfeeding?

Can You Take Wellbutrin While Breastfeeding?
The question of whether it is safe to take Wellbutrin, also known as bupropion, while breastfeeding is one that many new mothers grapple with, especially when managing mental health conditions. The consensus among healthcare professionals is that it is generally considered safe to use Wellbutrin during breastfeeding, but there are important considerations to keep in mind.
Understanding Wellbutrin
Wellbutrin is primarily prescribed for major depressive disorder and seasonal affective disorder. It works by affecting neurotransmitters in the brain, which can help alleviate symptoms of depression. However, like any medication, it comes with potential risks and benefits that must be weighed, particularly for breastfeeding mothers.
Safety Profile During Breastfeeding
Research indicates that maternal doses of up to 300 mg of bupropion daily result in low levels of the drug in breast milk. These levels are not expected to cause adverse effects in breastfed infants. In fact, a study involving breastfeeding mothers showed that serum levels of bupropion and its metabolites were undetectable in their infants, with no reported adverse events. This suggests that the risk of significant exposure to the infant is minimal.
However, it is crucial for mothers to remain vigilant. While serious side effects in infants are rare, some potential reactions could include symptoms like vomiting, sedation, diarrhea, or jitteriness. Therefore, monitoring the infant for any unusual behaviors or symptoms is advisable.
Consultation with Healthcare Providers
Before starting Wellbutrin or any medication while breastfeeding, it is essential for mothers to consult with their healthcare providers. Each case is unique, and a healthcare professional can provide personalized advice based on the mother’s health history and the specific circumstances surrounding her mental health needs. They can also help in monitoring the infant for any potential side effects.
Conclusion
In summary, taking Wellbutrin while breastfeeding is generally deemed safe, with low levels of the drug found in breast milk and minimal risk to the infant. However, close observation of the baby for any adverse reactions is recommended, and ongoing communication with healthcare providers is crucial to ensure both the mother’s and the infant’s health are prioritized.

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.

When does Wellbutrin peak in breastmilk?

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.

Is Wellbutrin safe while breastfeeding?

Wellbutrin passes into breast milk, but it’s not known whether the drug may cause side effects in a child who is breastfed. If you’re breastfeeding or considering it, talk with your doctor before taking Wellbutrin.

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.

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.

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 Wellbutrin an SSRI?

No, Wellbutrin is not a selective serotonin reuptake inhibitor (SSRI). Instead, it belongs to a class of drugs called norepinephrine and dopamine reuptake inhibitors (NDRIs). Both SSRIs and NDRIs are antidepressants. However, they work differently in the body.

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.

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.

Can babies withdrawal from Wellbutrin?

There are no reports of third trimester exposure to bupropion and withdrawal symptoms in babies. Some infants whose mothers took other antidepressants near the end of pregnancy have had withdrawal symptoms like irritability, jitteriness, sleep disturbances, or eating difficulties.

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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