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Does Zoloft affect breastfed babies?

Understanding the Impact of Zoloft on Breastfed Babies
Zoloft, known generically as sertraline, is a widely prescribed antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) class. It is commonly used to treat various mental health conditions, including depression and anxiety. For nursing mothers, the question of whether Zoloft affects breastfed babies is crucial, especially given the importance of mental health during the postpartum period.
Safety Profile of Zoloft in Breastfeeding
Research indicates that Zoloft is generally considered safe for breastfeeding mothers. The medication does pass into breast milk, but the amounts are typically small. Most studies and reports suggest that breastfed infants exposed to sertraline do not experience significant adverse effects. In fact, babies who were exposed to sertraline during the third trimester of pregnancy may have a reduced risk of withdrawal symptoms if they are breastfed.
Potential Effects on Infants
While the consensus leans towards Zoloft being safe, it is essential for mothers to remain vigilant. Some infants may exhibit mild side effects, but these occurrences are rare. The most commonly reported issues include slight sedation or irritability, although these effects are not universally observed. Healthcare providers often recommend monitoring the baby for any unusual behavior or symptoms, especially during the initial weeks of breastfeeding.
Recommendations for Nursing Mothers
Healthcare professionals typically advise that mothers discuss their mental health treatment options with their doctors, particularly if they are breastfeeding. Zoloft is often one of the first-choice SSRIs prescribed for postpartum depression (PPD) due to its favorable safety profile. However, each case is unique, and the decision to continue or initiate treatment with Zoloft should be made collaboratively between the mother and her healthcare provider.
Conclusion
In summary, Zoloft is largely regarded as a safe option for breastfeeding mothers, with minimal risk to their infants. The benefits of treating maternal mental health conditions often outweigh the potential risks associated with the medication. As always, ongoing communication with healthcare providers is vital to ensure both the mother’s and baby’s well-being during this critical time.

How does Zoloft affect the fetus?

Sertraline use during the first trimester of pregnancy was associated with an increased risk of atrial/ventricular defects and craniosynostosis above and beyond the effect of maternal depression. Nonsertraline SSRIs were associated with an increased risk of craniosynostosis and musculoskeletal defects.

What is the best anxiety medication to take 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.

Can breastfed babies withdraw from sertraline?

Breastfeeding while taking sertraline:
Most reports show no problems for babies who are exposed to sertraline through breast milk. Babies who were also exposed to sertraline in the third trimester of pregnancy may have a lower chance of withdrawal after birth if they are breastfed.

What are the side effects of Zoloft in newborns?

About 30 percent of babies whose mothers take SSRIs will experience neonatal adaptation syndrome, which can cause increased jitteriness, irritability and respiratory distress (difficulty breathing), among other symptoms.

How are newborns affected by maternal SSRI?

Selective serotonin reuptake inhibitors (SSRIs) are increasingly used for maternal depression during pregnancy; however, their use has been linked to adverse effects in newborns. Respiratory and feeding problems, jaundice, metabolic and temperature dysregulation and hypoglycemia have been described in term infants.

How does sertraline affect a newborn after birth?

Taking sertraline throughout pregnancy and breastfeeding does not seem to have any effects on physical or mental development or behaviour over the first years of the child’s life. There have been several large studies of mums taking antidepressants in pregnancy and the risk of the baby then having ADHD or autism.

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.

What effects do antidepressants have on breastfed babies?

There have been a small number of case reports of adverse events in infants exposed to antidepressants in breast milk, including jitteriness, irritability, excessive crying, sleep disturbance, and feeding problems.

Will Zoloft affect my breastfed baby?

If your doctor or health visitor says your baby is healthy, it is OK to take sertraline while breastfeeding. It is one of the preferred antidepressants to take when breastfeeding and has been used by many breastfeeding mothers without any problems.

How long do Zoloft withdrawals last in newborns?

Most of the time, withdrawal symptoms ease after a few weeks and go away by the time the baby is 6 months old.

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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