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Is it OK to take Zoloft while breastfeeding?

Understanding Zoloft and Breastfeeding
The question of whether it is safe to take Zoloft (sertraline) while breastfeeding is one that many new mothers grapple with, especially those managing mental health conditions such as depression or anxiety. Zoloft is a commonly prescribed antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications. Its use during breastfeeding has been a topic of considerable discussion among healthcare professionals.
Safety Profile of Zoloft During Breastfeeding
Research indicates that Zoloft is generally considered safe for breastfeeding mothers. Most healthcare professionals agree that the benefits of continuing to breastfeed while on Zoloft typically outweigh the potential risks. Studies have shown that the amount of Zoloft that passes into breast milk is relatively low, and infants do not seem to experience significant negative effects from their mothers taking this medication.
The American Academy of Pediatrics has classified Zoloft as a medication that is usually compatible with breastfeeding. This classification is based on evidence suggesting that while Zoloft does enter breast milk, the concentrations are low enough that they are unlikely to cause harm to a nursing infant.
Weighing Risks and Benefits
When considering the use of Zoloft while breastfeeding, it is crucial to weigh the mental health benefits for the mother against any potential risks to the infant. Untreated maternal depression can have adverse effects on both the mother and the child, including impaired bonding and developmental issues. Therefore, maintaining the mother’s mental health through appropriate medication can be vital.
Healthcare providers often encourage mothers to discuss their specific situations, including any concerns about breastfeeding and medication, with their doctors. This collaborative approach ensures that mothers receive personalized advice that considers their health needs and those of their infants.
Conclusion
In summary, taking Zoloft while breastfeeding is generally deemed safe, with most studies and expert opinions supporting its use. However, it is always advisable for mothers to consult with their healthcare providers to make informed decisions tailored to their individual circumstances. This ensures that both the mother’s mental health and the infant’s well-being are prioritized during this critical time.

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.

Does Zoloft cause weight gain?

Sertraline may cause weight gain, although most people don’t experience this. But it’s important to remember that several factors can contribute to weight gain. For example: Untreated depression can lead to loss of appetite and unexpected weight loss.

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 Zoloft safe postpartum?

Expert opinion: Sertraline is one of the safest antidepressants during breastfeeding. In most cases, women already taking sertraline should be advised to breastfeed and continue the medication.

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.

Does Zoloft affect breastfed babies?

Sertraline and breastfeeding
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 does sertraline stay in breastmilk?

Conclusion: These data indicate that sertraline levels in breast milk vary substantially over 24 hours and appear to be lowest within the 2 hours before and 1 hour after ingestion of the medication, with the peak probably occurring between Hours 1 and 9 postingestion.

What is the safest anxiety medication 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.

Does Zoloft cause withdrawal in babies?

A recent report suggests that newborns exposed to selective serotonin reuptake inhibitors (SSRI) antidepressants such as Prozac, Zoloft, Celexa and Paxil may be at risk for developing withdrawal symptoms after delivery (Levinson-Castiel 2005).

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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