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What category is Prozac in breastfeeding?

Understanding Prozac and Breastfeeding
Prozac, known generically as fluoxetine, is a widely prescribed antidepressant that falls under the category of selective serotonin reuptake inhibitors (SSRIs). Its use during breastfeeding raises important considerations regarding safety for both the mother and the infant.
FDA Classification and Recommendations
The U.S. Food and Drug Administration (FDA) classifies fluoxetine as a Category C medication for breastfeeding. This classification indicates that while animal reproduction studies have shown an adverse effect on the fetus, there are no adequate and well-controlled studies in humans. Therefore, the potential benefits of using Prozac may warrant its use in pregnant or breastfeeding women despite potential risks.
Risks and Benefits
Research indicates that fluoxetine can pass into breast milk, and the concentration of the drug in breast milk is generally higher than that of many other SSRIs. Notably, the active metabolite of fluoxetine, norfluoxetine, can also be detected in the serum of most breastfed infants during the first two months postpartum. This raises concerns, particularly for newborns under two months of age, who may be more susceptible to side effects.
Despite these risks, healthcare providers often weigh the benefits of treating maternal depression against the potential risks to the infant. In some cases, the therapeutic benefits of Prozac for the mother may outweigh the risks associated with breastfeeding.
Clinical Guidance
Given the complexities involved, it is crucial for breastfeeding mothers considering Prozac to consult with their healthcare providers. The decision to use fluoxetine while nursing should be made on a case-by-case basis, taking into account the mother’s mental health needs and the infant’s health status. The general recommendation is to avoid fluoxetine in breastfeeding mothers, especially if the infant is very young.
In summary, while Prozac is classified as a Category C medication for breastfeeding, its use should be approached with caution, and ongoing communication with healthcare professionals is essential to ensure the safety and well-being of both mother and child.

What is L2 in breastfeeding category?

L2 – Probably Compatible Drug which has been studied in a limited number of breastfeeding women without an increase in adverse effects in the infant. And/or, the evidence of a demonstrated risk which is likely to follow use of this medication in a breastfeeding woman is remote.

Is Prozac a Category C?

Prozac is a pregnancy category C medication, meaning it should only be taken during pregnancy if the potential benefits outweigh the risks to your fetus.

Is Prozac safe to take while breastfeeding?

Fluoxetine and breastfeeding
Fluoxetine passes into breast milk, usually in fairly small amounts. It has been linked with side effects in a few breastfed babies, but has been used by many breastfeeding mothers without any problems.

What is the hardest antidepressant to come off of?

Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are the most likely antidepressants to cause withdrawal symptoms. Listed according to their risk of causing withdrawal, they include: With a high risk of withdrawal: Desvenlafaxine (Khedezla, Pristiq)

Is Prozac good for postpartum?

Prozac for Postpartum Depression User Reviews. Prozac has an average rating of 9.8 out of 10 from a total of 4 reviews for the treatment of Postpartum Depression. 100% of reviewers reported a positive experience, while 0% reported a negative experience.

What are Category C drugs?

Category C
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

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 category does Prozac fall under?

Fluoxetine is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI).

Is Prozac a Schedule 2 drug?

Prozac is a Schedule 4 medicine (prescription only).

What is L3 breastfeeding category?

Lactation Risk Categories Explained
They have given each medication a rating from Safest (L1) to Hazardous (L5). L3 Probably Safe: No studies, but expert opinion suggesting safety. Risk to the infant is possible, and further evaluation must be taken to consider individual situations.

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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