Sertraline, paroxetine, nortriptyline and imipramine are the most evidence-based medications for use during breastfeeding.
Subsequently, do antidepressants affect breastfeeding?
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.
Similarly one may ask, can babies withdrawal from citalopram?
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).
What can I take for anxiety while breastfeeding?
Safe medication in breastfeeding
- SSRI antidepressants e.g. sertraline, citalopram, fluoxetine, paroxetine all have anti- anxiety activity. …
- Tri-cyclic antidepressants e.g. amitriptyline, imipramine.
- Beta blockers e.g. propranolol act to reduce heart rate and slow the body and act very quickly.
Do antidepressants affect milk supply?
Antidepressants’ Impact on Milk Production
It has been observed that increases in serotonin levels cause early involution of mammary glands, thereby reducing milk production, which has led to theoretical concerns about milk supply in nursing mothers taking antidepressants with serotonergic properties.
Is Paxil safe when breastfeeding?
Most authoritative reviewers consider paroxetine one of the preferred antidepressants during breastfeeding. [1-7] Occasional mild side effects such as insomnia, restlessness and increased crying have been reported in breastfed infants.
Is cipralex safe while breastfeeding?
Escitalopram is the active S-isomer of the antidepressant, citalopram. Limited information indicates that maternal doses of escitalopram up to 20 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months.
Does citalopram cause weight gain?
How common is weight gain with citalopram? In a study that followed people who had prescribed antidepressants for two years, patients taking citalopram gained an average of 5.9 pounds during that time. Another study found that patients increased their weight by around 0.2% after 6 months of taking the medication.
Should I take citalopram at night?
You can take it at any time of day, but it’s best to stick to the same time every day. You can take it with or without food. If you have trouble sleeping, it’s best to take it in the morning. If you are taking citalopram liquid drops, mix them with water and drink it straight away.
Which SSRI is safest in pregnancy?
Sertraline appears to be one of the safest SSRIs to use in pregnancy, but other SSRIs, such as citalopram, escitalopram, fluoxetine, and vilazodone, are likely safe too. Studies suggest that there is little risk with taking SSRIs during pregnancy, but they still could affect your baby.
How does citalopram feel?
Starting out with some side effects
The first day of taking the pills, they made me feel nauseous. A few days later it got much worse and I was very tired and too dizzy to stand up. I had to call in sick to work and just lay on my sofa (crying a lot because I felt so awful).
What pregnancy category is citalopram?
Safety of Psychiatric Medications During Pregnancy and Lactation
| Drug | FDA pregnancy category* |
|---|---|
| Citalopram (Celexa) | C |
| Escitalopram (Lexapro) | C |
| Fluoxetine (Prozac) | C |
| Fluvoxamine (Luvox)‡ | C |