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Breastfeeding with complex PTSD

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    Unfortunately, your doctor is not aware of all the studies that have been completed with the transfer of fluoxetine into human milk. Levels in milk are quite low and thousands of moms have breastfed successfully while using fluoxetine.
    Below is a listing of all the studies that have been published. Overall, the outcome in infants is better in moms who are not depressed.

    Tom Hale Ph.D.

    2.##Isenberg KE. Excretion of fluoxetine in human breast milk. J Clin Psychiatry. April 1990;51(4):169.
    3.##Burch KJ, Wells BG. Fluoxetine/norfluoxetine concentrations in human milk. Pediatrics. April 1992;89(4 pt 1):676-677.
    4.##Taddio A, Ito S, Koren G. Excretion of fluoxetine and its metabolite, norfluoxetine, in human breast milk. J Clin Pharmacol. January 1996;36(1):42-47.
    5.##Lester BM, Cucca J, Andreozzi L, Flanagan P, Oh W. Possible association between fluoxetine hydrochloride and colic in an infant. J Am Acad Child Adolesc Psychiatry. November 1993;32(6):1253-1255.
    6.##Brent NB, Wisner KL. Fluoxetine and carbamazepine concentrations in a nursing mother/infant pair. Clin Pediatr. January 1998;37(1):41-44.
    7.##Kristensen JH, Ilett KF, Hackett LP, Yapp P, Paech M, Begg EJ. Distribution and excretion of fluoxetine and norfluoxetine in human milk. Br J Clin Pharmacol. October 1999;48(4):521-527.
    8.##Nordeng H, Lindemann R, Perminov KV, Reikvam A. Neonatal withdrawal syndrome after in utero exposure to selective serotonin reuptake inhibitors. Acta paediatrica (Oslo, Norway : 1992). March 2001;90(3):288-291.
    9.##Hale TW, Shum S, Grossberg M. Fluoxetine toxicity in a breastfed infant. Clinical Pediatrics. December 2001;40(12):681-684.
    10.##Mohan CG, Moore JJ. Fluoxetine toxicity in a preterm infant. J Perinatol. October-November 2000;20(7):445-446.
    11.##Chambers CD, Anderson PO, Thomas RG, et al. Weight gain in infants breastfed by mothers who take fluoxetine. Pediatrics. November 1999;104(5):e61.
    12.##Epperson CN, Jatlow PI, Czarkowski K, Anderson GM. Maternal fluoxetine treatment in the postpartum period: effects on platelet serotonin and plasma drug levels in breastfeeding mother-infant pairs. Pediatrics. November 2003;112(5):e425.
    13.##Weissman AM, Levy BT, Hartz AJ, et al. Pooled analysis of antidepressant levels in lactating mothers, breast milk, and nursing infants. Am J Psychiatr. June 2004;161(6):1066-1078.

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  • SilasdeLuca
    started a topic Breastfeeding with complex PTSD

    Breastfeeding with complex PTSD

    Hello. My psychiatrist told me I should stop breastfeeding if I’m going to continue on medication. I saw him for the first time on Monday April 20th. I don’t feel right about this.
    Its been difficult to get help or taken seriously. He prescribed me Prozac but not a fast acting medication for my anxiety attacks. Is it possible to continue medication And breastfeed? Should I look around for another psychiatrist who supports my decision to breastfeed?