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  • Abilify

    I have bipolar type 2. I managed to make it through my pregnancy with little or no medication. A miracle, I know. I am currently 4 weeks postpartum. At 1 week postpartum, I went into hemorrhagic shock and had to have an emergency D and C. I have been trying to breastfeed with minimal medication. More recently, I had a mental health crisis. I began to suffer from reoccurring intrusive thoughts and suicidal planning. My psychiatrist is out of town and so prescribed 2 mg of Abilify. I didn’t know if I should breastfeed on this medication, so I have been pumping and dumping. My milk supply is beginning to dry up! And I have cried more about giving up breastfeeding than anything else, thus far. The baby is hesitant to take the bottle, and I cry every time I have to feed her. Is it ok to breastfeed on this dose of Abilify? Are there other mood stabilizers that are considered safer? I understand that my doctor prescribed this because it is faster acting. Thank you!

  • #2
    Dear 102riley,

    Abilify is a second generation antipsychotic medication. The estimated amount of the drug that the baby will receive of your dose is 0.9 % which is very small. In general, drugs that penetrate breast milk less than 10 % are preferred during breastfeeding. The time Abilify will be most concentrated in your milk is between 3 to 5 hours after you take the dose so avoid breastfeeding during that time period. You should observe the baby for sedation. If you notice the baby being sleepy, not nursing well or not gaining appropriate weight, there are alternative medications that are compatible with breastfeeding including risperidone, olanzapine, and quetiapine. You can talk with your physician about them. It is important that your condition is treated, and you should be on the medication that works best for you and your condition. If you have further questions, you can call the InfantRisk Center at 806-352-2519.

    Sincerely,
    Cindy Pride, MSN, CPNP
    TTUHSC InfantRisk Center

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