Momo: There's not much data on Effexor, that is true. What we have suggests levels in milk are low to modes (6-8%) and that continued breastfeeding after delivery might be beneficial. See below.
As for other suggestions, Duloxetine is a suggestion. Sertraline(Zoloft) and Escitalopram(Lexapro) are the two most popular for depression, but may not work for you.
Tom Hale Ph.D.
From MMM, 2019:
However, recent data (MedWatch, FDA) has suggested that infants exposed in utero to various serotonin reuptake inhibitors such as venlafaxine, may have adverse effects immediately upon delivery. These include: respiratory distress, cyanosis, apnea, seizures, temperature instability, etc. It is not known if these adverse events are due to a direct toxic effect of venlafaxine on the fetus, or due to a discontinuation (withdrawal) syndrome. Studies have shown that these adverse effects may be partially relieved with venlafaxine received through breastmilk.[1]
1.Koren G, Moretti, Kapur B. Can Venlafaxine in Breast Milk Attenuate the Norepinephrine and Serotonin Reuptake Neonatal Withdrawal Syndrome? JOGC 2006 April; 28(4):299-302.
- The recommendations the InfantRisk Center provides are not meant to replace medical advice from your physician. The ultimate decision to breastfeed while taking medications should be based on an informed decision including available data, discussions between a mother, her physician, and the infants’ pediatrician. The decision to take medications during pregnancy should be based available data and a discussion between a mother and her OB/GYN.
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