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.
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