Hello. I am currently exclusively breastfeeding my healthy 11 week old daughter. I have a history of panic attacks for which I took 50 mg of sertraline daily but weaned off as soon as I found out I was pregnant with no issues until recently when I started back to work. 4 days ago I started to feel waves of chest tightness and anxiety that has progressively gotten worse until last night when I had a full blown panic attack. Today I feel miserable and cannot function at work with the anxiety and waves of chest pain. I called my primary care physician and they could not get me in until tomorrow afternoon. I'm wondering if I could take one of the 1 mg Alprazolam tablets I have until I am able to start on sertraline again? If so, what dosage and frequency is considered safe while breastfeeding and is there a period of time I should wait after taking before breastfeeding or pumping again? Or would discontinuing breastfeeding and pumping/dumping and using formula be better short term? I have been trying to hold off but I'm paralyzed with fear.
Thank you.
Thank you.
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