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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All three medications are compatible with breastfeeding.
We don’t have any data on the transfer of Buspar into breastmilk. However, due to the relatively brief half-life of this medication, it would not likely lead to buildup in the infant’s plasma.
Ativan is OK to use provided its use is short term, intermittent, and at a low dose. This medication has a substantial potential for abuse, so be very careful about how much you use. The infant should be monitored for sedation (not waking up for feedings).
It is probably safe to use sertraline (Zoloft), the breastfed infant receives approximately 0.4- 2.2% of the mother's dose. Zoloft has been extensively studied in many breastfeeding mothers. The data is consistent that levels in milk are quite low and do not normally affect an infant. Sertraline is a preferred antidepressant in breastfeeding moms.
Please call us at the InfantRisk Center if this has not completely answered your question.*(806)352-2519
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