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is there risk for 20 mgs of Lexapro and a 4 month old? I have read about somnlence and decreased feeding, is that something if you notice when first starting the drug can recede? e;g, like when you start a new drug and you feel side effects but they recede usually so will it in the baby? Or if you notice the somnlence and things should you discontinue drug immediately?
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Dear Jemmie,
Somnolence and decreased feeding are signs of sedation and they can occur at any time, not only at the beginning. In the newborn baby, sedation can lead to apnea and therefore the drug needs to be stopped if the baby is showing signs of sedation. In an older baby, it is less likely that they will develop apnea, however if they are sedated they are less likely to interact with their parents, caretakers, and their environment. These interactions are essential for their development. I hope this is helpful.
Maria Milla, MD
InfantRisk Center -
Dear Jemmie,
Lexapro and Ativan both have fairly long half-lives and even if you are pumping and dumping for two feeds in the morning the medication is still in your system and can be transferred to the baby via breast milk. If your daughter is sleeping most of the day or appears to be less energetic and playful and is not wanting to feed, then it is likely that she is being sedated by the medications you are taking. I would talk to both your doctor and pediatrician regarding this situation. If you have any further question, please contact the InfantRisk Center at (806)352-2519.
Maria Milla, MD
InfantRisk CenterComment
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