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Breastfeeding Challenges

Medications

Medications use does not mean stopping breastfeeding. Different medications carry different risk to infants when passed into breastmilk. Learn below about the impact medications have on your breastmilk.

WIC is not responsible for use or misuse of medications. Speak with your doctor if your medication is safe to use while breastfeeding.

Pain Relief Medications

Types:
  • Acetaminophen (Tylenol)
  •  NSAID (Mortin, Ibuprofen, Advil)

 

Is it safe?
  • Acetaminophen is a good fever reducer for breastfeeding mothers. Low percent is transfered into the breastmilk with minimal affects on baby.
  • NSAID is the perferred pain and fever reducer for breastfeeding mothers and safe to use with breastfeeding infants.

Depression Medications

Type: 
  • Sertraline (Zoloft)
  • Fluoxetine (Prozac)
  • Mirtazapine
Is it Safe?
  • Sertraline is found at low levels in breastmilk. The amount ingested by the infant is small and usually not detected. Mother may need extra support with breastfeeding.
  • Fluoxetine is found at high levels in breastmilk. However, if required, it is not a reason to stop breastfeeding. A safe dose as prescribed from your doctor makes fluozetine possible to use during breastfeeding (although, some docotrs may not recommend its use). Some side affects for baby could be colic, fussiness, and drowsiness.
  • Mirtazapine is has been found in doses below 120 mg daily, would not cause affects in breastfed infants. However, if required, it is not a reason to stop breastfeeding. A safe dose prescribed from your doctor makes mirtazapine possible to use during breastfeeding. Exclusive breastfeeding infants should be moniored behavior side affects and adequate growth.

Anxiety Medications

Types:

  • Fluoxetine (Prozac)
  • Citalopram (Celexa)
  • Escitalopram (Lexapro)

Is It Safe?

  • Fluoxetine is found at high levels in breastmilk. However, if required, it is not a reason to stop breastfeeding. A safe dose as prescribed from your doctor makes fluozetine possible to use during breastfeeding (although, some docotrs may not recommend its use). Some side affects for baby could be colic, fussiness, and drowsiness.
  • Citalopram is found at low levels in breastmilk. However, if required, it is not a reason to stop breastfeeding. A safe dose as prescribed from your doctor makes  citalopram possible to use during breastfeeding. Some side affects for baby could be fussiness and drowsiness. Monitor exclusively breastfed infants for exsessive drowsiness, restlessness, irritability, poor feeding and poor weight gain especially if mother is using psychotropic drugs.
  • Escitalopram is found at low levels in breastmilk at doses less than 20 mg daily. A safe dose as prescribed from your doctor makes escitalopram possible to use during breastfeeding. Monitor exclusively breastfed infants for exsessive drowsiness, restlessness, irritability, poor feeding and poor weight gain especially if mother is using psychotropic drugs. Mother may need additional support breastfeeding.

Bipolar Medications

Types: 
  • Sertraline (Zoloft)
  • Escitalopram 
  • Lithium Carbonate
Is it Safe?
  • Sertraline is found at low levels in breastmilk. The amount ingested by the infant is small and usually not detected. Mother may need extra support with breastfeeding.  
  • Escitalopram is found at low levels in breastmilk at doses less than 20 mg daily. A safe dose as prescribed from your doctor makes escitalopram possible to use during breastfeeding. Monitor exclusively breastfed infants for excessive drowsiness, restlessness, irritability, poor feeding and poor weight gain especially if the mother is using psychotropic drugs. Mother may need additional support breastfeeding.
    • Lithium concentration in breastmilk are highly variable. If taken, infants should be monitored for 30-60 days for exclusive breastfeeding. Speak with doctor to be advised with usage while breastfeeding. 

    Look up your medication below to see if appropriate or not while breasfeeding your baby.

    Lactmed Database