Originally Posted by jenfl
Here starts the postpartum hair loss..... Handfuls and handfuls!!
me, too, for weeks now!
How long does it last? It's nuts over here! Such a shame it happens right as baby is learning to grab hair... ouch!
So... after some really bumpy up and down days this week, I'm feeling concerned that the SAMe is not what was working, that it was the Zoloft after all. There are some really dark places and messages floating around my head, and I'm trying to keep some distance and just realize it's the depression and I'm not actually a total f*cked up loser... but keeping perspective is hard. So, after a lot of searching and despairing, I think I am going to try going on Prozac. It's not one of the "breastfeeding recommended" drugs, as it does get in the milk more than Zoloft or Paxil, but I have had good results on it before, with few side effects. Paxil just makes me sleep all of the time, Zoloft makes me break out into a rash. And I feel like I'm wasting time and energy messing around with other drugs that c\ould take weeks to work, not work, give me side effects, or whatever.
My psychiatrist doesn't want to prescribe it if I'm going to continue breastfeeding, although she will as it's my decision. I asked my primary care provider and he said, "Prozac/ fluoxetine is not the antidepressant of choice during pregnancy, and post-partum there is a lack of evidence regarding it's effect in developing children of breastfeeding mothers. However, it's a relatively safe medication compared to most, and we do prescribe it to children as low as 7 years old without significant adverse effects. If you requested a prescription from me, I would probably caution you that you would be taking a very small but somewhat unknow risk but that I would agree with that option if you understood that choice. I have to agree with you on the paroxetine (paxil). It's well known for those side effects. "
This is a choice that is making me feel a lot of guilt and worry, and I"m not 100% decided. But I don't want to stop breastfeeding, and I can't go through that low of a depression again, I just can't. I feel selfish and despairing that my daughter has already been exposed to way more than I would have wanted her to be - but, then again, how healthy is it for me to be sobbing and breastfeeding her? Sigh.
I'm going to talk to my therapist about it all on Tuesday. Just checking in here and hoping for support. Thanks to all for letting me work it out here (yet again)... trying to keep hopeful.