Originally Posted by Ackray
I JUST got off the phone with my doctor. I had PPD with my 3rd baby and I feel like I'm getting it again. And he said that the new studies show that you can't take any antidepressants while nursing. That they are ALL contraindicated. I don't know what to think. But I'm pretty bummed because I really wanted to start something and continue nursing. So I'll wait it out.
Your doctor is NOT correct. (I stopped short of a UA violation, but that kind of advise REALLY REALLY steams me because it means that women and children who NEED help are not getting it.) Please seek out an OBGYN with more updated information, or a psychiatrist. Actually, I recommend a psychiatrist because they are MOST up to date on the meds, the side effects, which ones are contraindicated which ones are not, and which dosage levels are usually seen.
General doctors tend to prescribe a starter dose and then not check up on people. A psychiatrist will follow you to make sure that you're at the dosage you need.
Originally Posted by Emese'sMom
I wish I had more info on Prozac and bfing. If there is concern about the amount transferred in breastmilk, I'm wondering if one feeding a day of breastmilk, and the rest of formula might be a way to help baby get some of the goodness that comes from bm, but not have too much of the meds? I wish I had some resources to help me determine if this would be the case.
What I've read about Prozac is that it is the BEST thing for being pregnant, and it's LESS preferred (but not contraindicated) for NEWBORNS. It looks like you're nursing a 2 year old. In some newborns, Prozac has been suspected to cause sleepiness, so that's a thing to watch out for.
In your shoes, I'd talk to your doctor about staying on the Prozac and then either carefully monitoring the new baby when they're born, or switching to Zoloft or something that's a bit better for newborns.My personal experience
I was on Paxil shortly after ds was born (it's #2 or #3 for bfing moms). I breastfed him for 16 months, 12 of them on Paxil. He's now 6 and doing really well.
I went back on Paxil shortly before I got pg with dd. She was gestated, delivered and nursed on Paxil. I'm still on it (though a much lower dose than while pregnant - pregnancy messes with my brain chemicals in some really awful ways). She's still nursing. She's 3 1/2.
BOTH of my children are healthy, happy, smart (if I say so myself) and well adjusted. Part of the reason that they pretty well off emotionally is because
I've been on meds. They are at or above their age level in cognitive development.
Remember that it's not just an equation of no meds = no risk. If you are depressed and not treated, then there is a risk to your child's development that has been well demonstrated.
Thus, you have to weigh the risk of no meds with the risk of meds. The best research suggests that little or none of the SSRIs like Zoloft get through to the breastmilk. But we're still lacking long term studies of babies who've been breastfed on meds.
My bottom line: If you're mildly depressed, I'd seek out alternative remedies first. But if those don't help, or your depression is moderate-severe, my weighing of the risk/benefit ratio falls on the side of medication.
It's not a failure of will, mothering or moral fitness to seek out medical care for depression.