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HI all,<br>
I am staring a med for depression. The med peaks in your system about 5-8 hours after ingestion. I want to skip that time frame and offer a supplement instead of nursing. If I wait until the feeding after that to feed, would that be OK if I pump at least once during the day to "make up" a feeding? Do I need to pump and dump at that time frame? Or at all? Or does just skipping the feeding suffice?<br>
tia,<br>
Elle
 

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Have you been told the med you're taking is not safe? Because I have bad PPD and am on an antidepressant and am still nursing. It's a personal decision for sure, but with depression I want my life as easy as possible. Pumping and dumping, then having to prepare a bottel of formula just seems like too much work. At least for me, anyway. And no matter how bad I'm feeling, just watching my sweet babe suckling always makes me feel a little better.<br><br>
If you really don't want to nurse, I'd definitely add a pumping session around that time. But I guess it depends on your supply. I've had issues and so I do not want to waste a single drop, yet if I skipped the pumping my supply would dry up. Your supply will decrease some since your body does not think it needs to make as much, so you'll be pretty muck locked into supplementing unless you put some effort into increasing it in the future. You might be fine if you pump at another time, though, then you'll have milk to put in the bottle.<br><br>
The biggest problem I see is that whole "5-8 hour" window. I mean, you don't know which it is for your body. Let's say you pumped and dumped after 5 hours and your babe is hungry 3 hours later. Who's to say that your baby won't get the peak of the medicine then, and your dumped milk will be wasted?
 

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<a href="http://neonatal.ama.ttuhsc.edu/lact/" target="_blank">http://neonatal.ama.ttuhsc.edu/lact/</a><br><br>
that's the link to Dr. Hale's website. Look up your med on his message board, and see what it says there about it. There is a TON of info on antidepressants there. I would not supplement, just try to time the nursing sessions to avoid the peak. But if you do have to nurse during that time frame, it most likely will not hurt your baby at all. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> ETA - I missed the fact that it's a five-hour window. I suggest you research that particular medication, and also do some homework regarding the possible effects of skipping a nursing session and/or supplementing. Is it worth it to you if your baby weans early? If your supply drops? Nipple confusion/preference? Weigh both scenarios, and decide for yourself what you should do. I'd take the antidepressant and nurse on demand if it were me, and if it's one of the medications generally considered to be safe. The benefits of breastmilk, to me, greatly outweigh the tiny chance of any side effects of certain medications coming through the breastmilk in minute quantities.
 
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