I thought I would start a topic on this, no doubt there are many many mom's out there who are faced with this decision so I thought we could share our experiences here, our knowledge, articles & whatever else you have found useful.
What started this, was a really intersting conversation GrayZephyr and I were having on another thread, I thought I would bring over our last comments here, so that we can discuss it more w/out taking over the other thread & hopefully we'll create a geat resource thread for everyone!
Originally Posted by GrayZephyr
Originally Posted by chimmy
Originally Posted by GrayZephyr
Our pediatrician pretty much said there is NO SAFE SSRI out there for BFing.
Unfortunatley your doctor was wrong Nothing is 100% but there are SSRI's that you can take, that are considered safe. Zoloft has been proven to be one of those SSRI's. A dose of 50mg and under doesn't even show up in breast milk. Kellymom.com is a wonderful resource for breastfeeding moms ~ there's a list that links a lot of SSRI's and other misc. things taken for depression Using Antidepressants in Breastfeeding Mothers
How recent are the studies on Zoloft? Our pediatrician said it was recent information regarding SSRI's studied by the folks at Johns Hopkins. I would love to not be "pumping and dumping", but I am more afraid of giving my son something that could negatively effect his brain chemistry, which is what the folks at JHs are saying it does. I will ask her the next time I see her about the information I found in the link I posted because it appears to suggest that Zoloft is ok.
Does anyone know of any longitudinal studies on SSRI's and BFing?
I just read that article, I didn't have time the other day When I say safe I'm not saying that it doesn't come w/out it's unknowns, but compared to say prozac, zoloft has been considered probably the safest SSRI due to it's short life and lack of negative side effects in babies in the studies that have been done, of which your article pointed out too. This is why I disagree with your doctor, sure it's going to have it's unknowns & risks everything is going to even "natural" and herbal things will get into milk. What's important I think is to look at your own indivdiual situation, and then decide. For some moms their depression is so severe that it would be more dangerous to not take the ssri than it would be to take it, kwim? So safe really is a relative term, it always is when were talking about medications & bf'ing.
For me, I reacted really badly to zoloft & like you really really worried about my baby getting it from my milk, so w/in 10 days of taking the ssri I went off of it. Thankfully I was in a place where I could, and I was able to supplement with other things to help me get through things.
I'm not aware of any longitudinal studies on SSRI's and BFing, however I will be looking for some during naptime, I too am curious to see if any are out there. I don't remember finding any when I was doing my own search a year or so ago. I tried to find the date of your article, do you know when it was written? Dr. Hale has a lot of research, he is probably the most well written, well researched & well known person when it comes to breastfeeding, once I put my baby down for a nap I'll be searching his site for info & will share what I find.
This site has info on it from Dr. Hale, I've not had a chance to comb through all of the links, but I've yet to find something that Dr. Hale has mentioned and not found it to be good solid information.
I don't know when the article was written, but I'll look into it. My pediatrician may have some more recent concrete info for me...I know she felt very strong about me not BFing him and she's a HUGE BF supporter...so that seemed pretty significant to me.
I'm going to try and read the articles posted...of course, that requires time which is very limited to say the least right now LOL!
Have you thought of seeking out an experienced LC? Also Kathleen who runs the granite scientific & Breastfeeding Made Simple websites is not only an LC but she specializes in bf'ing and ssri's, you can e-mail her and she'll give you some great & I'm sure up to date info too, she has some 07' articles on both her sites. I've been reading the granite scientific one & wow, talk about a lot of info lol
The omega 3 stuff is really interesting too, that's something I take religiously to help me
I don't really have any links, but you said we could share our experience.
I self-diagnosed my PPD at 8 weeks post-partum (thanks to this board) and brought it to my doctor's attention. My daughter is 14 months, so I have now been taking 50mg of Zoloft (off brand to save money) for a year. DD has been a boobie baby the entire time. Despite being preemie, she is also toddlerzilla (well she was until she got ill and lost weight). So the affects of the ssri on her weight gain were non-existant.
Before getting help, there were times I would refuse to take care of her. That includes nursing.
Does anyone know if there would be any contraindication between taking Omega 3 supplements as well as an SSRI? I'm going to make an appointment with my dr soon, and I'll ask her, but I'm thinking I'd like to do a combo in the hopes I could wean off the meds sooner.