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"On the basis of the evidence of many research studies, it’s been determined that as a group, psychotropic drugs are generally regarded as safe for use by breastfeeding moms, so their HCPs don’t need be overly concerned if a woman needs to be treated while she is breastfeeding.
In most of these medcations, such a small amount gets in the milk that blood levels are usually too low to be measured. This is true for the majority of SSRIs (Seretonin Specific Receptor Inhibitors) like Paxil or Zoloft; TCAs (Tricyclic Antidepressents) like Elavil; and Mood Stabilizers like Valproic Acid (Depakote). Wellbutrin (Zyban) is an older antidepressant that has a different structure from SSRI and tricyclic medications. It may appear in milk, but the amount is so low that it is unlikely to cause problems in the breastfed baby
•Very few drugs are contraindicated for nursing mothers.
•The route of administration (your baby is always exposed through the GI tract, but drugs can enter your system several different ways: orally, intravenously, intramuscularly, topically, or through inhalation – topical medications (skin creams) and medications inhaled or applied to the eyes or nose reach the milk in lesser amounts and more slowly than other routes and are almost always safe for nursing mothers; oral medications take longer to get into the milk than IV and IM routes (the drug must first go through the mother’s GI tract before it enters the bloodstream, and the milk supply)-with IV drugs, the medications bypasses the barriers in the GI tract to enter the milk quickly and at higher levels, and with IM injections, drugs transfer quickly into the milk because the muscles have so many blood vessels, so the drug enters the bloodstream quickly."
"The AAP (American Academy of Pediatrics) has published a statement called “The Transfer of Drugs and Other Chemicals Into Human Milk”. It has 8 Tables – Drugs That Are Contraindicated During Breastfeeding, Drugs of Abuse Contraindicated During Breastfeeding, Radioactive Compounds That Require Temporary Cessation of Breastfeeding, Drugs Whose Effect on Nursing Infants Is Unknown But May Be of Concern, Drugs That Have Been Associated With Significant Effects on Some Nursing Infants and Should Be Given to Nursing Mothers With Caution (be aware that this category includes drugs that are known to have caused one single case of diarrhea- that’s how conservative they are), Maternal Medications Usually Compatible With Breastfeeding (a long list), Food and Environmental Agents: Effect on Breastfeeding, Generic Drugs and Corresponding Trade Names, and Trade Names and Generic Equivalents. The AAP statement was revised in 2010. Because so many new drugs have come out during the past ten years, many drugs currently in use have not been reviewed by the AAP and don’t appear on this list. Here’s a link to the AAP website where you can find more detailed information about the current recommendations:" http://aappolicy.aappublications.org...rics;108/3/776
In most of these medcations, such a small amount gets in the milk that blood levels are usually too low to be measured. This is true for the majority of SSRIs (Seretonin Specific Receptor Inhibitors) like Paxil or Zoloft; TCAs (Tricyclic Antidepressents) like Elavil; and Mood Stabilizers like Valproic Acid (Depakote). Wellbutrin (Zyban) is an older antidepressant that has a different structure from SSRI and tricyclic medications. It may appear in milk, but the amount is so low that it is unlikely to cause problems in the breastfed baby
•Very few drugs are contraindicated for nursing mothers.
•The route of administration (your baby is always exposed through the GI tract, but drugs can enter your system several different ways: orally, intravenously, intramuscularly, topically, or through inhalation – topical medications (skin creams) and medications inhaled or applied to the eyes or nose reach the milk in lesser amounts and more slowly than other routes and are almost always safe for nursing mothers; oral medications take longer to get into the milk than IV and IM routes (the drug must first go through the mother’s GI tract before it enters the bloodstream, and the milk supply)-with IV drugs, the medications bypasses the barriers in the GI tract to enter the milk quickly and at higher levels, and with IM injections, drugs transfer quickly into the milk because the muscles have so many blood vessels, so the drug enters the bloodstream quickly."
"The AAP (American Academy of Pediatrics) has published a statement called “The Transfer of Drugs and Other Chemicals Into Human Milk”. It has 8 Tables – Drugs That Are Contraindicated During Breastfeeding, Drugs of Abuse Contraindicated During Breastfeeding, Radioactive Compounds That Require Temporary Cessation of Breastfeeding, Drugs Whose Effect on Nursing Infants Is Unknown But May Be of Concern, Drugs That Have Been Associated With Significant Effects on Some Nursing Infants and Should Be Given to Nursing Mothers With Caution (be aware that this category includes drugs that are known to have caused one single case of diarrhea- that’s how conservative they are), Maternal Medications Usually Compatible With Breastfeeding (a long list), Food and Environmental Agents: Effect on Breastfeeding, Generic Drugs and Corresponding Trade Names, and Trade Names and Generic Equivalents. The AAP statement was revised in 2010. Because so many new drugs have come out during the past ten years, many drugs currently in use have not been reviewed by the AAP and don’t appear on this list. Here’s a link to the AAP website where you can find more detailed information about the current recommendations:" http://aappolicy.aappublications.org...rics;108/3/776
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