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Monday, May 04, 2009

Breastfeeding - SSRi's are safe - Advice given to Physician Assistants

Breastfeeding and have Post-Partum depression?

Take an SSRi

That's the advice given on the 'Advice For Physician Assistants' website.

In fact, they go as far to say:

"New mothers who develop postpartum depression and who want to breastfeed their infants present a treatment challenge. SSRIs may be a safe and effective option for mother and child alike."

Not only that, they further advise:

"Selective serotonin-reuptake inhibitors (SSRIs) are the first medication treatment choice for PPD due to their ease of administration, low toxicity and greater tolerability.This class of antidepressant is the most studied in mother-infant pairs."

Here is what they say about two SSRi's:

Fluoxetine:
The most studied SSRI regarding use in pregnancy and breastfeeding. Compared with paroxetine and sertraline, fluoxetine produces the highest concentration of medication in breastfed infants at levels above 10% of the maternal dose, but fluoxetine levels in breast milk typically were low (less than 5 ng/mL) with maternal dosage of 20 mg per day or less.

Sertraline (Zoloft)
Based on multiple case series, sertraline has been recommended as the first-line treatment for breastfeeding mothers.

Dig deeper and research exactly who funded these studies.

Fid



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'THE EVIDENCE, HOWEVER, IS CLEAR...THE SEROXAT SCANDAL' By Bob Fiddaman
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