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Old 08-12-2006, 08:27 AM   #11
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Re: anti-depressants and breastfeeding

call LLL and have them look it up in Dr Hales book medication and mothers milk. His site is ibreastfeeding.com and he has a rating for meds during BF. (I am there now as I have a visit wiht my psych today ....) I will probably end up using Paxil xr as zoloft makes me feel like I am losing my balance.

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Old 08-12-2006, 12:29 PM   #12
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Re: anti-depressants and breastfeeding

i take zoloft too. my doc said it was the best anti depressant for nursing moms
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Old 08-12-2006, 08:42 PM   #13
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Re: anti-depressants and breastfeeding

I take 200mg of Zoloft daily. I take it in two doses (100 & 100) a few hours apart. I usually take it right after i get done w/ a feeding. After talking to all my doctors, looking up info, and weighing the risks of me taking it vs the risks of me stopping, it would be more risky for me to stop.
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Old 08-12-2006, 09:45 PM   #14
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Re: anti-depressants and breastfeeding

Wow...Am I the only one taking 100mg? I wonder why I'm taking so much more???
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Old 08-15-2006, 07:20 PM   #15
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Re: anti-depressants and breastfeeding

Quote:
Originally Posted by Sanche
Wow...Am I the only one taking 100mg? I wonder why I'm taking so much more???
I had PPD after Colin and was taking 150 (wasn't breastfeeding).

This time I only need 50. It depends upon a lot of different things. Everybody is different.
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Old 08-27-2006, 07:42 AM   #16
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Re: anti-depressants and breastfeeding

Quote:
Originally Posted by Sanche
Wow...Am I the only one taking 100mg? I wonder why I'm taking so much more???
I take 50mg currently, but my RX is for 100mg. I started breaking them in half since I was PG and like to keep meds to a minimum if possible. It was a trial thing for me and I did fine w/ 50, so that's what I'll stick with until the baby is born. After that, I will go to 100mg and will be nursing also. I suffered from severe PPD w/ both my other girls so I'm sure I'll need it this time around as well!
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Old 08-27-2006, 09:22 AM   #17
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Re: anti-depressants and breastfeeding

Quote:
Originally Posted by Sanche
Wow...Am I the only one taking 100mg? I wonder why I'm taking so much more???
100 mg of Zoloft is not a huge dose. It's a very normal dose.

I have to correct the pp about the half-life of Zoloft being very short - it's my job to know these sorts of things. The half-life of Zoloft is actually VERY LONG. The parent drug, sertraline, has a half-life of 26 hours, and and the metabolite (not sure if it's active or not, sorry) is anywhere from 60-100 hours. That's a very, very long half-life. If it were short you'd have to take the drug more than once a day. Perhaps you are thinking of the time to peak drug level in your body, which would be when the most drug would move into the milk, which is about 4-8 hours.

I have found several sources that cite Zoloft as the safest antidepressant for bf'ing and several studies showing that little or none of the drug makes it to the mom's milk. I agree that a depressed mom is far more dangerous than the potential effects on the baby. Doesn't mean that other antidepressants are not safe, though, so don't panic. I take Effexor after doing a lot of researched and nursed both (well, still nursing #2) my girls and they are happy and healthy.

I'm happy to help with drug questions if someone wants to pm me! I have Hale's book, Medications and Mother's Milk, and I think it's an excellent reference!
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