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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


woomen

Is it allowed to take Mirtazapine during lactation?
Is it safe for a nursing mother and a child?

Excreted into breast milk in a clinically non-significant amount. Plasma level of breastfed infants from treated mothers with Mirtazapine are usually undetectable or very low. Not significant clinically based side-effects in the infants both at short and long-term have been observed. Isolated cases of galactorrhea have been reported. The poor extrauterine adaptation that may appear in neonates just after birth when the pregnant woman has been treated with selective reuptake-inhibitors of Serotonin like Venlafaxine or Mirtazapine, is seen to be mild if the baby is breastfed.

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woomen

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/25689290
  2. http://www.ncbi.nlm.nih.gov/pubmed/26204124
  3. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/18-use-of-antidepressants-protocol-english.pdf
  4. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  5. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  6. http://www.ncbi.nlm.nih.gov/pubmed/23686045
  7. http://neuro.psychiatryonline.org/doi/pdf/10.1176/appi.neuropsych.12030071
  8. http://www.ncbi.nlm.nih.gov/pubmed/24039427
  9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3770341/pdf/ndt-9-1257.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/22787503
  11. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3394379/pdf/Dtsch_Arztebl_Int-109-0419.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/22299006
  13. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267169/pdf/CWHR-7-28.pdf
  14. http://www.ncbi.nlm.nih.gov/pubmed/22192462
  15. http://www.ncbi.nlm.nih.gov/pubmed/20958101
  16. http://www.ncbi.nlm.nih.gov/pubmed/20807106
  17. http://www.ncbi.nlm.nih.gov/pubmed/19661763
  18. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902256/pdf/nihms139489.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/19512989
  20. http://www.ncbi.nlm.nih.gov/pubmed/18333769
  21. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2007.9978
  22. http://www.ncbi.nlm.nih.gov/pubmed/16970569
  23. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2000733/pdf/bcp0063-0322.pdf
  24. http://www.ncbi.nlm.nih.gov/pubmed/17267804
  25. http://ajp.psychiatryonline.org/doi/pdf/10.1176/ajp.2007.164.2.348a
  26. http://www.ncbi.nlm.nih.gov/pubmed/15691224
  27. http://www.ncbi.nlm.nih.gov/pubmed/15569912
  28. http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.161.12.2325
  29. http://www.ncbi.nlm.nih.gov/pubmed/12502011
  30. http://www.ncbi.nlm.nih.gov/pubmed/12124409

Comments  

+3 #2 Reviewer: wacotx, 65-74 on Treatment for less than 1 month (Patient) 2018-02-21 02:08
After trying 4 other drugs for depression, I finally got on this; and it works great! Depression has subsided, and I sleep much better and rise without a "hangover" feeling. No side effects that I can tell.
+3 #1 Reviewer: packers1, 55-64 Female (Patient) 2017-03-15 03:41
was very depressed, unable to sleep. Doctor put me on 30mg right away. Such a relief to sleep at night and my depression is easing. I wake without feelings of hopelessness. A very big thumbs up

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