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


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

S-Enantiomer of Citalopram that shares similar pharmacokinetics and properties with Citalopram. Excretion into breast milk is clinically non-significant. Serum levels of infants from breastfeeding mothers who were treated have been shown to be undetectable or very low. Overall, short or long-term harmful effect has not been reported among breastfed infants. Isolated cases of irritability and neonatal necrotizing enterocolitis after intrauterine exposure have appeared in medical literature contrasting with harmlessness reported by others. Galactorrhea associated or not to hyperprolactinemia, may appear. Women who are on antidepressant treatment in pregnancy are in need of special and intensive support for breastfeeding because of a high risk of early weaning.

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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/26204124
  2. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/18-use-of-antidepressants-protocol-english.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/25572308
  4. http://www.ncbi.nlm.nih.gov/pubmed/24732787
  5. http://www.ncbi.nlm.nih.gov/pubmed/25217187
  6. http://www.ncbi.nlm.nih.gov/pubmed/23260337
  7. http://www.ncbi.nlm.nih.gov/pubmed/24312671
  8. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3846723/pdf/pone.0082749.pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/24441517
  10. http://www.ncbi.nlm.nih.gov/pubmed/24043940
  11. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772871/pdf/ndt-9-1333.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  13. http://www.ncbi.nlm.nih.gov/pubmed/22344850
  14. http://www.ncbi.nlm.nih.gov/pubmed/23044635
  15. http://www.ncbi.nlm.nih.gov/pubmed/20958101
  16. http://www.ncbi.nlm.nih.gov/pubmed/22299006
  17. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267169/pdf/CWHR-7-28.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/22192462
  19. http://www.ncbi.nlm.nih.gov/pubmed/21894275
  20. http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
  21. http://www.ncbi.nlm.nih.gov/pubmed/20807106
  22. http://www.ncbi.nlm.nih.gov/pubmed/19661763
  23. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902256/pdf/nihms139489.pdf
  24. http://www.ncbi.nlm.nih.gov/pubmed/20046401
  25. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2796073/pdf/pi-6-230.pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/18333769
  27. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2007.9978
  28. http://www.ncbi.nlm.nih.gov/pubmed/17262045
  29. http://www.nature.com/jp/journal/v27/n2/pdf/7211640a.pdf
  30. http://www.ncbi.nlm.nih.gov/pubmed/18314855
  31. http://www.ncbi.nlm.nih.gov/pubmed/16699799
  32. http://www.ncbi.nlm.nih.gov/pubmed/16912243
  33. http://www.ncbi.nlm.nih.gov/pubmed/16934048
  34. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1885141/pdf/bcp0062-0316.pdf
  35. http://www.ncbi.nlm.nih.gov/pubmed/16974204
  36. http://www.ncbi.nlm.nih.gov/pubmed/15691224

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