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


woomen

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

Excreted in tiny amounts into breast milk. Serum levels of breastfed infants whose mothers are on Sertraline are usually undetectable or very low. No harm effect has been observed on health and short or long term development of infants. Transient troubles in the early neonatal period like drug withdrawal syndrome among newborn or premature infants with high serum levels as a result of treatment with Sertraline to the mother during pregnancy have been observed. Sertraline causes fewer problems related to galactorrhea than other antidepressant drugs. It is probably the safest antidepressant medication while breastfeeding. Mothers who are treated with antidepressant medicaction are in need of stronger support for a higher risk of early breastfeeding failure.

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woomen

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Ask your question through the form below.

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/25217187
  5. http://www.ncbi.nlm.nih.gov/pubmed/23593966
  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/23178070
  10. http://www.ncbi.nlm.nih.gov/pubmed/23249132
  11. http://www.ncbi.nlm.nih.gov/pubmed/22504099
  12. http://www.ncbi.nlm.nih.gov/pubmed/22283766
  13. http://www.ncbi.nlm.nih.gov/pubmed/22344850
  14. http://www.ncbi.nlm.nih.gov/pubmed/22787503
  15. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3394379/pdf/Dtsch_Arztebl_Int-109-0419.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/22077504
  17. http://www.ncbi.nlm.nih.gov/pubmed/22299006
  18. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267169/pdf/CWHR-7-28.pdf
  19. http://www.ncbi.nlm.nih.gov/pubmed/22192462
  20. http://www.ncbi.nlm.nih.gov/pubmed/20958101
  21. http://www.ncbi.nlm.nih.gov/pubmed/21894275
  22. http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
  23. http://www.ncbi.nlm.nih.gov/pubmed/20807106
  24. http://www.ncbi.nlm.nih.gov/pubmed/19661763
  25. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902256/pdf/nihms139489.pdf
  26. http://www.ncbi.nlm.nih.gov/pubmed/18272227
  27. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556848/pdf/nihms66029.pdf
  28. http://www.ncbi.nlm.nih.gov/pubmed/18333769
  29. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2007.9978
  30. http://www.ncbi.nlm.nih.gov/pubmed/16855451
  31. http://www.ncbi.nlm.nih.gov/pubmed/15691224
  32. http://www.ncbi.nlm.nih.gov/pubmed/15687451
  33. http://www.ncbi.nlm.nih.gov/pubmed/15169695
  34. http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.161.6.1066
  35. http://www.ncbi.nlm.nih.gov/pubmed/15367050
  36. http://www.ncbi.nlm.nih.gov/pubmed/14749663
  37. http://www.ncbi.nlm.nih.gov/pubmed/14749550
  38. http://www.ncbi.nlm.nih.gov/pubmed/15591613
  39. http://www.ncbi.nlm.nih.gov/pubmed/12716242
  40. http://www.ncbi.nlm.nih.gov/pubmed/14595087
  41. http://www.ncbi.nlm.nih.gov/pubmed/12942857
  42. http://www.ncbi.nlm.nih.gov/pubmed/12590627
  43. http://www.ncbi.nlm.nih.gov/pubmed/14645327
  44. http://www.jabfm.org/content/16/5/372.full.pdf
  45. http://www.ncbi.nlm.nih.gov/pubmed/12124409
  46. http://www.ncbi.nlm.nih.gov/pubmed/11979064
  47. http://www.ncbi.nlm.nih.gov/pubmed/12452737
  48. http://www.ncbi.nlm.nih.gov/pubmed/11475200
  49. http://tidsskriftet.no/article/248947
  50. http://www.ncbi.nlm.nih.gov/pubmed/11483479
  51. http://bjp.rcpsych.org/content/bjprcpsych/179/2/163.full.pdf
  52. http://www.ncbi.nlm.nih.gov/pubmed/11578995
  53. http://www.ncbi.nlm.nih.gov/pubmed/11531744
  54. http://www.ncbi.nlm.nih.gov/pubmed/11475200
  55. http://www.ncbi.nlm.nih.gov/pubmed/11127615
  56. http://www.ncbi.nlm.nih.gov/pubmed/12404316
  57. http://www.ncbi.nlm.nih.gov/pubmed/10485633
  58. http://www.ncbi.nlm.nih.gov/pubmed/9585724
  59. http://www.ncbi.nlm.nih.gov/pubmed/9643617
  60. http://www.ncbi.nlm.nih.gov/pubmed/9630007
  61. http://www.ncbi.nlm.nih.gov/pubmed/9102576
  62. http://www.ncbi.nlm.nih.gov/pubmed/9286185
  63. http://www.ncbi.nlm.nih.gov/pubmed/9296327
  64. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042842/pdf/bcp_0576.pdf
  65. http://www.ncbi.nlm.nih.gov/pubmed/9441422
  66. http://www.ncbi.nlm.nih.gov/pubmed/9108810
  67. http://www.ncbi.nlm.nih.gov/pubmed/8780414
  68. http://www.ncbi.nlm.nih.gov/pubmed/8835712
  69. http://www.ncbi.nlm.nih.gov/pubmed/7775366

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