Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Fluoxetine during lactation? |
|
Higher excretion into breast milk than other related antidepressant drugs. The active metabolite called Norfluoxetine has a longer half-life (4 to 16 days). Like other antidepressant drugs may induce hyperprolactinemia and galactorrhea. Few cases of colicky pain, irritability, insomnia, anorexia and slow weight gain have been described. However, most reported cases have failed to show harm effect outside the newborn period. Large experience with the use of Fluoxatine did not find harm effect on weight gain and neurological development of infants either at short or long term. Most problems have appeared in the early neonatal period either in newborns or premature infants whose mothers were on Fluoxetine during pregnancy. Stop or switch to other medication either at some days before delivery or in the first month postpartum would be recommended. Same considerations should be done in case of prematurity, however, medication must be continued if necessary. Women on anti-depressant treatment are in need of stronger support because of higher risk of breastfeeding failure. |
|
Would you like to ask something else about Fluoxetine ? |
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...
Trade Names
The main trade names in different countries containing in its composition Fluoxetine:Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/26204124
- https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/18-use-of-antidepressants-protocol-english.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23260337
- http://www.ncbi.nlm.nih.gov/pubmed/23178070
- http://www.ncbi.nlm.nih.gov/pubmed/23979084
- http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22283766
- http://www.ncbi.nlm.nih.gov/pubmed/22344850
- http://www.ncbi.nlm.nih.gov/pubmed/20958101
- http://www.ncbi.nlm.nih.gov/pubmed/22077504
- http://www.ncbi.nlm.nih.gov/pubmed/22299006
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267169/pdf/CWHR-7-28.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22192462
- http://www.ncbi.nlm.nih.gov/pubmed/21894275
- http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/20807106
- http://www.ncbi.nlm.nih.gov/pubmed/19661763
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902256/pdf/nihms139489.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/18272227
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556848/pdf/nihms66029.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/18333769
- http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2007.9978
- http://www.ncbi.nlm.nih.gov/pubmed/16848655
- http://www.ncbi.nlm.nih.gov/pubmed/15687451
- http://www.ncbi.nlm.nih.gov/pubmed/15691224
- http://www.ncbi.nlm.nih.gov/pubmed/15367050
- http://www.ncbi.nlm.nih.gov/pubmed/14749550
- http://www.ncbi.nlm.nih.gov/pubmed/15169695
- http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.161.6.1066
- http://www.ncbi.nlm.nih.gov/pubmed/15591613
- http://www.ncbi.nlm.nih.gov/pubmed/12709723
- http://www.ncbi.nlm.nih.gov/pubmed/12716242
- http://www.ncbi.nlm.nih.gov/pubmed/14595087
- http://www.ncbi.nlm.nih.gov/pubmed/14645327
- http://www.jabfm.org/content/16/5/372.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/12242061
- http://www.ncbi.nlm.nih.gov/pubmed/12411224
- http://www.ncbi.nlm.nih.gov/pubmed/12124409
- http://www.ncbi.nlm.nih.gov/pubmed/11213313
- http://www.ncbi.nlm.nih.gov/pubmed/11354903
- http://www.ncbi.nlm.nih.gov/pubmed/11720696
- http://www.ncbi.nlm.nih.gov/pubmed/11475200
- http://tidsskriftet.no/article/248947
- http://www.ncbi.nlm.nih.gov/pubmed/11354903
- http://www.ncbi.nlm.nih.gov/pubmed/11332169
- http://www.ncbi.nlm.nih.gov/pubmed/11475200
- http://www.ncbi.nlm.nih.gov/pubmed/10390297
- http://pediatrics.aappublications.org/content/104/1/e11.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/10545587
- http://www.ncbi.nlm.nih.gov/pubmed/10583022
- http://www.ncbi.nlm.nih.gov/pubmed/10485633
- http://www.ncbi.nlm.nih.gov/pubmed/9475699
- http://www.ncbi.nlm.nih.gov/pubmed/9519072
- http://www.ncbi.nlm.nih.gov/pubmed/9296322
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042834/pdf/bcp_0652.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/9296327
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2042842/pdf/bcp_0576.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/9441422
- http://www.ncbi.nlm.nih.gov/pubmed/9247422
- http://ajp.psychiatryonline.org/doi/pdf/10.1176/ajp.154.8.1174a
- http://www.ncbi.nlm.nih.gov/pubmed/8780414
- http://www.ncbi.nlm.nih.gov/pubmed/8932542
- http://www.ncbi.nlm.nih.gov/pubmed/8973997
- http://www.ncbi.nlm.nih.gov/pubmed/8825840
- http://www.ncbi.nlm.nih.gov/pubmed/8282672
- http://www.ncbi.nlm.nih.gov/pubmed/1557252
- http://www.ncbi.nlm.nih.gov/pubmed/1764189
- http://www.ncbi.nlm.nih.gov/pubmed/2324084
Comments