Can I take Prozac (fluoxetine) while breastfeeding?

Complicated issue. Despite the importance of breastfeeding for babies & moms, meds in milk is an issue. Several studies now have suggested that Prozac specifically may be more present in breast milk than other antidepressants, maybe because of long half-life. Zoloft or Lexapro (escitalopram) are likely safer: http://www.Ncbi.Nlm.Nih.Gov/pubmed/22283766 you need your treatment, but this is a talk between you & your doctor.
Yes. Infants receive up to 8% of mothers dose while actively feeding and the effects on baby vary.Some have no effect, some fussiness and poor weight gain & some worse.Moms who can move to zoloft or Lexapro (escitalopram) might consider them since thease don't seem to end up in the milk. If the med is started after the child is older its effects are less pronounced. See "medications in mothers milk" hale, 2010.
No. Like many drugs, Prozac (fluoxetine) appears in breast milk in low concentrations. Its effect on the nursing infant is unknown, but the american academy of pediatrics reports those effects may be "of concern". Some reported effects include colic, irritability, and feeding and sleeping problems. You should discuss with your doctor the risks of not taking Prozac (fluoxetine) versus the potential problems on your baby.

Related Questions

Is it safe to use Prozac (fluoxetine) while breastfeeding?

Maybe. All psychiatric medications will be present in breast milk. The amounts are very small, but definitely present. However, when considering this, you also have to weigh the risk of not taking the medication. For example, a depressed mother who does not take the medication may not take care of her child as well because she is so depressed. These are not simple decisions. Read more...
Challenging issue. Despite the importance of breastfeeding for babies & moms, meds in milk is challenging. Several studies have suggested that Prozac specifically may be more present in breast milk than other antidepressants due to longer half-life. Zoloft or Lexapro (escitalopram) could be safer: http://www.Ncbi.Nlm.Nih.Gov/pubmed/22283766 having you un-depressed matters too; you & your doctor know best about you & your own baby. Read more...

I currently breastfeed my 6 month old and have recently increased my Prozac (fluoxetine) from 40mg to 60mg. Is it safe for me to bf him or should I start to ween?

Breastfeed ; prozac (fluoxetine) You should call your pediatrician to ask about the Prozac (fluoxetine) and if it is safe for your baby. If you must take the Prozac (fluoxetine) then it is probably better to ween your child now. Read more...
Uncertain. There is not enough literature to assess the safety of Prozac (fluoxetine) at any dose while breastfeeding. Read more...

Can I breastfeed while I take fluoxetine?

No. It has not been studied adequately. It is listed as "safety unknown; caution advised". Read more...
Yes. While there are never any guarantees, available data on the use of tricyclic antidepressants, fluoxetine, paroxetine, and sertraline during breastfeeding suggest that the amounts of drug to which the nursing infant is exposed is low and that significant complications related to neonatal exposure to antidepressants in breast milk appear to be rare. Check out mass general women's mental health. Read more...
Breastfeed. Studies showed that amounts of drug in breast milk are low, and breastfeeding should be safe. Read more...