5 doctors weighed in:

Can I take Prozac (fluoxetine) while breastfeeding?

5 doctors weighed in
Dr. Pamela Pappas
Psychiatry
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Pamela Pappas
Dr. Pamela Pappas
Thank
Dr. James Ferguson
Pediatrics
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. James Ferguson
Dr. James Ferguson
Thank
Dr. Ruben Nazario
Pediatrics
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Ruben Nazario
Dr. Ruben Nazario
Thank
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