8 doctors weighed in:
Is citalopram safe for women who are pregnant or breastfeeding?
8 doctors weighed in

Dr. Mark Reynolds
Psychiatry
6 doctors agree
In brief: Usually
I agree with dr. Crystal's reference, but come to a different conclusion.
This is a risk-benefit decision must be made between yourself and your physician. The majority of the data indicate citalopram is likely safe is breastfeeding as well as pregnancy. A resource that puts this into context is: http://www.Womensmentalhealth.Org/specialty-clinics/psychiatric-disorders-during-pregnancy/.

In brief: Usually
I agree with dr. Crystal's reference, but come to a different conclusion.
This is a risk-benefit decision must be made between yourself and your physician. The majority of the data indicate citalopram is likely safe is breastfeeding as well as pregnancy. A resource that puts this into context is: http://www.Womensmentalhealth.Org/specialty-clinics/psychiatric-disorders-during-pregnancy/.
Dr. Mark Reynolds
Dr. Mark Reynolds
Thank
Dr. Ruth Crystal
Obstetrics & Gynecology
2 doctors agree
In brief: No
Please see this patient handout link from otis: http://www.
Otispregnancy.Org/files/citalopram.Pdf.

In brief: No
Please see this patient handout link from otis: http://www.
Otispregnancy.Org/files/citalopram.Pdf.
Dr. Ruth Crystal
Dr. Ruth Crystal
Thank
Dr. John Moranville
Psychiatry
In brief: Agree with others
My sources indicate beyond 20 weeks there is evidence of risk with citalopram and other ssri/snri.
Lacatation ok alternatives may be mirtazepine, abilify, (aripiprazole) or seroquel for which there is no evidence of any specific risk. It is essential to weigh maternal benefit vs fetal risk. Poor self care related to depression may be more of a risk to the baby than medications. Take care of yourself and the baby.

In brief: Agree with others
My sources indicate beyond 20 weeks there is evidence of risk with citalopram and other ssri/snri.
Lacatation ok alternatives may be mirtazepine, abilify, (aripiprazole) or seroquel for which there is no evidence of any specific risk. It is essential to weigh maternal benefit vs fetal risk. Poor self care related to depression may be more of a risk to the baby than medications. Take care of yourself and the baby.
Dr. John Moranville
Dr. John Moranville
Thank
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