{"id":18254,"date":"2021-02-02T09:00:50","date_gmt":"2021-02-02T14:00:50","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=18254"},"modified":"2024-09-25T10:15:46","modified_gmt":"2024-09-25T14:15:46","slug":"zoloft-and-breastfeeding","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/zoloft-and-breastfeeding\/","title":{"rendered":"Does taking Zoloft and breastfeeding affect your baby?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The postpartum period is challenging for all new moms, but no matter what your well-meaning friend or mother-in-law tells you, feeling extremely anxious or depressed after giving birth isn\u2019t \u201cnormal.\u201d Fluctuating hormones, dramatic life changes, intense stress, and debilitating sleep deprivation can all converge in those early weeks to create a perfect mental health storm, leaving some women with more than just the baby blues.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Affecting about <\/span><a href=\"https:\/\/womensmentalhealth.org\/specialty-clinics\/postpartum-psychiatric-disorders\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">10% to 15% of new moms<\/span><\/a><span style=\"font-weight: 400;\">, postpartum depression (PPD) and postpartum anxiety (PPA) are real mental health conditions that require intervention, support, and treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you or someone you know is struggling after giving birth, therapy can help\u2014but many of these moms need medication, too. For some healthcare providers, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zoloft\"><span style=\"font-weight: 400;\">Zoloft<\/span><\/a><span style=\"font-weight: 400;\"> (sertraline) is a strong candidate for treating breastfeeding women with depression or anxiety. This may be partly because Zoloft is a relatively<\/span><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/pregnancy-week-by-week\/in-depth\/antidepressants\/art-20046420#:~:text=SSRIs%20are%20generally%20considered%20an,t%20associated%20with%20birth%20defects.\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">low-risk option for treating these conditions during pregnancy<\/span><\/a><span style=\"font-weight: 400;\"> (under a provider\u2019s supervision, of course).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But is Zoloft safe during breastfeeding? How much can you take? And are there other ways to treat PPD and PPA while nursing your baby? Here\u2019s what you need to know.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is Zoloft safe to take while breastfeeding?<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">For the most part, yes: Zoloft is a safe antidepressant to take while breastfeeding, according to <\/span><a href=\"https:\/\/www.memorialcare.org\/providers\/g-thomas-ruiz\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">G. Thomas Ruiz<\/span><\/a><span style=\"font-weight: 400;\">, MD, OB-GYN lead at MemorialCare Orange Coast Medical Center.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf you have to medicate someone with postpartum depression or anxiety [who is also nursing], most doctors will go to Zoloft first,\u201d he says. \u201cIf you have to use an antidepressant in that case, it\u2019s the safest one.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Of course, that safety recommendation comes with a caveat\u2014as does any other recommendation about<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/breastfeeding-and-medications\/\"> <span style=\"font-weight: 400;\">using medication while pregnant or nursing<\/span><\/a><span style=\"font-weight: 400;\">. Because pregnant and nursing mothers are often excluded from clinical trials, there isn\u2019t usually a wide body of evidence pointing clearly to a drug\u2019s safety or lack thereof. This means there\u2019s always a chance that a drug could affect your baby.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere is a [scarcity] of data on the neurodevelopmental effects on the infant from breastfeeding while on Zoloft,\u201d says<\/span><a href=\"http:\/\/www.keciagaither.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">Kecia Gaither<\/span><\/a><span style=\"font-weight: 400;\">, MD, a double board-certified OB-GYN and maternal fetal medicine physician and director of perinatal services at NYC Health + Hospitals\/Lincoln.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Basically, there isn\u2019t any evidence of harm&#8230;but there also isn\u2019t any studies proving that the drug is definitely <\/span><i><span style=\"font-weight: 400;\">safe<\/span><\/i><span style=\"font-weight: 400;\">, either.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That doesn\u2019t mean you should panic if your doctor suggests prescribing you Zoloft to manage PPD or PPA while breastfeeding. Many of the most common concerns about how Zoloft can affect your baby or your milk supply are unfounded.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>There is no evidence that a mother\u2019s use of Zoloft during breastfeeding causes developmental delays<\/b><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/pediatrics.aappublications.org\/content\/132\/3\/e796\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The majority of drugs aren\u2019t contraindicated for use during breastfeeding<\/span><\/a><span style=\"font-weight: 400;\">, according to the American Academy of Pediatrics (AAP).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>There is no evidence of a relationship between Zoloft and autism in nursing babies.<\/b><span style=\"font-weight: 400;\"> A few studies have suggested a possible relationship between Zoloft taken during pregnancy and autism, but <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2618620\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">many other studies have debunked that connection<\/span><\/a><span style=\"font-weight: 400;\">\u2014and none of these studies looked at breastfeeding.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Generally speaking, there isn\u2019t reason to suspect that Zoloft can affect a mother\u2019s milk supply.<\/b><span style=\"font-weight: 400;\"> Dr. Ruiz says that Zoloft works along your body\u2019s serotonin system, which is a totally different system than the hormonal one your body\u2019s breastfeeding system works along (i.e., the system that regulates your prolactin levels).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501191\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2019 review of sertraline<\/span><\/a><span style=\"font-weight: 400;\"> reported in LactMed found few adverse events tied to the use of Zoloft during breastfeeding; in large part, any adverse events resolved themselves or could have been due to other coexisting factors.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How much Zoloft is safe to take while breastfeeding?<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One of the concerns many new moms have about their Zoloft dosage is about how much or how little of the drug is passed through their breast milk to the baby. However, there\u2019s nothing to suggest that the risks of taking Zoloft increase or decrease depending on your dosage; if your doctor determines that Zoloft is a safe drug for you to use during breastfeeding, you should work together to find the dosage that helps most with your symptoms of PPD or PPA.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cA small amount of Zoloft is excreted in breast milk, [but it\u2019s negligible] and not at a level thought to be harmful to the baby or that could create serotonin side effects,\u201d Dr. Ruiz says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact, a<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4366287\/#:~:text=Sertraline%20has%20been%20identified%20as,been%20reported%20(Weissman%20et%20al.\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">2016 meta-analysis<\/span><\/a><span style=\"font-weight: 400;\"> published in the <\/span><i><span style=\"font-weight: 400;\">Archives of Women\u2019s Mental Health<\/span><\/i><span style=\"font-weight: 400;\"> suggests that Zoloft is the \u201cantidepressant of choice\u201d for nursing moms because of how little sertraline is passed on to the baby via breast milk; in several studies, no amount of the drug was detected in infants whose mothers used it during breastfeeding.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our mental health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Mental Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What about other antidepressants&#8230;are they safe to use during breastfeeding?<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to Dr. Ruiz, any of the common SSRIs (selective serotonin reuptake inhibitors) used as antidepressants can be taken during breastfeeding\u2014but Zoloft has the best side effect profile, making it especially breastfeeding-friendly. Other SSRIs have been observed to cause irritability, colic, nausea, and decreased sleep.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At the same time, there are no overarching recommendations about the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/antidepressants-breastfeeding-nursing-moms\/\"><span style=\"font-weight: 400;\">safety of SSRIs for breastfeeding women<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAssigning specific antidepressants in a woman with depression should be done on a case by case basis, under the direction of a psychiatrist, taking into consideration the benefits of therapy [and other treatments],\u201d says Dr. Gaither. \u201cThere is no set-in-stone methodology for which treatment works for whom.\u201d<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In other words, talk to your healthcare providers; they are in the best position to assess your risk versus benefit profile for any drug you may need during breastfeeding.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Alternative ways to cope with postpartum depression and anxiety<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">So how do you know if your PPD or PPA warrants medication use? Thankfully, <\/span><i><span style=\"font-weight: 400;\">you <\/span><\/i><span style=\"font-weight: 400;\">don\u2019t have to know at all\u2014there are professionals who can help you determine the best course of treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you or one of your loved ones is concerned about your mental health after having a baby, there are a few basic steps to follow:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk to your OB-GYN, primary care provider, or even your baby\u2019s pediatrician. <\/b><span style=\"font-weight: 400;\">All of these healthcare providers are trained to<\/span><a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4022\" target=\"_blank\" rel=\"noopener noreferrer\"> <span style=\"font-weight: 400;\">screen postpartum women<\/span><\/a><span style=\"font-weight: 400;\"> for signs and symptoms of depression and anxiety.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule an appointment for mental health counseling. <\/b><span style=\"font-weight: 400;\">Dr. Ruiz says that cognitive behavioral therapy (CBT) is the most effective therapy for PPD and PPA and should be the first line of defense in your treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Shore up more support where you can.<\/b><span style=\"font-weight: 400;\"> \u201cAs long as there are no concerns about mom being a danger to herself or her baby, the next step is to assess the support structure,\u201d says Dr. Ruiz, who adds that making sure Mom has someone around frequently to assist her with household and newborn care tasks, as well as to check in on her mental health, is critical.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pause to evaluate progress. <\/b><span style=\"font-weight: 400;\">Dr. Ruiz says that sometimes, when CBT is going especially well, SSRI use can be avoided. If you still feel you need more help, however, don\u2019t hesitate to communicate that.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>If necessary, work with a psychiatrist to adjust a prescription for Zoloft or another SSRI. <\/b><span style=\"font-weight: 400;\">Finding the right dose requires some trial and error; psychiatrists are experienced in helping their patients begin new prescription drugs,<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/sertraline-side-effects\/\"> <span style=\"font-weight: 400;\">manage any side effects<\/span><\/a><span style=\"font-weight: 400;\">, and increase dosages when needed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maintain a regular therapy schedule. <\/b><span style=\"font-weight: 400;\">Zoloft alone won\u2019t give you the same results as Zoloft combined with CBT, plus most SSRIs take several weeks to fully \u201cwork\u201d (meaning you\u2019ll have a period of time when therapy is still your primary treatment).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you or someone you know is experiencing suicidal thoughts, help is available. Call the National Suicide Prevention Hotline at 800-273-8255, where professionals are standing by 24\/7 to talk and provide emotional support. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The postpartum period is challenging for all new moms, but no matter what your well-meaning friend or mother-in-law tells you, feeling extremely anxious or depressed after giving birth isn\u2019t \u201cnormal.\u201d Fluctuating hormones, dramatic life changes, intense stress, and debilitating sleep deprivation can all converge in those early weeks to create a perfect mental health storm, [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":18260,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[8970,788],"coauthors":[8860],"class_list":["post-18254","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-breastfeeding","tag-drug-safety","franchise-maternal-matters","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Zoloft and breastfeeding: Does Zoloft affect your baby?<\/title>\n<meta name=\"description\" content=\"Breastfeeding while taking Zoloft is generally considered safe, though there are always some risks. 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