Lexapro and Breastfeeding
I did end up going off the Wellbutrin at around 7 months. It was sort of by accident, because I ran out of pills and hadn’t ordered any more. There were no side effects to the instant withdrawal and I felt fine without it. I did stay on the 10 mg of Lexapro until 3 weeks before my C-Section.
At that time, I decided to taper. The reproductive psychiatrist I had met with told me that there was a 10-30% chance of having a baby who is slightly fussy (or fussier) post birth if you keep on the meds. Still, she encouraged me to stay on them, because the fussy-factor dissipates within a few days. However, I tapered with Fia and I wanted to do the same this time around. I can live with .01% risk of staying on an antidepressant while pregnant. But 10-30% felt high to me, even though it’s a short-lived problem.
My taper wasn’t fun. I felt that dizzy/spaced out feeling pretty constantly. But I went with it because when you’re that pregnant, you feel exhausted anyway.
Emmett was born on January 25, 2012 and he has, knock on a forest, been an incredibly easy baby thus far. However, about a week after he was born, my hormones were raging, my nerves were getting frayed and my husband was pushing me to go back on the Lexapro before things went south.
I consulted a lactation consultant who informed me that Lexapro is now an L2 drug. Here is the website that explains the categories and gives a list of drugs. An L2 is a drug which, has been “studied in a limited number of breastfeeding women without an increase in adverse effects to the infant. And/or the evidence of a demonstrated risk which is likely to follow use of this medication in a breastfeeding woman is remote.”
L1 is the safest, L5 is the most risky.
I was so relieved to hear that Lexapro had been studied, that the first thing I did when I got home was take a 5 mg dose. I’ve been on that for about 2 months, and just last week went up to 10 mg. I was feeling a lot of anxiety and intensity about things. I was hoping 5 mg would be enough, but it wasn’t. I have noticed an immediate difference in my state of mind.
Wellbutrin is still an L3, which means it’s moderately safe, but no controlled studies have been done. I may go back on a small dosage of that as time goes on. We’ll see. I have some semi-obsessive issues I’m trying to deal with that seem to be getting worse. Like my obsession with cleaning. I feel like it is getting a bit out of control–which is ironic because I think “control” is what it’s all about. I will blog about that soon, as I have some ideas on how I may try and tackle this.
Anyway, I just wanted to update all of you who were interested and/or in similar situations as I was with the whole antidepressant arena. Thanks for listening.
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Tags: antidepressants, anxiety, breast feeding, breastfeeding, depression, L2, L3, lactation, lexapro, obsession, obsessions, pregnancy, pregnant, taking antidepressants when pregnant, wellbutrin | Categories: Fearless Feisty Mama, Mom Situations, Must Read, Newborn Care