Is Tianeptine Sodium Safe in Breastfeeding
Question
I am a breastfeeding mother and i want to know if it is safe to use Tianeptine Sodium? Is Tianeptine Sodium safe for nursing mother and child? Does Tianeptine Sodium extracts into breast milk? Does Tianeptine Sodium has any long term or short term side effects on infants? Can Tianeptine Sodium influence milk supply or can Tianeptine Sodium decrease milk supply in lactating mothers?
Tianeptine Sodium lactation summary
- DrLact safety Score for Tianeptine Sodium is 3 out of 8 which is considered Low Risk as per our analyses.
- A safety Score of 3 indicates that usage of Tianeptine Sodium may cause some minor side effects in breastfed baby.
- Our study of different scientific research indicates that Tianeptine Sodium may cause moderate to no side effects in lactating mother.
- Most of scientific studies and research papers declaring usage of Tianeptine Sodium low risk in breastfeeding are based on normal dosage and may not hold true for higher dosage.
- While using Tianeptine Sodium We suggest monitoring child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to dosage.
- Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.
Answer by Dr. Ru: About Tianeptine Sodium usage in lactation
Drug with similar efficacy as other antidepressants with tricyclic and selective inhibitors of serotonin reuptake characteristics.Risk of abuse and dependence with addiction, which is a reason not to be authorized in many countries.Neonatal Abstinence Syndrome has been published after abusing doses (more than 100 times higher than usual) of Tianeptine during pregnancy (Bence 2016). At latest update no published data on excretion into breast milk were found. Its high plasma protein-binding capacity makes it unlikely the passage of drug into breast milk. It may, like other antidepressants, increase Prolactin levels in the plasma. Until more published data regarding breastfeeding is available, the use of a known and safer alternative drug should be preferred, especially during the neonatal period and/or in case of premature infant.
Alternate Drugs for Antidepressants, other. ATC N06AX
Trazodone(Safe)
Mirtazapine(Safe)
Venlafaxine(Safe)
Duloxetine(Safe)
Desvenlafaxine(Safe)
Milnacipran(Unsafe)
Levomilnacipran(Unsafe)
Vortioxetine(Low Risk)
Agomelatine(Low Risk)
Mianserin-Hcl(Low Risk)
Nefazodone-Hcl(Dangerous)
Oxytriptan(Low Risk)
Viloxazine-Hcl(Unsafe)
Vortioxetine Hydrobromide(Low Risk)
Duloxetine Hydrochloride(Safe)
Mepirzepine(Safe)
Midalcipran(Unsafe)
Desvenlafaxine Succinate(Safe)
Trazodone Hydrochloride(Safe)