Is Buspirona [INN-Spanish] Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use Buspirona [INN-Spanish]? Is Buspirona [INN-Spanish] safe for nursing mother and child? Does Buspirona [INN-Spanish] extracts into breast milk? Does Buspirona [INN-Spanish] has any long term or short term side effects on infants? Can Buspirona [INN-Spanish] influence milk supply or can Buspirona [INN-Spanish] decrease milk supply in lactating mothers?

Limited information indicates that maternal doses of Buspirona [INN-Spanish] up to 45 mg daily produce low levels in milk. Because no information is available on the long-term use of Buspirona [INN-Spanish] during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.

Possible drug-induced seizure-like activity and cyanosis occurred in a breastfed 3-week-old whose mother was taking Buspirona [INN-Spanish] 15 mg 3 times daily as well as fluoxetine and carbamazepine during pregnancy and breastfeeding. The authors thought that this reaction, if drug induced, was most likely caused by fluoxetine.[1] One exclusively breastfed 11-week-old infant was breastfed during maternal therapy with Buspirona [INN-Spanish] 10 mg daily and venlafaxine 300 mg daily. No adverse reactions were reported by the mother or in the medical records.[2]

Buspirona [INN-Spanish] increases serum prolactin.[3][4][5][6] Galactorrhea was reported in a women taking venlafaxine after Buspirona [INN-Spanish] was added to her regimen. However, when Buspirona [INN-Spanish] was discontinued, galactorrhea persisted.[7] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.