Is Buspirona Safe in Breastfeeding

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

Limited information indicates that maternal doses of Buspirona up to 45 mg daily produce low levels in milk. Because no information is available on the long-term use of Buspirona 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 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 10 mg daily and venlafaxine 300 mg daily. No adverse reactions were reported by the mother or in the medical records.[2]

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