Question

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

Cipralex lactation summary

Cipralex is safe in breastfeeding
  • DrLact safety Score for Cipralex is 1 out of 8 which is considered Safe as per our analyses.
  • A safety Score of 1 indicates that usage of Cipralex is mostly safe during lactation for breastfed baby.
  • Our study of different scientific research also indicates that Cipralex does not cause any serious side effects in breastfeeding mothers.
  • Most of scientific studies and research papers declaring usage of Cipralex safe in breastfeeding are based on normal dosage and may not hold true for higher 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 Cipralex usage in lactation

S-Enantiomer of Citalopram that shares similar pharmacokinetics and properties with Citalopram. Excretion into breast milk is clinically non-significant. Serum levels of infants from breastfeeding mothers who were treated have been shown to be undetectable or very low. Overall, short or long-term harmful effect has not been reported among breastfed infants. Isolated cases of irritability and neonatal necrotizing enterocolitis after intrauterine exposure have appeared in medical literature contrasting with harmlessness reported by others. Galactorrhea associated or not to hyperprolactinemia, may appear. Women who are on antidepressant treatment in pregnancy are in need of special and intensive support for breastfeeding because of a high risk of early weaning.
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