Paxil and Breastfeeding

Many healthcare providers usually advise their patients that it is okay to breastfeed while taking Paxil. Several studies have shown that when women take Paxil when they are breastfeeding, the levels of Paxil in their child's blood is either very low or undetectable. Although small amounts of Paxil pass through breast milk, the benefits of breastfeeding are thought to outweigh the risks of the medication in most cases.

Paxil and Breastfeeding: An Overview

Small amounts of Paxil® (paroxetine hydrochloride) pass through breast milk. Because of the potentially serious side effects that could occur in the nursing infant, it is recommended that healthcare providers look at the possible risks and benefits before recommending Paxil while breastfeeding. Therefore, if you are breastfeeding while taking Paxil (or considering it), make sure to let your healthcare provider know.
 
When asked about Paxil and breastfeeding, many healthcare providers usually advise their patients that it is okay to breastfeed while taking Paxil. In most cases, it is thought that the benefits of breastfeeding a child outweigh the possible risks the medication may pose.
 

Paxil and Breastfeeding: What Does the Research Say?

Several studies have shown that when women take Paxil when they are breastfeeding, the levels of Paxil in their child's blood is either very low or undetectable. The most recent study was done by Berle and colleagues, and published in the September 2004 edition of the Journal of Clinical Psychiatry. They concluded that "this study adds further evidence to previous published data indicating that breastfeeding should not be generally discouraged in women using serotonin reuptake antidepressants."
 

Talking With Your Healthcare Provider About Paxil and Breastfeeding

You should talk with your healthcare provider about Paxil and breastfeeding.
 Everyone's situation is different, and your healthcare provider understands your situation best. After considering what you want and expect (and your current health situation), you and your healthcare provider can make a shared decision about Paxil and breastfeeding in your particular situation.
 
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD
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