Breastfeeding and medications

iVillage Member
Registered: 07-10-2008
Breastfeeding and medications
5
Tue, 05-31-2011 - 12:56pm

I have been diagnosed with bi-polar for about 15 years. I finally am on a combination of medications that work perfectly for me. Lamictal, seroquel, and ambien. I am currently pregnant with my 3rd child. I am only taking the seroquel (which both my ob and psychiatrist haved ok'd). I still struggle with my bi-polar while pregnant and am basically just trying to make it through as best I can. After I had my other kids, I was back on my regimen immediately. I have been told not to BF as the meds may affect the baby.

iVillage Member
Registered: 10-27-2006
Tue, 05-31-2011 - 1:24pm
A lactation consultant should have a copy of Hale's, which is a thorough resource on meds and what gets into your milk and in what quantities. Unfortunately doctors are generally not the best source of this info!
iVillage Member
Registered: 07-11-2006
Tue, 05-31-2011 - 5:09pm

I will provide a link in the next post. I think that the combination of meds you are on is reasonably compatible with breastfeeding.

OTOH, if you were on Lithium, than it would probably be less risky to use formula.

ITA with you that messing with a combination of meds that reasonably controls the bipolar is a bad idea and probably very risky.

iVillage Member
Registered: 07-11-2006
Tue, 05-31-2011 - 5:27pm

This is a link to Dr. Thomas Hale's new website. He is the author of the professional resource Breastfeeding and Mother's Milk and considered The Guru on the topic. IANAD, so everything I post should be considered to be from a person on the internet, ;)

http://www.infantrisk.com/

This is a link to LactMed. It's a good place to do a quickie search on any med.

http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

From LactMed:

Although

iVillage Member
Registered: 07-11-2006
Tue, 05-31-2011 - 5:34pm

http://www.womensmentalhealth.org/specialty-clinics/breastfeeding-and-psychiatric-medication/

For women with bipolar disorder, breastfeeding may pose more significant challenges. First, on-demand breastfeeding may significantly disrupt the mother’s sleep and thus may increase her vulnerability to relapse during the acute postpartum period. Second, there have been reports of toxicity in nursing infants related to exposure to various mood stabilizers, including lithium and carbamazepine, in breast milk.

Several recent studies have suggested that [Lamictal]

iVillage Member
Registered: 06-24-2008
Wed, 06-01-2011 - 11:05pm
If it were me (and it was once me although different diagnosis and meds) I would read Hale's site, and the other links already provided. Then I would find a board certified lactation consultant (IBCLC) to discuss the information. You can find an IBCLC in your area on this site: http://www.ilca.org/i4a/pages/index.cfm?pageid=3432 Some hospitals have them on staff, just make sure it's an IBCLC and someone who has a copy of Hales to refer to. The IBCLC should not tell you yes or no, but rather give you the information about each drug and the drugs in combination and the risk associated with taking them while breastfeeding.
"The key to good decision making is not knowledge. It is understanding."
Malcolm Gladwell Blink