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Pharmacological Treatment Of Postnatal Depression? TCAs and SSRIs can both be used in breast feeding mothers. The choice of agent should be For TCAs, the preferred choices are amitriptyline and imipramine, as they have the largest amount Method Of Administration Use single daily dose of agent, at its lowest effective dose. Administer dose immediately before infants longest sleep period. Breast-feeding should take place immediately before the dose is given. Avoid breast-feeding during peak drug levels. For very young infants feeding frequently, Infants ahould be monitored for drowsiness or other behavioural changes. Avoid abrupt withdrawal of agent. The use of antidepressants in breast-feeding mothers is a complex issue and it is always wise to seek further advice before commencing/changing treatment. Useful contacts include Salford PCT Prescribing Team, your Consultant Psychiatrist or Trent Drug Information Service (Drugs and Breast-feeding advice) on 0116 2555 779. If Breast-Feeding All antidepressants are secreted in breast milk, but the (limited) available data suggest that Provided that the baby is full-term and healthy, the evidence does not seem to warrant a However, pre-term infants should not continue to be brest-fed, as there is a risk of drug If Not Breast-Feeding Please refer to Pharmacological Treatment of Depression Guidelines. Useful Patient Information Self-help book Harvey,E. The Element Guide to Postnatal Depression: Your Questions Answered.1999. Element (Publisher). ISBN 1-86204-330-2 Support organisations Meet A Mum Association (MAMA) -support to women suffering postnatal dpression HELPLINE: 020 8768 0123 National Childbirth Trust HELPLINE 0870 444 8707 Association for Postnatal Illness HELPLINE 0207 386 0868 Back |
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