Escitalopram Oxalate Tablet Breastfeeding

American Academy of Pediatrics and other medical experts exclusively recommend to breastfeed the baby for first 6 months. Once you introduce baby to other foods it is recommended to breastfeed for at least first year of babys life. Taking medication while breastfeeding could be tricky as most drugs pass in breast milk. In this article we will evaluate Escitalopram Oxalate Tablet for its safety in breastfeeding.

What is Escitalopram Oxalate Tablet used for?


1.1 Major Depressive Disorder Escitalopram tablets USP are indicated for the acute and maintenance treatment of major depressive disorder in adults and in adolescents 12 to 17 years of age [see Clinical Studies (14.1)]. A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed or dysphoric mood that usually interferes with daily functioning, and includes at least five of the following nine symptoms: depressed mood, loss of interest in usual activities, significant change in weight and/or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, increased fatigue, feelings of guilt or worthlessness, slowed thinking or impaired concentration, a suicide attempt or suicidal ideation. 1.2 Generalized Anxiety Disorder Escitalopram tablets are indicated for the acute treatment of Generalized Anxiety Disorder (GAD) in adults [see Clinical Studies (14.2)]. Generalized Anxiety Disorder (DSM-IV) is characterized by excessive anxiety and worry (apprehensive expectation) that is persistent for at least 6 months and which the person finds difficult to control. It must be associated with at least 3 of the following symptoms: restlessness or feeling keyed up or on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, and sleep disturbance.

I am breastfeeding mother and I am using Escitalopram Oxalate Tablet. Can it have any bad effect on my kid? Shall I search for better alternative?

Escitalopram Oxalate Tablet safe for breastfeeding
As per our analysis Escitalopram Oxalate Tablet contains only one ingredient and that is Escitalopram. We have analyzed Escitalopram and it seems to be safe to use Escitalopram while breastfeeding, that means usage of Escitalopram Oxalate Tablet shall be safe while breastfeeding. Below you can check more details of Escitalopram usage in breastfeeding. We recommend you to go through provided detailed analysis as below take decision accordingly.

Escitalopram Oxalate Tablet Breastfeeding Analsys


Escitalopram while Breastfeeding

Safe

CAS Number: 128196-01-0

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.

Escitalopram Oxalate Tablet Breastfeeding Analsys - 2


Escitalopram while Breastfeeding

CAS Number: 128196-01-0

Escitalopram is the -isomer of the antidepressant, citalopram. Limited information indicates that maternal doses of escitalopram up to 20 mg daily produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. One case of necrotizing enterocolitis was reported in an breastfed newborn whose mother was taking escitalopram during pregnancy and lactation, but causality was not established. A seizure-like event occurred in an infant who was also exposed to bupropion in milk. Other minor behavioral problems have also been reported. Monitor the infant for drowsiness, especially in younger, exclusively breastfed infants and when using combinations of psychotropic drugs. Mothers taking an SSRI during pregnancy and postpartum may have more difficulty breastfeeding, although this might be a reflection of their disease state.[1] These mothers may need additional breastfeeding support. Breastfed infants exposed to an SSRI during the third trimester of pregnancy have a lower risk of poor neonatal adaptation than formula-fed infants.


I already used Escitalopram Oxalate Tablet and meanwhile I breastfed my baby should I be concerned?

Escitalopram Oxalate Tablet is safe in breastfeeding and should not create any health problem for your baby but in case you feel any health issue associated with Escitalopram Oxalate Tablet you should contact your doctor or health care provider. Be it pregnancy or lactation you shall keep your doctor informed.


I am nursing mother and my doctor has suggested me to use Escitalopram Oxalate Tablet, is it safe?

Definitely, Escitalopram Oxalate Tablet is safe in lactation for baby. No wonder your doctor has recommended it.


If I am using Escitalopram Oxalate Tablet, will my baby need extra monitoring?

No extra baby monitoring required while mother is using Escitalopram Oxalate Tablet


Who can I talk to if I have questions about usage of Escitalopram Oxalate Tablet in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week

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