Citalopram Hydrobromide | Citalopram 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 Citalopram Hydrobromide | Citalopram Tablet for its safety in breastfeeding.

What is Citalopram Hydrobromide | Citalopram Tablet used for?


Citalopram tablets, USP are indicated for the treatment of depression. The efficacy of citalopram in the treatment of depression was established in 4 to 6 week; controlled trials of outpatients whose diagnosis corresponded most closely to the DSM-III and DSM-III-R category of major depressive disorder (see CLINICAL PHARMACOLOGY). 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. The antidepressant action of citalopram tablets, USP in hospitalized depressed patients has not been adequately studied. The efficacy of citalopram in maintaining an antidepressant response for up to 24 weeks following 6 to 8 weeks of acute treatment was demonstrated in two placebo-controlled trials (see CLINICAL PHARMACOLOGY). Nevertheless, the physician who elects to use citalopram for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient.

I am currently breastfeeding and I want to know if using Citalopram Hydrobromide | Citalopram Tablet is safe for my kid? Does it have any effect on milk production?

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

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing Mothers As has been found to occur with many other drugs, citalopram is excreted in human breast milk. There have been two reports of infants experiencing excessive somnolence, decreased feeding and weight loss in association with breastfeeding from a citalopram-treated mother; in one case, the infant was reported to recover completely upon discontinuation of citalopram by its mother and in the second case, no follow-up information was available. The decision whether to continue or discontinue either nursing or citalopram therapy should take into account the risks of citalopram exposure for the infant and the benefits of citalopram treatment for the mother.

Citalopram Hydrobromide | Citalopram Tablet Breastfeeding Analsys


Citalopram while Breastfeeding

Safe

CAS Number: 59729-33-8

Excretion into breast milk is low. Serum levels of infants from treated nursing mothers have been shown to be very low. Overall, short or long-term harmful effect has not been reported among breastfed infants. Neither negative effect on growth nor psychomotor development has been observed in breastfed infants. Galactorrhea associated or not to hyperprolactinemia, may appear. Although it is considered to be safe while breastfeeding, an alternative with lesser excretion into breast milk should be preferred. Women who are on antidepressant treatment during pregnancy are in need of special and intensive support for breastfeeding because of a high risk of early weaning.

Citalopram Hydrobromide | Citalopram Tablet Breastfeeding Analsys - 2


Citalopram while Breastfeeding

CAS Number: 59729-33-8

Infants receive citalopram in breastmilk and it is detectable in low levels in the serum of some. The dosage that the infant receives and serum level achieved are probably related to the genetic metabolic capacity of the mother and infant. A few cases of minor behavioral side effects such as drowsiness or fussiness have been reported, but no adverse effects on development have been found in infants followed for up to a year. Infants exposed in utero can have withdrawal effects postpartum despite breastfeeding and continued maternal citalopram use.[1][2] If citalopram is required by the mother, it is not a reason to discontinue breastfeeding. If the mother was taking citalopram during pregnancy or if other antidepressants have been ineffective, most experts recommend against changing medications during breastfeeding. Otherwise, agents with lower excretion into breastmilk may be preferred, especially while nursing a newborn or preterm infant. The breastfed infant should be monitored for behavioral side effects such as sedation or fussiness. Mothers taking an SSRI during pregnancy and postpartum may have more difficulty breastfeeding, although this might be a reflection of their disease state.[3] 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 Citalopram Hydrobromide | Citalopram Tablet and meanwhile I breastfed my baby should I be concerned?

As usage of Citalopram Hydrobromide | Citalopram Tablet is mostly safe while breastfeeding hence there should not be any concern. In case of any change in behavior or health of your baby you should inform your health care provider about usage of Citalopram Hydrobromide | Citalopram Tablet else no further action is required.


My health care provider has asked me to use Citalopram Hydrobromide | Citalopram Tablet, what to do?

Definitely, Citalopram Hydrobromide | Citalopram Tablet is safe in lactation for baby. No wonder your doctor has recommended it.


If I am using Citalopram Hydrobromide | Citalopram Tablet, will my baby need extra monitoring?

No extra baby monitoring required while mother is using Citalopram Hydrobromide | Citalopram Tablet


Who can I talk to if I have questions about usage of Citalopram Hydrobromide | Citalopram 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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