I need some help please

(47 Posts)
monkeysbignuts Wed 27-Feb-13 13:04:56

My gp has told me I have to stop breastfeeding by the end of the week! My lb is 19 weeks and will take a bottle fine. I'm terrified about getting mastitis and block ducts. I have to go on meds that I can't take while breast feeding and my gp thinks I have to put my needs first urgently. So how do I do it? Any tips for stopping milk production and is there anything I can take to help? It's my 3rd baby so I'm experienced at breast feeding which worrys me that I will become very engorged

flubba Wed 27-Feb-13 14:08:19

Can you not just express and dump while you're on the meds? That way you can continue BFing when you're off them and you won't be engorged.

OpheliasWeepingWillow Wed 27-Feb-13 14:09:15

What meds are they?

tiktok Wed 27-Feb-13 14:09:51

monkeys how difficult for you sad

First thing is to check you only have this one option - to stop bf.

Very few medications are unsafe for a bf baby - have you done your own research on this to help you discuss with your doctor?

You can check here toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT and the Breastfeeding and Medication pages on facebook, where you can also find links to other sources of info.

Stopping bf suddenly within 2 days from fully bf to nothing is not possible to do safely or comfortably, you are right. If you did stop you would have to express to reduce your supply more slowly.

But CHECK your meds smile

monkeysbignuts Wed 27-Feb-13 14:26:36

It's not safe for baby to feed while I am on them and it's long term too so won't be able to go back to feeding.
I have come to terms with stopping, I just need to do it with minimal problems really.
Any practical advice would be great or are there any natural remedies for drying up milk? Which feeds are best to stop first etc.
He's on 2 bottles a day already as I suspected I would have to stop soon.

tiktok Wed 27-Feb-13 18:29:42

Do call a bf helpline, monkey , and work out a plan.

flubba Wed 27-Feb-13 18:35:35

In that case, I personally would express for the feeds he normally has except for the last one at night, and gradually reduce back from that to the morning one (although I'm not an expert - it's just that, for me, the morning feed was always the most full one in terms of milk production, so that would seem to me to be the most obvious one to leave until last to prevent engorgement).

Hope all goes well for you x

flubba Wed 27-Feb-13 18:36:36

or yes - do as tiktok suggests for expert advice

Seriouslysleepdeprived Wed 27-Feb-13 21:47:14

If you are going to stop abruptly and are worried about mastitis, decongestants are known to reduce breastmilk.

monkeysbignuts Thu 28-Feb-13 19:18:46

Thanks for the tip every one. I am still breastfeeding. Adding another bottle tomorrow and in a few days the last one sad
Needs must!
I will be getting some decongestants seriously thank you. I have a lot of milk so can't do it too quickly with out some help

Seriouslysleepdeprived Fri 01-Mar-13 07:28:35

No worries. Mastitis is the pits, hope you avoid it. Also hope your not too sad stopping. It's a toughie but as you say, needs must. Good luck with it all smile

monkeysbignuts Sat 02-Mar-13 07:58:10

I done my last feed yesterday morning sad
I am so full and in pain now, been taking lemsip max and I have cabbage leaves in my bra. I feel physically sick with the pain.
Wish I hadn't listened to my Dr now and done it slowly and my way! Can't go back because I have started my new meds and I doubt lemsip max is good for the baby

flubba Sat 02-Mar-13 09:03:04

sad poor you

I still say express some to give your discomfort some relief. (Express and dump, not suggesting you feed it to baby)

Seriouslysleepdeprived Sat 02-Mar-13 12:13:43

I would also express and dump. You can still do it your way but not feed. Take ibuprofen if you're able too. Will help with the pain & help prevent mastitis.

monkeysbignuts Sat 02-Mar-13 12:30:23

Does anyone know if it's too late to revert back now?
I have taken (in attempts to reduce milk supply) 4 lemsip max 3 yesterday and 1 today. Epsom salts, 1 microgynon. I have also started prozac.
I am feeling more depressed than ever and haven't got a clue what to do.
I am scared to express incase it makes it worse

BartletForTeamGB Sat 02-Mar-13 12:57:13

Have you had to stop BFing because you've started Prozac? If you don't want to stop, then you probably don't need to. There are more BFing friendly antidepressants though that might be worth considering, although this clearly depends on what you might have responded well to in the past.

www.breastfeedingnetwork.org.uk/pdfs/dibm/anti%20depressants%20_and_Breastfeeding_Jan_2013-%20wj.pdf

I wouldn't imagine it is too late now. I'd call a BFing helpline and speak to them, but your milk supply is very well established at 19 weeks so I imagine all you'd need to do is lots of feeding to keep the supply up.

monkeysbignuts Sat 02-Mar-13 13:36:09

Thanks very much for the link.
A small bit of background history might help. I had severe pnd after my first baby almost 6 year's ago. I was initially prescribed citalopram and this made me deteriorate really fast. I became suicidal and started drinking large amounts (3 bottles of wine) I also wanted to harm myself. It was very bad times. My weight plummeted to a little over 7 stone.
My gp took me off them and put me on prozac which was like a miracle drug and within 5 weeks ish I was on the mend.
I am very scared to try anything else after the reaction I had to citalopram.
I miss my milky cuddles terribly, I also need to get myself better because it is causing so many problems for my relationship with my family. My two others are only 3 & 5
Sorry for the huge ramble

Seriouslysleepdeprived Sat 02-Mar-13 14:30:52

Sympathises. I have PND & it's shit. There are other drug and treatment options available if you wanted to continue BFing. I've been having CBT which is helping, although not an instant cure obviously.

Could you make get an emergency appointment with the GP on Monday to discuss it if your not happy to stop?

If you're feeling terrible and need to get better asap, it may be best to stick with what you know works a d manage the boobs bit more gently gently.

May be express over the weekend & see how you you feel. Hope things are ok smile

leedy Sat 02-Mar-13 14:44:08

Oh, monkeys, that sucks. PND is vile, vile, vile and I can see why you'd want to stick with the drug that worked for you. FWIW, I fed DS1 on Lustral/Sertraline and I know at least two people who BF on Prozac, all with no ill effects.

This also suggests it's not a reason to discontinue feeding (hope the link works, if not, go to the main site and look up Prozac/Fluoxetine):
toxnet.nlm.nih.gov/cgi-bin/sis/search/f?./temp/~wg8YLm:1

Lostonthemoors Sat 02-Mar-13 15:23:17

For drugs in bm advice call the bf network drugs in bm line which is staffed by Wendy jones who is a pharmacist.

monkeysbignuts Sat 02-Mar-13 15:33:12

I spoke to a pharmacist who said what I have taken is in small quantities so will be ok to resume feeding.
Going to phone my gp on Monday and either reduce feeds gradually over a few weeks or ask to try a breast feeding friendly antidepressant. I absolutely cannot deal with this pain as well as being mentally on the edge sad
Feeling very fragile today. Thanks for all the advice and support x

leedy Sat 02-Mar-13 16:06:40

Lustral/Sertraline/Zoloft is the most BF-friendly of the antidepressants (in that the least amount goes into your milk), and for what it's worth it worked really really well for me, I was like a completely new woman once I got the dosage right and it had kicked in properly. No noticeable side effects after the first week or two when I was a bit more anxious/queasy, and I was able to wean off it no bother after I'd been well on it for six months. Also, as I said, it does seem to be possible to BF on Prozac if you decide to stick with what you know.

I really feel for you, hope everything works out soon!

monkeysbignuts Sat 02-Mar-13 17:05:07

Leedy did your baby have any side effects? I am really worried it's going to effect him sad
I feel dreadful feeding him now and I only took 1 prozac! I keep thinking I am going to cause him harm or poison him sad

leedy Sat 02-Mar-13 17:21:01

Baby had no side effects whatsoever and is now a big strapping three year old!

monkeysbignuts Sat 02-Mar-13 19:27:18

Thank you leedy
Prozac builds up in high levels so I really don't fancy feeding and using it.
I feel like I don't know which way to turn again now. I was happy to stop breastfeeding and put myself first for my family but once I stopped I totally regretted it. It felt lovely feeding him again today.
I need another talk to my gp I think. I will definitely not be going cold turkey again lol. That was the worst 48 hours ever

leedy Sat 02-Mar-13 19:56:32

Yes, chat to your GP sounds like a good idea. As I said, Lustral worked really well for me and it's the one recommended for use when BF, so might be worth considering switching?

leedy Sat 02-Mar-13 20:01:50

Also totally know where you're coming from about the BF - I was initially told by a stupid locum GP that there were no anti-depressants I could take while feeding and I burst into tears because breastfeeding was one of the few things I felt I could manage and was good at and calmed me down. Fortunately I got a second opinion from the mental health team in my maternity hospital and then from my regular GP.

monkeysbignuts Sat 02-Mar-13 20:36:51

For me it sort of feels like the baby isn't mine if I can't breastfeed, even just 1 or 2feeds a day for tthose lovely cuddles

monkeysbignuts Sat 02-Mar-13 21:00:29

I can't believe the dr said you couldn't take anything!

leedy Sat 02-Mar-13 21:04:47

I was SO ANGRY with her once I realized that she didn't know what she was talking about.

Seriouslysleepdeprived Tue 05-Mar-13 10:13:49

How are things op? smile

monkeysbignuts Tue 05-Mar-13 18:09:13

Hey feeling lots better the last few days. Baby is starting to reject boob and preferring the bottle, Down to 2 short feeds a day now. Really don't want to get engorged again so going to do it slow!
Thanks for asking xx

leedy Tue 05-Mar-13 18:28:33

Oh yay, glad to hear you're doing better.

Seriouslysleepdeprived Tue 05-Mar-13 21:03:40

Me too...it's tough this PND business. Hope you are back on your feet soonsmile

monkeysbignuts Fri 08-Mar-13 13:15:33

Having a rough time sad baby decided not to have boob anymore and I had to start bromocriptine to stop my milk supply, theside are horrible sad
Been vomiting and had dizzy spells.
Hope you guys are doing well?
Started my prozac and praying it kicks in soon x

Seriouslysleepdeprived Fri 08-Mar-13 19:24:24

Oh no hmm Being so ill is not what you need on top of everything else. How long do you have to take them for? Are they working? Must be really tough having to stop so abruptly.hope you're not feeling too crappy.

I have had a rubbish week too. Been in tears on & off all day. It feels like there's no end to this sometimes. Thank god it's the weekend...

monkeysbignuts Fri 08-Mar-13 19:53:33

I have no idea how long it will take sad
I can feel some blocked ducts so worried about mastitis now to.
Sorry you're not feeling good to. It so hard to function properly some days isn't it. I struggle to brush my hair and teeth some days

Seriouslysleepdeprived Fri 08-Mar-13 20:16:16

It really is. I feel like I just dragging myself through the days at the moment. Everything is such an effort. I feel really bad for DS that this has happened. Little guy deserves better really hmm

Ibuprofen always helps when I've had blocked ducts. Have you tried cabbage leaves? My GP swears by them.

monkeysbignuts Sat 09-Mar-13 10:37:46

I feel like that about my kids sad
How old is your ds?
I was really bad after my first and he's none the wiser ;) I doubt they will remember and we will get better! It took about 4 months to get back to normal once I got my meds right last time. That was with a cock up in the middle too.
Hope your ok today xx

leedy Sat 09-Mar-13 11:04:56

My DS1 was copiously cried over as a baby by a mad mother and it doesn't seem to have affected him at all. smile And yes, you will get better!

Seriouslysleepdeprived Sat 09-Mar-13 14:26:01

I'm pleased to hear that as I am really struggling today. DS is 11 months and my first. I hate the relentlessness of motherhood and I'm shit at it. I've just shouted at him because he won't nap hmmPoor little guy can't help it but I'm losing my mind with it all.

My DH doesn't want me to BF while taking anti-depressants but DS has a CMPI & won't take neocate so I'm stuck. I feel trapped in some sort of nightmare which nobody understands.

monkeysbignuts Sat 09-Mar-13 16:20:49

leedy that's the one positive of being through it before, I know I will get better! & as the baby gets older it becomes easier too.
Seriously you can safely take sertraline while breastfeeding. You have to look after yourself as well as your lo. My first baby wouldn't take a bottle and I breastfed him for 12 months. Could he have normal milk at 12 months?
I started meds as soon as I stopped feeding him.
I don't know how your managing without. Big hugs xx

leedy Sat 09-Mar-13 17:50:16

Oh yeah, I couldn't have managed without the drugs AT ALL. And really, especially for an older baby Sertraline is perfectly safe (other anti-depressants are also ok but that's the very safest) - I was prescribed it by the mental health team in my maternity hospital and they were very very reassuring about it being ok for BF (and I was a very anxious mother at the time), and that was when DS1 was only two months old. I fed on it for nearly a year in total including getting the dosage right and weaning off, DS1 had no ill effects whatsoever, and I was a much happier healthier person. Can you tell your DH that there's no medical reason for you not to take the meds, and how trapped and unhappy you feel?

Here's a good article you could show him:
kellymom.com/bf/can-i-breastfeed/meds/antidepressants-hale10-02/

Hate to think of you being so unwell if there's something that might help.

Hope you're doing better too, monkeys!

leedy Sat 09-Mar-13 17:50:57

The Zoloft (sertraline) mentioned in the article is marketed here as Lustral, btw.

Seriouslysleepdeprived Sat 09-Mar-13 21:42:47

Thanks so much for the link. Just read through it & it was useful. I will show DH & make an appointment with the GP.

Things are just getting worse and I'm feeling over whelmed a lot of the time now. I need to do something as it's really not fair on DS. I grew up with a mad mum & it was shit hmm

Seriouslysleepdeprived Sat 09-Mar-13 21:57:45

How are the boobs today btw? Hope they have settled down a bit smile

monkeysbignuts Sun 10-Mar-13 10:02:28

Happy mum makes a happy baby right smile
Definitely get some advice. I struggled with my first for 13 months and got very ill before Starting meds.
My boobs are still really sorry making milk! I think I have mastitis because I keep getting cold shivers and I feel tired and miserable. A trip the dr tomorrow I think. Got my blood test first thing.
Hope your ok? It does get better I promise x

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