breast feeding on anti-dipressants??

[talktalktalk]

i am now in my 28 th week of pregnancy and taking sertraline (25mg every other day ) i have been told i need to wait and hear from a specialist but chances are i can't breast feed on it. i have looked in to it and every where you turn there is a diffrence in opinions!! has anyone else had to deal with this? and if so what was the out come?? xx

no tiktok, you are paranoid, accusing doctors, drug regulatory agencies etc of only giving advice that goes aganist breastfeeding. they do not, they will just give advice with no motivation. You quite clearly stated that they had motivation You said they did not throughly assess the evidence or studies and instead suggest people look at webistes on the internet, particulary pro-breast feeding ones. That is not good advice. Good advice is to speak to the people who are actual experts about the drugs. Thats it plain and simple. You are being very unreasonable in trying to persuade women that these people give out bias advice and do not assess the evidence properly.

And as I have said my opinions on bf anf ff are my opinions and it is not your place to decide to try to educate me. How you choose to bring up your children is your choice, but if you feel so insecure that you cannot make your own choices without ranting at people who make different choices and trying to get them to do what you do, then that is your issue which you need to get help with, you should not inflict it on other people. I have not once started trying to persuade you of my view, for the simple reason I am secure in my parenting skills and do not need your validation. You need to try to become more confident in your choices too.

kelly - you make me larf, you really do.

Nothing you have said I said bears much resemblance to what I actually wrote.

Regular posters here know me, and know I don't say the ridiculous things you accuse me of. Nor do I rant. Ever. Or try to persuade people to do what I do. Ever. Not in RL, not on here :)

And try to resist the temptation to assess people you don't know from Adam for their security and confidence in their parenting.

FFS.

(I don't rant but I do sometimes swear :) )

I know, I am being a bit hypocritical to be honest. i do not agree with some of your advice, but by harping on about it I am doing exactly what i accuse you of. Sorry and agree to disagree??

OK.

"You are being very unfair to claim that anyone who suggest the OP takes advice from the people who are actual experts on the drug and how it metabolises has an agenda. The OP should consult specialists for advice, and it is very difficult for an individuel to ascertain how reliable random websites are. medical specialists are used to dealing with pregnant and breastfeeding women, so it is unfair to claim they know nothing about it. If you look at my comments I do not encourage people to not bf or vice versa. Those that encourage people to ignore specialist advice and only look at websites telling you sertraline is safe when bf-ingcome across as having an agenda."

Sorry, I have to agree. I don't see why there was any need to suggest that kelly had an "agenda". I think it is always wise to speak to a specialist and in the case of referring to a specialist drugs hotline, that seems eminently sensible too. While GPs in community do not always know the ins and out of medications and their impact on pregnancy/in breastfeeding, specialist perinatal mental health services do have the right information as do regulatory bodies. Their agenda is solely to provide appropriate individualised information that takes all factors of client care into account. They will have knowledge, skills and experience in relation to client care that can't be replicated by posts online (as MN acknowledge, no one here can post as an expert, they are posting as an individual, even if they share knowledge from their field).

In general, I don't think anyone should take medical advice from anyone online, no matter how knowledgeable or informed they might be, and I would expect anyone giving advice within that realm to say much the same.

Oh for goodness sake....I never said she should not consult experts, I (and others) linked to official evidence-based websites, I never said medics know nothing about meds and bf, I never said she should ignore specialists.

Why don't you read what I said instead of reading what kelly's fevered imagination thinks I said?

I didn't give medical advice - I signposted the OP to where she could go for more information, quoting from sources which I linked to.

I did read what you said.

"kelly, you have an agenda, but sadly little knowledge.

Drugs are researched from the point of view of doing harm.....

The specialist you urge the OP to speak to may have a view and of course should be consulted. But he/she may not be an expert in pharmacological interactions with breastfeeding and babies. The manufacturers have a cover-your-ass approach, which may well mean they advise 'no' with no real evidence. The drug regulatory agency in the UK is here: www.mhra.gov.uk. They look after licensing - I doubt they would take individual queries from the public, but in any case, sertraline is a licensed medication and it would be up to the prescriber to discuss its use with the patient (in this case, the OP).

The OP can look at reputable websites and other sources and take advice - and then decide."

You gave information about the safety of sertraline in your first post. You did not mention that this was related to your own experience of using sertraline, contrary to what other posters who have advised the OP have done.

There is no "fevered imagination" (what hyperbole!) on kelly's part or on mine. In general, when dealing with specialist areas such as perinatal mental health, consulting a specialist health care provider who is aware of your circumstance and medical history is to be preferred to looking at websites, however reputable, though these may have a place in decision-making which is why we all use and consult them.

Individual anecdotes are often comforting and reassuring, but links and quotes in the absence of individual information about a patient's history/presentation etc about medical safety can be misleading. If the OP is dealing with a perinatal mental health specialist, there is no reason to believe that they are not very well educated in pharmacological interactions with breastfeeding, pregnancy and babies. If the OP is unhappy with their advice, having done some independent research and/or going with gut instinct/advice from others, they can request a second opinion, however it doesn't make sense to me to believe that they wouldn't be more informed than someone on a website who has not given any background or credentials to suggest otherwise.

I'm not really sure why you are saying things like "oh for goodness sake" etc . It's really not very controversial to suggest that the OP should consult reputable sources and their individual healthcare provider as well as looking online, and I didn't see any evidence of any "agenda" in this suggestion. It is simple common sense when it comes to something as serious as maternal mental health. Most areas, thankfully, have good care pathways for perinatal mental health now and this would be my first point of investigation.

Get off your high horse. I know what I said, I explained why kelly had an agenda, and I linked my indications on safety to reputable websites - I did not pluck them from the air.

Nothing I have said is in the least controversial or (as you imply) unsafe.

High horse? Seriously, chill out.

There's a simple message here: if you have a mental health difficulty during or after birth, talk to your health care provider about the drugs you are taking and their effects. If you are unhappy with their advice, find a new healthcare provider.

You don't believe that what you said was unsafe, that is your prerogative. I read you, as kelly did, saying that doctors often didn't know what was what as they weren't experts in pharmacological interactions, babies and breastfeeding and that the OP could consult websites and decide. It's written there, it's in black and white, you are taking a very simple suggestion that that MIGHT not perhaps the best advice as a very personal insult which it's not.

Are you always this aggressive?

*during pregnancy