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Infant feeding

Get advice and support with infant feeding from other users here.

Medication Has Affeced Milk Supply!!!!! Is It Reversible???

19 replies

magnolia1 · 15/03/2007 13:49

Doctor prescribed fluoxetine (ati depressant) but since I started it 5 days ago my milk supply has been awful. ds1 is 15 weeks and is screaming after only 2-3 minutes on each bbob, he is obviously still hungry and i HAVE RULED OUT THRUSH/EAR INFECTION/TEETHING ETC....
Oops sorry for shouting

I am waiting for gp to phone to see if I can take something else.
But is it permanent??

Really don't want to give up or top up so what now?
I have been feeding him pretty much non stop for 24hrs but its not satisfying him

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magnolia1 · 15/03/2007 14:09

Sorry spelling is awful

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shonaspurtle · 15/03/2007 14:37

Here's what the Breastfeeding Network Drugline says about ads and breastfeeding.

HTH

yellowrose · 15/03/2007 15:34

I have copied and pasted this from kellymom.com for you:

"Zoloft is the "best drug choice so far". It has a low, low transfer rate to breastmilk (17-173 ug/liter) in mothers taking up to 150 mg/day. In one excellent study of 11 mother/infant pairs, the zoloft was undetectable in 7 of the 11 breastfeeding infants' serum and minimal in the other infants. In two other studies of one and three mother/infant pairs respectively, zoloft was undetectable in the plasma of all 4 infants. A theoretical concern with Zoloft is that some babies may not gain weight as rapidly or as well when breastfed by moms on Zoloft; so weight gain should be monitored and dosage tweaked as necessary".

Zoloft - is an anti-d and has a different names in the UK. Ask your GP.

I would print off the stuff from shona (Bresatfeeding Network) and kellymom.com and show it to your GP. Usually they resist giving you anything unless you show them proper evidence of where you get your info. from.

yellowrose · 15/03/2007 15:36

Here is the whole page from kellymom.com, it lists all the anti-d's and compares them. The extract I copied below was from this page:

this

DaisyMOO · 15/03/2007 16:01

Are you sure it's not a growrth spurt as this age is fairly classic growrth spurt time. Is he still having plenty of wet and dirty nappies as presumably if your milk supply was significantly lower then he would be weeing and pooing less? It's also possible that he's getting a small amount of the prozac from your milk and this is making him unsettled, they often cause side-effects when you're first taking them so presumably can have the same effect on the baby?

chilledmama · 15/03/2007 16:08

Magnolia1, My heart goes out to you...I had a similar problem at Christmas. I asked for a drug that was 'safe for breastfeeding' and was quoted all about the low transfer rate to the milk etc however what the stupid woman (pharmacist) didn't check was that she was giving me a drug that was a milk suppressant. The good news is that with a lot of perserverance my milk supply is really good again but not sadly as good as it was. It doesn't help you with a hugry baby but usually if you keep putting him on it should only take a day for more milk to be supplied but only if your not taking the drug...you need to talk to your GP and remeber to ask for something which doesn't suppress your milk supply.
HTH

yellowrose · 15/03/2007 16:19

chilled - what did she give you ?

magnolia1 · 15/03/2007 18:07

Spoke to G.P who has now prescribed Lustral which is the safest in breastfeeding according to the documented link below

Just need to try and boost supply up again now, ds1 is so pee'd off though wanting milk when there isn't much

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yellowrose · 15/03/2007 18:29

Good magnolia - it is also known as Sertraline which I have also read is the safest. Good luck. If you need more support with bf, come back here

yellowrose · 15/03/2007 18:32

Oh also he may be having a growth spurt, hence the constant feeding. I doubt your boobs are empty if you have been feeding that frequently. Good luck !

chilledmama · 15/03/2007 19:06

yellowrose- I was given a cold remedy called Decongestant Tablets with Parcetamol, trusting fool that I am i didn't research fully myself but trusted the pharmacist in the Boots shop and she swore that the active ingrediant in it was safe while breastfeeding...and technically it is, its just that you wont have any milk afterwards. The active ingredient is pseudoephedrine which I now know should be avoided!

yellowrose · 15/03/2007 19:20

Chilled - that's terrible. Kellymom and Breastfeeding Network both have lots of detailed info. on meds when bf. I always have a copy of the kellymom one when I see GP.

EVERY health prof. GP/HV, etc should have a copy of this stuff that bf mums know about through searches on the net. It is absurd. Why do we have to go on the net to get basic health info ?

Glad you got it sorted in the end

magnolia1 · 15/03/2007 19:33

Ok, what do I do with him if he is screaming after a few minutes??? Keep trying to latch him back on but he is having none of it. He seems so hungry After the initial let down he gets frustrated when the flow slows down. I have tried breast compression but he is just fighting at the breast

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chilledmama · 15/03/2007 19:53

Magnolia- Take a break. Give your boobs a chance to refill. If he's still screaming let him suck your finger or dummy or a little boiled water. If he is a healthy weight, at 15 weeks a couple of days of being a bit hungry won't affect him. I resorted to a bit of formula because I didn't realise it was the drug...I thought my milk had just dropped off because I was under the weather. DS went back to boob without any problems because I kept putting him on and usual feed times

magnolia1 · 15/03/2007 20:44

He wont take a dummy or anything

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shonaspurtle · 16/03/2007 10:58

Magnolia - how are things today?

magnolia1 · 16/03/2007 11:09

Well he slept from 9.30pm to 4.30am!!!! So he must have filled up yesterday.
Still a bit restless on the right boob after a few minutes but will try to ride it out and hopefully things will pick up again.

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shonaspurtle · 16/03/2007 11:25

That's big relief . Here's hoping it keeps getting better.

It's awful when they refuse to feed isn't it - really feels like a personal rejection to me!

chilledmama · 16/03/2007 12:16

magnolia- Glad things are picking up. It's blooming hard on you when you feel you're not giving your baby what he wants. 7 hours sleep though...he can't have been too hungry. You'll get through! DS screaming in background...better go and sort him out.

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