Postpartum depression is frequently observed in women. First-line antidepressants in treatment of postpartum depression are selective serotonin reuptake inhibitors (SSRIs). Although SSRIs are well tolerated by most breastfed infants, some adverse events may arise in exposed infants. This report presents the case of an infant of a breastfeeding woman using citalopram without any problem after sertraline and paroxetine were discontinued due to adverse events in the infant.
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References
1.
O'HaraMW. Postpartum depression: What we know. J Clin Psychol, 2009; 65:1258–1269.
2.
BoboWV, YawnBP. Concise review for physcians and other clinicians: Postparum depression. Mayo Clin Proc, 2014; 89:635–644.
3.
GavinNI, GaynesBN, LohrKN, et al.Perinatal depression: A systematic review of prevalence and incidence. Obstet Gynecol, 2005; 106:1071–1083.
4.
AkmanC, UguzF, KayaN. Postpartum-onset major depression is associated with personality disorders. Compr Psychiatry, 2007; 48:343–347.
5.
KitamuraT, YoshidaK, OkanoT, et al.Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression. Arch Womens Mental Health, 2006; 9:121–130.
6.
BantiS, MauriM, OppoA, et al.From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the perinatal depression-research & screening unit study. Compr Psychiatry, 2011; 52:343–351.
7.
KlingerG, StahlB, Fusar-PoliP, et al.Antipsychotic drugs and breastfeeding. Pediatr Endocrinol Rev, 2013; 10:308–317.
8.
StoweZN. The use of mood stabilizers during breastfeeding. J Clin Psychiatry, 2007; 68(Suppl 9):22–38.
9.
IlettKF, HackettLP, KristensenJH, et al.Transfer of risperidone and 9-hydroxyrisperidone into human milk. Ann Pharmacother, 2004; 38:273–276.
10.
OrsoliniL, BellantuonoC. Serotonin reuptake inhibitors and breastfeeding: A systematic review. Hum Psychopharmacol, 2015; 30:4–20.
11.
GentileS. Use of contemporary antidepressants during breastfeeding. A proposal for a specific safety index. Drug Saf, 2007; 30:107–121.
12.
FirstMB, SpitzerRL, GibbonM, et al.Structured Clinical Interview for DSM-IV Clinical Version (SCID-I/CV). Washington DC: American Psychiatric Press, 1997.
13.
WilliamsBW. A structured interview guide for Hamilton Depression Rating Scale. Arch Gen Psychiatry, 1978; 45:742–747.
14.
UguzF, ArpaciN. Short-term safety of paroxetine and sertraline in breastfed infants: A retrospective cohort study from a University Hospital. Breastfeed Med, 2016; 11:487–489.