Last update: June 17, 2019
Not risky for breastfeeding or infant.
Excreted in nil or tiny amounts into breast milk (Weissman 2004, Berle 2004, Stowe 2003). Serum levels of breastfed infants whose mothers are on Sertraline are usually undetectable or very low. No harm effect has been observed on health and short or long term development of infants.
Transient troubles in the early neonatal period like drug withdrawal syndrome among newborn or premature infants with high serum levels as a result of treatment with Sertraline to the mother during pregnancy have been observed.
Sertraline causes fewer problems related to galactorrhea than other antidepressant drugs.
It is probably the safest antidepressant medication while breastfeeding (McAllister 2017).
Several medical societies, experts and expert consensus, consider the use of this medication safe or probably safe during breastfeeding (Hale 2019, Molenaar 2018, Mcallister 2017, Pinheiro 2015, Sriraman 2015, Orsolini 2015, Berle 2011, ABM 2008, Weissman 2004).
Mothers who are treated with antidepressant medicaction are in need of stronger support for a higher risk of early breastfeeding failure.
We do not have alternatives for Sertraline Hydrochloride since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Confederación Nacional de Pediatría (CONAPEME) from Mexico
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM