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Q: Do you know if there are any meds out there that treat hallucinations that
can be taken while breastfeeding?
Dear Ms. W' --
I can never remember for sure so I always look up answers to questions like
these. Most sources seem to agree: Haldol and other old generation
antipsychotics are not regarded as safe in breastfeeding. And the newer
ones, like Zyprexa, have not been around long enough to be studied well enough
to make people think they're clearly okay. Some of them have clear
information indicating that they're not safe in breastfeeding. Here's a
recently
updated summary. The third page in the table covers antipsychotics.
You'll see that none, old generation or new, are clearly safe.
Note on the second page, the list of mood
stabilizers: Depakote is listed as "safe" in
breastfeeding. If you have bipolar disorder, there is some evidence that
Depakote can have an antipsychotic effect. This is not a standard
maneuver, that you'd have to discuss in detail with your doctor (I've heard some
express some doubt about this safety rating: too few patients in the
sample, even though the American Academy of Pediatrics has approved it) but
that's about the only option you could try that I know of. Otherwise, as
you've probably been told, you'd have to "stop
breastfeeding".
Dr. Phelps
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