Tag Archives: medication and breastfeeding

Lithium and Breastfeeding

Bipolar disorder (types I and II) affect up to 5% of the population in the United States. As the onset of this condition typically occurs during or before the reproductive years, the management of bipolar disorder in women is often complicated by pregnancy. There are concerns regarding fetal exposure to medication, the impact of untreated [...]

What’s Safer for Breastfeeding: Lithium or Lamotrigine?

After last week’s post, we received several comments regarding the use of mood stabilizers in breastfeeding women, specifically asking which is safer: lithium or lamotrigine. Based on the available data, it is difficult to say with certainty which is “safer”.  To date, there has been one report of an adverse event in a nursing infant [...]

Clinical Question: Topamax and Seroquel in a Woman with Bipolar Disorder Planning to Breastfeed

A clinician asks:  “I am a psychiatrist treating a patient with Bipolar Disorder on Seroquel and Topamax. I would like to know what information is available regarding the safety of these medications to the infant if used during breastfeeding.” With regard to topiramate (Topamax), there is relatively little information on breastfeeding.  One case series included [...]