Commonly Used Antidepressants—Suitability in Lactation

Commonly Used Antidepressants: Suitability in Lactation
Drug Name Drug Class Half-Life Adult Dose Relative Infant Dose Lactation Risk Category
AMITRIPTYLINE Tricyclic 31-46 h 10-300 mg daily (varies). 1.08%-2.8% L2 - Limited Data-Probably Compatible
BREXANOLONE Other 9 h Administered IV over 60 hours. 1%-2% L2 - Limited Data-Probably Compatible
BUPROPION NDRI 8-24 h 150 mg twice a day SR. 0.11%-1.99% L3 - Limited Data-Presumed Compatible
CITALOPRAM SSRI 36 h 20-40 mg daily. 3.56%-5.37% L2 - Limited Data-Probably Compatible
DESVENLAFAXINE SNRI 11 h 50-100 mg/day. 5.9%-9.3% L3 - Limited Data-Presumed Compatible
DEXTROMETHORPHAN- BUPROPION NMDA
Antagonist
22 h 45mg/105mg twice daily. L4 - No Data-Possibly Hazardous
DULOXETINE SNRI 12 h 40-60 mg daily 0.12%-1.12% L3 - Limited Data-Presumed Compatible
ESCITALOPRAM SSRI 27-32 h 10-20 mg daily. 5.2% - 7.9% L2 - Limited Data-Probably Compatible
FLUOXETINE SSRI 2-3 days 20-60 mg daily. 1.6% - 14.6% L2 - Limited Data-Probably Compatible
FLUVOXAMINE SSRI 15.6 h 50-300 mg daily 0.3% - 1.4% L2 - Limited Data-Probably Compatible
GEPIRONE Other 5 h 15-60 mg daily L3 - No Data-Presumed Compatible
LEVOMILNACIPRAN SNRI 12 h 40-120 mg daily 2.57% L3 - No Data-Presumed Compatible
MIRTAZAPINE NASA 20-40 h 15-45 mg daily. 1.6% - 6.3% L3 - Limited Data-Presumed Compatible
NEFAZODONE SARI 1-4 h 150-300 mg daily 1.20% L4 - Limited Data-Possibly Hazardous
NORTRIPTYLINE Tricyclic 16-90 h 25 mg three times daily 1.7%-3.36% L2 - Limited Data-Probably Compatible
PAROXETINE SSRI 21 h 20-50 mg daily. 1.2%-2.8% L2 - Limited Data-Probably Compatible
SERTRALINE SSRI 26 h 50-200 mg daily. 0.4%-2.2% L2 - Limited Data-Probably Compatible
TRAZODONE SARI 4-9 h 150-400 mg daily 1.06% - 2.8% L2 - Limited Data-Probably Compatible
VENLAFAXINE SNRI 5 h 75-225 mg/day ER 6.85% - 10.89% L2 - Limited Data-Probably Compatible
VORTIOXETINE SSRI 66 h 20 mg per day. 1.22% - 1.85% L3 - Limited Data-Presumed Compatible
ZURANOLONE Other 19.7-24.6 h 50 mg at bedtime 0.36% L2 - Limited Data-Probably Compatible