Expert: Tammy Petersen - 12/25/2005

Question
Hi Tammy,
 Thanks for your reply. Escitalopram is the generic name for Lexapro. I'm told that it's similar in chemical structure to that of Celexa. It's an SSRI...came out on the market within the past 3 or 4 years. This is all I know. Thanks again. --Jessica




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Followup To
Question -
Hi,
 I am 27 weeks pregnant with my second child. I have bipolar disorder and it is adamant that I remain on an antidepressant. Right now, I am taking Lexapro 20 mg and Wellbutrin XL 300 mg. With my first child I breastfed for the first two days. The lactation consultant advised that I stop breastfeeding b/c of the Lexapro. She said that it caused "Sleepy baby syndrome". What are your thoughts on this, and do you think it would be ok for me to breastfeed on these specific medications?
Answer -
Jessica,

Is there another name for the Lexapro? Is this s new drug? Please advise.
As far as the Wellbutrin, all studies show that it is fine to breastfeed while taking it. Watch baby for any signs of extreme sleepiness although some newborns are sleepy especially if you recieve any drugs or intervention during labor.
Get back to me on any alternate names for the first drug.

Tammy

Answer
Jessica,

Hello. The information on the Celexa indicates that you should be OK. I would watch for signs of lethargy, excessive sleepiness, weight loss etc. These can all be scary as a new mother but the alternative plan can be that if there seems to be any adverse effects on baby you can switch meds for a temporary period of time.

Best of luck.
Tammy