Table 2.
Use of symptomatic medications during lactation.
| Name of medication | Mood | Pain | Fatigue | Spasticity | Ambulation | Urinary infections | Other |
|---|---|---|---|---|---|---|---|
| SSRIs (sertraline, paroxetine) | Continue | ||||||
| TCAs (amitriptyline/nortriptyline) | Continue | Continue | |||||
| Duloxetine | Continue | Continue | |||||
| Clonazepam and diazepam | Anxiety: avoid | ||||||
| Carbamazepine | Continue | Seizures: continue | |||||
| Ibuprofen | Continue | ||||||
| Paracetamol | Continue | ||||||
| Gabapentin | Continue | ||||||
| Tramadol | Continue with caution | ||||||
| Pregabalin | Avoid | ||||||
| Sativex | Avoid | ||||||
| Amantadine | Avoid | ||||||
| Modafinil | Avoid | ||||||
| Stimulants | Continue with caution | ||||||
| Baclofen | Caution | ||||||
| Tizanidine | Avoid | ||||||
| Fampridine | Avoid | ||||||
| Amoxicillin/clavulanic acid | Continue | ||||||
| Trimethoprim | Continue | ||||||
| Nitrofurantoin | Continue; avoid only if infant has G6PD deficiency or jaundice |
Source: Modified from the study by Iyer et al. 119
SSRI: selective serotonin reuptake inhibitor; TCA: tricyclic antidepressant; G6PD: glucose-6-phosphate dehydrogenase.