Table 1.

Summary of effect of exposure of psychotropics during lactation

Drugs	Effects observed
TCAs	Can be used with moderate safety
	Respiratory depression and over sedation have been documented in infants of mothers receiving Doxepine
SSRIs	Can be used with moderate safety
Benzodiazepines	Sedation, lethargy, withdrawal have been documented among infants after prolonged use
Antipsychotics	Recent data on haloperidol, olanzapine, quetiapine are encouraging Clozapine to be avoided as far as possible
	Still there is dearth of data regarding the safety of antipsychotics
Mood stabilizers	Valproate and carbamazepine are preferred. Lithium to be avoided as far as possible

Note: Adapted from Sivertz et al (2005).