No abnormalities were seen on physical examination or laboratory tests. [40] The prolactin level in a mother with established lactation may not affect her ability to breastfeed.A midwife observed 6 patients who reported a decrease in milk supply after starting sertraline (dosages not reported). They may want to review your treatment.The positive effects of sertraline may, after a while, improve your sex life as your mood lifts and you become interested in life and relationships again.Sexual side effects usually pass after the first couple of weeks. Examinations at 6 months and 1 year of age found no developmental problems in the child. Taking this medicine (sertraline tablets) late in pregnancy may raise the chance of breathing or feeding problems, low body temperature, or withdrawal symptoms in the newborn. [15]Random milk samples were obtained from 6 women taking a median dosage of 50 mg (range 25 to 50 mg) of sertraline daily had a median sertraline milk concentration of 11.3 mcg/L (range 3.6 to 35.7 mcg/L). Sertraline and breastfeeding. Breastfeeding among women exposed to antidepressants during pregnancy. No side effects were reported for any of the infants in the sertraline or placebo groups at this time. Please be aware that we do not give advice on your individual medical condition, if you want advice please see your treating physician. Among the women who took an SSRI, the breastfeeding rate at 2 weeks postpartum was 27% to 33% lower than mother who did not take antidepressants, with no statistical difference in breastfeeding rates between the SSRI-exposed groups. 2nd October 2018. Fluvoxamine oral capsule is a prescription medication that’s used to treat obsessive-compulsive disorder (OCD). [27]In a study of sertraline for postpartum depression, 11 women completed the full 7-week duration of the study out of 36 who were entered. In a pooled analysis of serum levels from published studies and 4 unpublished cases, the authors found that 15 mothers taking an average daily dosage of 83 mg (range 25 to 200 mg) had an average breastmilk sertraline level of 45 mcg/L (range 7 to 207 mcg/L). All of the adverse effects developed within the first 2 weeks after initiation of maternal treatment and disappeared within the 3 days after drug discontinuation. Breastfeeding during maternal antidepressant treatment with serotonin reuptake inhibitors: infant exposure, clinical symptoms, and cytochrome P450 genotypes. Sixty-eight of the infants were exposed to sertraline in utero. On day 5, the infant had serum concentrations of sertraline and its metabolite that are in the reported therapeutic range in adults. [28]Authors of a metaanalysis on sertraline reported 25 infants who were breastfed by mothers taking sertraline. [21]None of 26 infants with an average age of 16.6 weeks (range 4 to 28 weeks) whose mothers were receiving an average of 124 mg sertraline daily had any detectable acute adverse reactions to sertraline in breastmilk. It also contains sodium chloride and water for injections – purified.Maxolon preparations do not contain sucrose, gluten, tartrazine or any other azo dyes.Some of the symptoms of an allergic reaction may include:Do not take Maxolon if you have any of the following:Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.If it has expired or is damaged, return it to your pharmacist for disposal.If you are not sure whether you should start taking this medicine, talk to your doctor.Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.Tell your doctor if you have or have had any of the following medical conditions:Tell your doctor if you are pregnant or plan to become pregnant or are breastfeedingYour doctor can discuss with you the risks and benefits involved.If you have not told your doctor about any of the above, tell him/ her before you start taking Maxolon.Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.Some medicines and Maxolon may interfere with each other.