⚠️CautionCurated
Fluoxetine (Prozac)
Fluoxetine (Prozac) is sometimes used during breastfeeding but has higher milk transfer than sertraline or escitalopram. It's not the first choice, but may be appropriate in some cases. Consult your healthcare provider.
Fluoxetine has a long half-life (days to weeks) and an active metabolite (norfluoxetine), leading to higher accumulation in breast milk compared to other SSRIs. Infant exposure levels are higher than with sertraline. However, if fluoxetine is the medication that works for you — especially if you were already on it during pregnancy — continuing may be the best choice. Discuss with your provider.
Safer Alternatives:
Always confirm with your doctor or lactation consultant before making dietary changes while breastfeeding.
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