[ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Abby and Toby
Thought some of you wise women could help with a friends query. She has been
prescribed Prochiaden 25mg for depression and she is breastfeeding her 2
month old. She was worried about the side effects and what effects that
would have on bubs. I thought that most anti depressants would have similiar
side effects listed ie. drowsiness, dizziness, nausea(? spelling)
Do any of you know much about this drug? are there any safer anti
depressants for pregnancy ( DISCLAIMER- I am actually not a fan of anti
depressants at all. I believe most depression can be cured with exercise,
nutrition and various therapies. However, she is adimant about taking them
and so I want to find out the safest).
Could someone look it up in, is it Dr Hales, book?

Thanks so much.
Love Abby

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Re: [ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Kirsten Wohlt
Where does your friend live abby?  If she is in melbourne, or doesn't mind calling 
melbourne, the Monash Medical Centre drug information line (03-9594 2361), is a 
brilliant resource for pregnant or breastfeeding women.  A man called Rod (White is 
his surname I think) specialises in medications in pregnancy and breastfeeding.  
Absolute gem of a man.  He helped me when I wanted to continue breastfeeding my 5 
month old daughter and had to go on to thyroid and arthritis medications.  I had the 
same dilemma when my son was 5 months old, but didn't know about rodney, so took 
doctors advice and weaned him.  I was devastated (not that my doctors took that into 
account!) Was determined not to this time, spoke to one of ABA counsellors and she put 
me on to rod.  With his care and advice i happily breastfed my beautiful little girl 
until she was 2 and a half years old, when we both came to a mutually happy decision 
to wean!

Kirsten
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Re: [ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Kim Stead







Hi Abbey

I thought I would look this up as I have an interest in mental illness and have a limited knowledge of pharmacology. Prochiaden is a tricyclic antidepressant and one of the 'older' depression drugs. More often SSRI's are being used. Was your friend on this medication before pregnancy and during pregnancy? Is this being prescribed by an appropriate professional. I assume he/she is aware that she is breastfeeding.

From my textbooks, it's suggests that postnatally, the amounts should be reduced to pre-pregnancy levels with close observation for emergent side effects. Side effects in the baby can include feeding difficulties, seizures, tachypnoea, pastrointestional stasis and bladder retention. Obviously quite serious and not to be taken without careful consideration and a detailed consultation.

It's reallynot something that a midwife has a lot of knowledge about unless she is specifically trained in that field, therefore difficult to advise and make statements or judgements. I too agreee that it's best to try more natural remedies first but in the case of mental illness, one (a professional) needs to decide how serious thesituation is and weigh up the advantages and disadvantages of taking/not taking the medication. It may well be that your friend needs to take this medication at this time and while it may affect the baby, her needs are important at ensuring her mental and emotional wellbeing in order for her to be an effective and loving mother.

Again...one of those not so black and white issues.

Hope this has been of some help. Probablly not I suspect!

Kim Stead
Midwife : Birth-Wise Midwifery
www.birth-wise.com.

---Original Message---


From: [EMAIL PROTECTED]
Date: 14/09/2004 4:24:18 p.m.
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Prochiaden and breastfeeding?

Thought some of you wise women could help with a friends query. She has been
prescribed Prochiaden 25mg for depression and she is breastfeeding her 2
month old. She was worried about the side effects and what effects that
would have on bubs. I thought that most anti depressants would have similiar
side effects listed ie. drowsiness, dizziness, nausea(? spelling)
Do any of you know much about this drug? are there any safer anti
depressants for pregnancy ( DISCLAIMER- I am actually not a fan of anti
depressants at all. I believe most "depression" can be cured with exercise,
nutrition and various therapies. However, she is adimant about taking them
and so I want to find out the safest).
Could someone look it up in, is it Dr Hales, book?

Thanks so much.
Love Abby

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Re: [ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Kim Stead






Thanks fine Abby - the reference is from "Fundamental of Pharmacology" - Galbraith, Bullock, Mania.

If anyone ever wants me to look anything up, just yell as I have some good books that are getting little use and they are so expensive to buy! In NZ we have prescribing rights so that's why I got them but they are useful to have.

Kim


---Original Message---


From: [EMAIL PROTECTED]
Date: 14/09/2004 5:50:51 p.m.
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Prochiaden and breastfeeding?

Hi Kim,

That was very helpful, thankyou. Would you mind if I forwarded the info from your textbooks? I know she wants as much info as possible.

She came off anti-depressantsafter 6 years of being on them, just before she got pregnant. She wasn't taking Prochiaden though, it was something else. I am sure it was an SSRI, but can't remember the name. So she hasn't been on them at all through pregnancy.
Her doctor lives 4 hours away in Orange. He was the one who first prescribed them for her when she was 16 and feeling " a little bit down"but that is a whole other story.

Thanks again for the info.
Love Abby










Re: [ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Elissa and David
In NSW try the Mothersafe helpline on 1800 647 848 for info on medications
in pregnancy and breastfeeding.It's listed in the front of the White pages
under community help .
Cheers,
   David
- Original Message - 
From: Abby and Toby [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, September 14, 2004 4:47 PM
Subject: Re: [ozmidwifery] Prochiaden and breastfeeding?


  Where does your friend live abby?  If she is in melbourne, or doesn't
mind
 calling melbourne, the Monash Medical Centre drug information line
(03-9594
 2361), is a brilliant resource for pregnant or breastfeeding women.  A man
 called Rod (White is his surname I think) specialises in medications in
 pregnancy and breastfeeding.

 Thanks for that info Kirsten. My friend lives in Sydney, but I will give
 them a call and also give her the number. What a great resource. It is a
 shame more doctors don't know about drugs and breastfeeding and also safe
 alternatives to their favourite prescriptions for breastfeeding mothers.

 Thanks again, greatly appreciated.
 Love Abby

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Re: [ozmidwifery] Prochiaden and breastfeeding?

2004-09-14 Thread Joy Cocks
L1 is the safest, but I would have to look right through the book for other
antidepressants as the drugs are in alphabetical order.  Don't have time
right now but maybe in the next few days(?).

Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741
email:[EMAIL PROTECTED]
- Original Message -
From: Abby and Toby [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, September 14, 2004 17:38 PM
Subject: Re: [ozmidwifery] Prochiaden and breastfeeding?


 And/or, the
  evidence of a demonstrated risk which is likely to follow use of this
  medication in a breastfeeding woman is remote.
  Hope this helps
  Joy

 Thanks Joy. I did mean Prothiaden, I wrote down c instead of t when she
was
 telling me the spelling.
 Does the book say if there are any safer drugs? Or is L2 the safest with
 least effects?

 Thanks
 Love Abby.

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