I only nurse my 11 month old baby at night and have horrible migraines and cluster headaches but not ready to fully stop nursing. Sounds like a no brainer I know but she's my last baby and idk...
Amitriptyline Breastfeeding Warnings
Amitriptyline and its active metabolite nortriptyline are excreted in small amounts into human milk. Infant serum analysis failed to find detectable concentrations. The American Academy of Pediatrics classifies amitriptyline as a drug "whose effect on nursing infants is unknown but may be of concern".
So it's up to you to take the risk...
The following is in the literature for amitriptyline:
Summary of Use during Lactation
Milk levels of amitriptyline and its metabolites are low. Immediate side effects have not been reported and a limited amount of follow-up has found no adverse effects on infant growth and development. Amitriptyline use during breastfeeding would usually not be expected to cause any adverse effects in breastfed infants, especially if the infant is older than 2 months. Other agents with fewer active metabolites may be preferred when large doses are required or while nursing a newborn or preterm infant.
So since your baby is 11 months old and you are only nursing at night, you should be just fine. Relax and if you are still concerned don't hesitate to contact the pediatrician for further assurance.
I agree with what Laurie said. Do you take your Elavil dose prior to bedtime? If you do, can you nurse the baby prior to taking the medicine? This way the lowest amount of metabolites will be in your breast milk at that time. The metabolites are highest in the 30 min to 2-4 hour peak after the meds are taken. So if you take a dose at bedtime then nurse the child prior to when the next dose is due, you will have very little drug in your system, therefore your breast milk, at that time. I understand wanting to nurse to have that "mommytime" closeness. I nursed my first babe until he was almost three (and began to ask for it while we were out in public) and my second I never got to nurse as fulltime as I did my first because of my work schedule, but we did the before bedtime ritual too, until he was about 10-11 months. It is a sad thing to give up, and it has been many years, but I still remember that closeness and miss that time with my babies.
It makes a nice memory for mom (and embarasses the heck out of the kids now-especially the one who I had to stop nursing because he would ask for it in public!) lol
- Elavil Information for Consumers
- Elavil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Elavil (detailed)
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