Atomoxetine use while Breastfeeding

Summary of Use during Lactation

There is no published experience with atomoxetine during breastfeeding, although reports from the manufacturer found no serious adverse effects in two breastfed infants. If the mother of an older infant requires atomoxetine, it is not a reason to discontinue breastfeeding, but until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. Monitor breastfed infants for excess sedation.

Drug Levels

Maternal Levels. Relevant published information was not found as of the revision date.

Infant Levels. Relevant published information was not found as of the revision date.

Effects in Breastfed Infants

The author of a review article reported that the manufacturer of atomoxetine (Eli Lilly and Co.) had reports of 2 infants who slept longer than usual after being breastfed by mothers who were taking atomoxetine. Neither of the infants experienced any serious adverse events. Dosages, duration of maternal therapy, infant age and extent of breastfeeding were not provided.[1]

Effects on Lactation and Breastmilk

Relevant published information was not found as of the revision date.

Alternate Drugs to Consider

(ADHD) Amphetamine, Dextroamphetamine, Lisdexamfetamine, Methylphenidate

References

1.

Besag FM. ADHD treatment and pregnancy. Drug Saf. 2014;37:397–408. [PubMed: 24794209]

Substance Name

Atomoxetine

CAS Registry Number

83015-26-3

Drug Class

Breast Feeding

Lactation

Milk, Human

Adrenergic Uptake Inhibitors