One of the newer ways of treating depression is Mirtazapine. It is structurally dissimilar to SSRIs and tricyclic antidepressants. It produces fewer symptoms of sexual dysfunction that have been reported in SSRIs and is particularly useful if insomnia is present as part of the depression picture. We all know of those long nights as you struggle to sleep but your brain wont stop.
The literature on breastfeeding is poor with only 11 breastfeeding mothers in total studied but the poor oral bio-availability together with the studies is reassuring that little passes into milk but as with all centrally acting drugs we should be observing the baby for signs of increased drowsiness or poor feeding
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