Both Nexito (Escitalopram 10 mg) and Inderal (Propranolol 20 mg) are sometimes prescribed during breastfeeding. Small amounts can pass into breast milk, but in most cases they are considered relatively safe, especially when the benefits to the mother are important.
Next Steps
Escitalopram is one of the safer antidepressants in breastfeeding, but babies should still be monitored for excessive sleepiness, feeding difficulties, or irritability.
• Propranolol also usually has minimal risk to breastfed infants.
• Before restarting, it is important that your doctor reassesses your current mental and physical health needs, dosage, and whether these medications are still the best fit for you now.
Health Tips
• Do not restart old prescriptions without consulting your psychiatrist/physician. Dosage and necessity may have changed since 1.5 years ago.
• Always inform your child’s pediatrician that you are taking these medicines, so they can keep an eye on the baby’s growth and development.
• If you notice any unusual symptoms in your baby (sleepiness, poor feeding, breathing issues), seek medical advice promptly.