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Archives of Women's Mental Health
Published in: Archives of Women's Mental Health 1/2015

01-02-2015 | Letter to the editor

Psychopharmacology of bipolar I disorder during lactation: a case report of the use of lithium and aripiprazole in a nursing mother

Author: Julia R. Frew

Published in: Archives of Women's Mental Health | Issue 1/2015

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Excerpt

Mothers with bipolar disorder who wish to breastfeed are faced with difficult decisions about the use of mood-stabilizing medication during lactation. The use of lithium during lactation has been traditionally discouraged. More recently, data published by Viguera et al. (2007) and Bogen et al. (2012) have suggested that serum lithium levels in nursing infants are low and well-tolerated and that women taking lithium can be supported to breastfeed, although infant monitoring of serum lithium level, electrolytes, and thyroid and renal functions is advised. Little information is available about the use of the newer atypical antipsychotics, such as aripiprazole, in lactation (LactMed 2013). …
Literature
Basturk M, Karaaslan F, Esel E et al (2001) Effects of short and long-term lithium treatment on serum prolactin levels in patients with bipolar affective disorder. Prog Neuropsychopharmacol Biol Psychiatry 25:315–22PubMedCrossRef
Mendhekar DN, Sunder KR, Andrade C (2006) Aripiprazole use in a pregnant schizoaffective woman. Bipolar Disord 8:299–300PubMedCrossRef
Viguera AC, Newport DJ, Ritchie J, Stowe Z, Whitfield T, Mogielnicki J, Baldessarini RJ, Zurick A, Cohen LS (2007) Lithium in breast milk and nursing infants: clinical implications. Am J Psychiatry 164:342–345PubMedCrossRef
Metadata
Title
Psychopharmacology of bipolar I disorder during lactation: a case report of the use of lithium and aripiprazole in a nursing mother
Author
Julia R. Frew
Publication date
01-02-2015
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 1/2015
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-014-0469-9

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