Better Tolerance of Citalopram in a Breastfed Infant Who Could Not Tolerate Sertraline and Paroxetine

Breastfeed Med. 2018 Jan/Feb;13(1):89-90. doi: 10.1089/bfm.2017.0168. Epub 2017 Nov 29.


Postpartum depression is frequently observed in women. First-line antidepressants in treatment of postpartum depression are selective serotonin reuptake inhibitors (SSRIs). Although SSRIs are well tolerated by most breastfed infants, some adverse events may arise in exposed infants. This report presents the case of an infant of a breastfeeding woman using citalopram without any problem after sertraline and paroxetine were discontinued due to adverse events in the infant.

Keywords: antidepressant; breastfeeding; citalopram.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Breast Feeding
  • Citalopram / administration & dosage*
  • Depression, Postpartum / drug therapy*
  • Female
  • Humans
  • Infant
  • Milk, Human / chemistry
  • Paroxetine / adverse effects*
  • Selective Serotonin Reuptake Inhibitors / adverse effects*
  • Sertraline / adverse effects*


  • Serotonin Uptake Inhibitors
  • Citalopram
  • Paroxetine
  • Sertraline