To : Dr. S. Marske Re : Antidepressants during pregnancy At the present time, the only antidepressant approved by the FDA for use in pregnant women is Prozac. Using any other during pregnancy is probably risky, both legally and physiologically. At least we know Prozac is "probably" safe during this sensitive period. In the years to come, we will will probably add Zoloft and Paxil, but not yet. But once the mother delivers, I would strongly urge you to transfer the mom to Zoloft or Paxil for the breastfeeding period. We have rather good evidence to suggest that Prozac is not the best choice for the breastfeeding mom. Regards Tom Hale, Ph.D. Associate Professor of Pediatrics