Deanne,
Is there a social worker assigned to the NICU families in this facility?
Maybe there  some psychosocial issues that need to be addressed.
Beadie Cambardella RN IBCLC
Atlanta, GA
-----Original Message-----
From: Deanne Francis <[log in to unmask]>
Date: Friday, March 08, 2080 8:32 PM
Subject: Antidepressants and Reglan?


>A mother called me the other day with a low milk supply (baby born at 29
>weeks, now 32 wks PCA)  The baby is in NICU and we have tried all the usual
>non-chemical methods for improving her supply.  Herbs did nothing.  I did
>not suggest Reglan because she has a history of severe anxiety and
>depression which was treated with Prozac.  During her pregnancy, she was
>symptom-free and not on antidepressants.
>
>Before she called, she had tried two 10 mg Reglan tablets and immediately
>started crying.  Her Dr. told her he would not prescribe ANY
antidepressants
>until she weaned.  She wants antidepressants so she can take the Reglan.
>
>My question:  What is the wisdom of having her go back on antidepressants
>specifically so she can take Reglan?  I believe that Zoloft takes several
>weeks to take full effect, and by then the Reglan course would be over
>long-since.  Other antidepressants? Any thoughts, Dr. Tom?
>Deanne, RN, IBCLC
>NICU
>

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