Roxana wrote,
" I would like to find good references that either show Paxil is an 
appropriate
alternative or that would give us a case to present to the insurance company
urging them to pay for Zoloft because it is the best choice. "

This is anecdotal, but I have heard from psychotherapists and know of at 
least one case where Paxil caused psychosis and suicidal ideation where none 
existed before. I just did a Google search for Paxil and psychosis and found 
similar information.  I'd push for Zoloft if allopathic medicine is the route of 
choice.  Personally, I think antidepressants are overused and there are effective 
alternative therapies for depression, especially for breastfeeding moms.  
Years ago, I heard a psychiatrist speak who said we've no idea what effects on 
the developing brain even small amounts of psychotropic drugs have, long term 
studies of this just haven't been done (following babies into adulthood and 
beyond).  I remember her saying she wouldn't be popular with the audience (LC's, 
etc) but she would recommend weaning from breast if mom was on psychotropic 
meds.  Too much pill popping in our society, the quick fix.  Not to say, someone 
who is suicidal or just can't function may need medication, there always will 
be a time and place for needed drug therapies.  Not everyone who is depressed, 
though, needs medication.  Just my two cents.

Barbara Latterner, BSN, RN, IBCLC



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