Thank you to whoever posted the information about this article in the
NEJM.  The approach of the authors is typical of the physician's
approach to breastfeeding.  Sertraline appears to have physiologic
effects on the infant, and thus this is reassuring information.  However
"larger studies are needed to determine conclusively whether mothers
receiving sertraline or other selective serotonin-reuptake inhibitors
can breastfeed without exposing their infants to physiologically
meaningful doses of the drugs".

Okay, we must not jump to conclusions.  However, we now must have larger
studies to make sure the drug has no physiologically meaningful effect.
In the meantime, we expose infants to the physiologically meaningful
effects of infant formula.  I am not even saying that it is now okay to
breastfeed while taking sertraline (Zoloft).  I've been saying it's okay
for a long time now.  What I am saying is that why could not these
authors mention the other side of the story?

Does the person who has the NEJM have an address for letters (email or
otherwise).  Post or send it to me privately.  Thanks.

Jack Newman, MD, FRCPC