Not *all* medications are safe for breastfeeding. And it would not be correct either to say that *all* antidepressants are safe for breastfeeding. Zoloft is probably safe. Prozac is less safe. In all cases we try to get information which will tell us which medication is *safest*. Probably "safe" is not the best word here either. What we should be asking is this question: "Which is the lesser of two evils--Exposing the baby to extremely small amounts of a drug but the baby continuing to get the benefits of breastmilk, or exposing the baby to formula and its known risks?" The answer is, in my opinion, almost always: It is safer to continue breastfeeding with that drug in the milk. But it is a weighing of benefits and risks, not an absolute. Unless there is an absolute right answer, incidentally, the mother has the right to decide, based on adequate information, whether to continue or not with the breastfeeding. Not the prescribing physician, nor I can force her to stop or continue breastfeeding. I find it interesting that many of those that are most eloquent in promoting "choice" in infant feeding decisions are the first to tell mothers they *must* stop breastfeeding for this or that reason (usually trivial). It should be pointed out that, occasionally, even tiny amounts of drugs can cause serious side effects. But this is not a reason to say that formula is safer, in general. Jack Newman, MD, FRCPC