Amy and Dr Tom - I have a client who has been on Prozac since before her son
was born and the baby has just turned one year of age.  She asked me about
this at an ante-natal breastfeeding class, I didn't know, so I contacted the
Department of Pharmacy at the University who dug up some quite worrying
info.  I passed a whole sheaf of information on to my client's doctor and
urged her to see him to discuss the use of Prozac during breastfeeding.
Whether neither of them took this seriously I don't know, but they finally
discussed it when the baby was six weeks old, and the doctor said the Prozac
was FINE during breastfeeding so she continues to take it.  A paediatrician
who kindly allows me the benefit of his opinion from time to time advised me
to leave it at that - the doctor should have the final say.  As this client
(bless her!) has gone on to become more and more enthusiastic about
breastfeeding the baby is still happily nursing any old time (and almost all
night) at one year.

The other day she brought the baby with her when she came to discuss the
usual queries, sleep needs, what her friends say etc.  This little boy is a
"text-book" breastfed baby, very bright, sociable, responsive and
intelligent.  He is not yet walking, but he is "into everything" and his
fine motor control is excellent.  When he finally got VERY bored after about
an hour of investigating EVERYTHING I got out my breastfeeding "doll" and
sat it opposite him.  The antics he went through trying to get the other
"baby" to respond to him are enough to convince me that there is nothing
wrong with this child, Prozac or no Prozac.  This is not very "scientific"
but I will attempt to keep in touch with this mother-baby pair as long as I
can and am keeping careful notes, perhaps several anecdotal cases can add up
to less concern about this drug one day.

Pamela, Zim