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Date: | Mon, 17 Mar 1997 14:02:08 -0500 |
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Sarah: Just a few comments. First of all, lithium is on the AAP list of
contraindicated medications because it gets to the baby at somewhere
approaching 40-60% of maternal plasma levels. I have no info on
risperdal (risperidone), as it is relatively new (don't have my copy Dr.
Hale's book handy, so don't know if he addresses it). Ativan (lorazepam)
is a benzodiazepine anxiolytic which probably falls in the "use with
caution" category. I believe it has a fairly short half-life.
What really stands out about this particular situation is the age of the
child (5 1/2 years) and the fact that this mother's problem was secondary
to steroids, which should mean that this is a relatively short-lived use
of meds. After all, if the steroids have been stopped, the psychotic
reaction should be self-limited and the mother should not require these
medications for long unless there is really another psychiatric problem.
So if we're looking at a relatively short duration and an older child, it
seems not to be a major concern, IMO. Alicia. [log in to unmask]
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