Dr. Hale, is there anything more current (or positive) on Celexa?  Ped is
saying to wean an 8-month-old who is feeding 4 times a day for short
periods at the breast.

I would appreciate your reply as soon as possible.

Pat Gima


[Re:  Citalopram(Celexa)

We now have several studies on citalopram.  Levels in milk are reported to
be
quite small, and I have roughly calculated the dose to be approximately 4.3
to
14.6 ug/Kg/day via milk following an average maternal dose of  410 ug/kg/d.
While few researchers have noted problems, the manufacturer reports two
cases of
somnolence.  I'm not sure if this is related or not, who knows what could
have
caused this in these patients.

So, Celexa, is probably moderately safe to use, if the mom observes for
sedation.]

Regards
Tom Hale, Ph.D.


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