I have an interesting anecdotal observation. I suffer from severe, intractable 
migraine. This has necessitated every form of treatment from Chiropractic, to 
acupuncture/pressure, Bio-Feedback, Laying on of Hands, Faith Healing, 
herbs, "allergy" treatment, supplements and over 50 different medications. 
(starting when I was in my teens. But, the migraines started as Abdominal 
Migraines when I was a small child, and moved to the head at around the age 
of eight. They are now nearly chronic, but my Neuro and I have got pretty 
good control at pushing them into the background about 68% of the time.) 

One which helps some is Zoloft. I had OER before I ever started on Zoloft, and 
continued it (with Obs, Peds, and Neuros OK during pregnancy and lactation, 
once I brought them the proper documentation, Thank you Dr. Hale!) and 
noticed no difference in the Ejection at all.

However, at one point while I was nursing my youngest, I was given a Triptan 
Drug (similar in structure to SSRI antics) called Zomig. I noticed, about 3 hours 
after the dose a heavy increase in the strength of my Ejection. I could feel 
the tinging, while the baby was sleeping and when she awoke to nurse (I was 
then lying down due to pain, nausea, light sensitivity ect) the Ejection virtually 
blasted her off my breast. I am used to very strong Ejections, but I used this 
drug 2 or 3 times in the first 6 months of my 3rd baby's life, and this "Uber 
Letdown" happened only when I used the drug. (I decided to discontinue the 
drug, as I received little benefit from it, and I began to have chest pain, as 
per nearly every other Triptan I had tried.) 

I asked my Neurologist, and he said it would be "cool" to look into it, but as I 
was one of his few lactating migraine patients who were using Triptans,  he 
hadn't seen the effect in others, OR it simply hadn't been reported to him by 
the pts. (He is very interested in Lactation, and nearly grabbed Dr Hale's Book 
out of my hands, when I brought it in a few months before Hannah was 
born. "This book is great!" and then promptly ordered one.) 

Anyway, it was interesting, and although I never saw any difference in 
Ejection with SSRIs, I did with Triptans, which are also effect Serotonin 
Release and Uptake. 

There was an other thread, which was talking about lactating and remission of 
Chronic Conditions. No such luck for my migraines and related symptoms. My 
migraine gets worse with pregnancy, and does not improve during lactation, 
either. However, I was recently dxed with FibroMyalgia, the Neuro said 
he "suspected you've had it for years, maybe more than a decade" I DID 
notice much less fatigue, body aches, stiffness, pressure point tenderness ect 
while lactating with my 3rd baby. But, sadly, as soon as Menses resumed (at 
around 15 months pp) the Fibro returned with a vengeance.

Hopefully waiting for completed Menopause at this time.:) This Perimenopausal 
stuff is dragging me down. :( 

Sorry for the TMI tone of the post. :) 

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice

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