Dr Hale's new book "Clinical Therapy in Breastfeeding Patients" states that "Many studies show minimal to no effects of the tricyclics on infants or their neurobehavioral development. Of the newer SSRIs, sertraline (Zoloft) appears safest, with more than 30 mother-infants pairs studied to date and no untoward effects noted in these studies. Other SSRIs such as paroxetine [Paxil], vnlafaxine [Effexor], and citalopram [Celexa] have been studied and found without untoward effects on the infant. Although somewhat controversial, fluoxetine [Prozac] should be used with some caution." pg 59. c. 1999. I believe these were all at normal, helpful doses and this dr needs to avail himself of the information currently available in either of Hale's books or communicate with Dr. Hale. Also check the archives. Sincerely, Pat in SNJ *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html