To Leslie A-J: In reference to your question concerning Doxepin use in a mom with a 17 month old child. Of the tricyclic antidepressants, Doxepin is probably the worst choice to use, several reports suggest problems with this compound in breastfed infants. There are a whole host of better choices, imipramine, desipramine, sertraline, etc. The first question I have is how often the mom breastfeeds...if only occassionally, once or twice daily, I would doubt that the infant would receive a significant dose of any of these antidepressants with this exposure. She might choose to cut back to several breastfeeding sessions daily, hence reducing the infants exposure while still continuing to enjoy breastfeeding. Of the SSRIs, sertraline is probably preferred in a BFing mom. Of the tricyclics, imipramine and desipramine are probably preferred. Again however, the long-term sequalae from exposure to these compounds at this age is unknown in infants, and I still would be very cautious. Tom Hale