Hi All, Have a question about the anti-depressant Paxil. My client is taking Paxil for severe PPD (She fought the urge to suicide). Her baby is 5 months old, and occaisionally will BF (another story!) so mom pumps the majority of the time. Her Dr. says that it is OK for the baby since there is only a small amount of it going into the HM. Tom Hale's book "Medications and Mothers' Milk" says: "Due to serious side effects, breast-feeding should be discouraged while using this drug. AHL=21 hrs. PB=95%" My client takes this drug as follows: 10mg immediately after FIRST pumping in the morning. Then 10mg immediately after LAST pumping at night. So she is taking a total of 20 mg per day. Question: * Is this a small enough amount so as ot to affect the baby? * Is mom taking the med at the right time Re pumping ? * Is there a better med than this for severe PPD? Also, mom started by taking only 10mg per day, but after 1 1/2 weeks was getting no relief, so Dr doubled meds. Said he would adjust meds in 2 weeks at her next appt. Mom is also concerned about possible side effects of meds with baby, but cannot go without something for the depression. TIA!! Jay