Breastfeeding/SSRIs/mood stabilizers or formula

liam_bean💚🥰

Okay. So obviously I know this is a decision I need to make based off of my OB, psychiatrist’s, and lactation consultant’s advice, however, I want know know if anyone has had a dilemma like this and what was the result.

I’m a FTM, diagnosed with Severe Depression, anxiety, and borderline personality disorder (mood disorder). I have been pretty stable/gotten better since becoming pregnant. Luckily I’m on 2 of the safest meds for pregnancy, and have been on them the entire time...actually started the combo about 2(?) years prior to getting pregnant so I know how they work when I’m not pregnant.

Currently taking Lamictal (Lamotrigine: mood stabilizer) and Zoloft (Sertraline: SSRI). I have not had to increase my dosage since pregnant.

My concerns are postpartum depression, mood swings, and obviously the transfer to the baby while breastfeeding.

Until we know how I or the baby will react, I can’t make a hard decision but I’d like some insight on how to make the best decision. Personally, I would choose to use formula and stay on the meds to take care of myself if the baby was badly reacting to them—SSRIs can make them fussy and drowsy, the Lamictal is known to cause rashes in both myself and baby...I slowly increased the dosage and have never had a rash but that doesn’t mean baby won’t.

I know for a fact I cannot fully go off of one or both. The withdrawal alone will affect my ability to function and be able to to take care of the baby.

Has anyone decreased their dosage, gone off of them, kept breastfeeding, switched to formula or started out on formula due to this situation??

**I want to hear your thoughts from personal experiences, not hard opinions or say that I’m a bad mom for choosing one option over the other.

Sorry this is so long!! 🙃