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Archives of Women's Mental Health

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01.02.2015 | Letter to the editor

Psychopharmacology of bipolar I disorder during lactation: a case report of the use of lithium and aripiprazole in a nursing mother

verfasst von: Julia R. Frew

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2015

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Excerpt

Mothers with bipolar disorder who wish to breastfeed are faced with difficult decisions about the use of mood-stabilizing medication during lactation. The use of lithium during lactation has been traditionally discouraged. More recently, data published by Viguera et al. (2007) and Bogen et al. (2012) have suggested that serum lithium levels in nursing infants are low and well-tolerated and that women taking lithium can be supported to breastfeed, although infant monitoring of serum lithium level, electrolytes, and thyroid and renal functions is advised. Little information is available about the use of the newer atypical antipsychotics, such as aripiprazole, in lactation (LactMed 2013). …

Basturk M, Karaaslan F, Esel E et al (2001) Effects of short and long-term lithium treatment on serum prolactin levels in patients with bipolar affective disorder. Prog Neuropsychopharmacol Biol Psychiatry 25:315–22PubMedCrossRef

Bogen DL, Sit D, Genovese A, Wisner KL (2012) Three cases of lithium exposure and exclusive breastfeeding. Arch Womens Ment Health 15:69–72. doi:10.1007/s00737-012-0257-3 PubMedCentralPubMedCrossRef

LactMed (2013) Monographs on lithium and aripiprazole. National Library of Medicine. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT. Accessed 11 July 2013

Mendhekar DN, Sunder KR, Andrade C (2006) Aripiprazole use in a pregnant schizoaffective woman. Bipolar Disord 8:299–300PubMedCrossRef

Viguera AC, Newport DJ, Ritchie J, Stowe Z, Whitfield T, Mogielnicki J, Baldessarini RJ, Zurick A, Cohen LS (2007) Lithium in breast milk and nursing infants: clinical implications. Am J Psychiatry 164:342–345PubMedCrossRef

Titel: Psychopharmacology of bipolar I disorder during lactation: a case report of the use of lithium and aripiprazole in a nursing mother
verfasst von: Julia R. Frew
Publikationsdatum: 01.02.2015
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 1/2015
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-014-0469-9

Springer Medizin

Psychopharmacology of bipolar I disorder during lactation: a case report of the use of lithium and aripiprazole in a nursing mother

Excerpt

Neu in den Fachgebieten Neurologie und Psychiatrie

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

„Restriktion auf vier Wochen Therapie bei Schlaflosigkeit ist absurd!“

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Springer Medizin

Excerpt

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Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

„Restriktion auf vier Wochen Therapie bei Schlaflosigkeit ist absurd!“

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind