TY  - JOUR
PY  - 2022//
TI  - Breastfeeding under psychopharmacotherapy: yes - no- maybe?
JO  - Gynakologische Praxis
A1  - Paulzen, M.
A1  - Schoretsanitis, G.
A1  - Nowara, V.M.
SP  - 237
EP  - 251
VL  - 50
IS  - 2
N2  - Yes - no - maybe? The uncertainty in answering the question to what extent breastfeeding under psychopharmacotherapy can be recommended is great and the clinical management of psychopharmacotherapy is a great challenge. Due to sparse scientific evidence, the administration of psychotropic drugs must be re-evaluated in each individual case. However, the risk of maternal psychological decompensation is an important factor exerting a negative impact on the mother-child pair, in the worst-case scenario, even suicide or infanticide. Since neither the U.S. Food and Drug Administration (FDA) nor the European Medicines Agency (EMA) has approved a psychotropic drug for use during the breastfeeding period, treatment is always off-label and should therefore only take place after a careful risk assessment and a comprehensive informed consent with detailed documentation. Each therapeutic decision is a case-by-case decision, considering the overall constellation, consisting of psychiatric history, current diagnosis and risk assessment for the infant, ideally with the involvement of a social support network in the mother's and breastfeeding child's environment. Multi-professional support by psychiatrists, pediatricians, gynecologists and midwives should accompany the administration of psychotropic drugs during the breastfeeding period under intensive use of therapeutic drug monitoring (TDM). © 2022 Mediengruppe Oberfranken - Fachverlage GmbH & Co. KG. All rights reserved.<p /> <p>Language: de</p>
LA  - de
SN  - 0341-8677
UR  - http://dx.doi.org/
ID  - ref1
ER  -