TY - JOUR
T1 - Transfer of the antidepressant mirtazapine into breast milk
AU - Kristensen, J.H.
AU - Ilett, Kenneth
AU - Rampono, J.
AU - Kohan, Rolland
AU - Hackett, L.P.
PY - 2007
Y1 - 2007
N2 - Aims To investigate the transfer of mirtazapine and desmethylmirtazapine into milk and to calculate dose to the infant via milk.Methods Plasma and milk samples were obtained from eight breast-feeding women who were taking a median dose of 38 mg mirtazapine per day. Milk/plasma ratio (M/P) and infant doses were estimated by standard methods. The infants were examined clinically and in four infants blood was taken for analysis.Results Mean (95% confidence interval) relative infant doses for mirtazapine and desmethylmirtazapine (n = 8) were 1.5% (0.8, 2.2) and 0.4% (0.2, 0.6) respectively. The mean M/P (area under curve n = 4, single or paired samples n = 3) was 1.1 (0.7, 1.5) for mirtazapine and 0.6 (0.5, 0.7) for desmethylmirtazapine. No adverse effects were seen. Mirtazapine was detected (1.5 mu g l(-1)) in only one of four infants tested.Conclusion We suggest that mirtazapine use by lactating women is safe for the breast-fed infant. Nevertheless, each decision to breast feed should always be made on the basis of an individual risk/benefit analysis.
AB - Aims To investigate the transfer of mirtazapine and desmethylmirtazapine into milk and to calculate dose to the infant via milk.Methods Plasma and milk samples were obtained from eight breast-feeding women who were taking a median dose of 38 mg mirtazapine per day. Milk/plasma ratio (M/P) and infant doses were estimated by standard methods. The infants were examined clinically and in four infants blood was taken for analysis.Results Mean (95% confidence interval) relative infant doses for mirtazapine and desmethylmirtazapine (n = 8) were 1.5% (0.8, 2.2) and 0.4% (0.2, 0.6) respectively. The mean M/P (area under curve n = 4, single or paired samples n = 3) was 1.1 (0.7, 1.5) for mirtazapine and 0.6 (0.5, 0.7) for desmethylmirtazapine. No adverse effects were seen. Mirtazapine was detected (1.5 mu g l(-1)) in only one of four infants tested.Conclusion We suggest that mirtazapine use by lactating women is safe for the breast-fed infant. Nevertheless, each decision to breast feed should always be made on the basis of an individual risk/benefit analysis.
U2 - 10.1111/j.1365-2125.2006.02773.x
DO - 10.1111/j.1365-2125.2006.02773.x
M3 - Article
C2 - 16970569
SN - 0306-5251
VL - 63
SP - 322
EP - 327
JO - British Journal of Clinical Pharmacology
JF - British Journal of Clinical Pharmacology
IS - 3
ER -