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Bipolar disorder - Management
What issues should I consider if a woman is breastfeeding?

  • Advise the woman not to breastfeed if she is taking lithium, a benzodiazepine, or lamotrigine.
  • A selective serotonin reuptake inhibitor (SSRI) may be prescribed if an antidepressant is being considered, but not fluoxetine or citalopram.
Basis for recommendation
  • These recommendations are based on published guidelines from the National Institute for Health and Clinical Excellence (NICE), Bipolar disorder: the management of bipolar disorder in adults, children and adolescents, primary care and secondary care [National Collaborating Centre for Mental Health, 2006].

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