GENERAL GUIDELINES

 Medication Overview Chart. This is a great chart that includes both generic and brand names of medications. http://www.perinatalweb.org/assets/cms/uploads/files/WAPC_Med_Chart_2012_v9.pdf           

Medication Overview Chart (2011).This chart provides information on antidepressants during pregnancy and breastfeeding, including advantages and disadvantages. https://www.illinois.gov/hfs/SiteCollectionDocuments/mch_medchart.pdf 

ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation (2008).This chart provides information regarding the FDA Pregnancy Category, AAP Rating, and  lactation Risk Category for psychotropic medications. http://www.aafp.org/afp/2008/0915/p772.html 

LactMed. This database allows users to search for a specific medication and receive detailed information regarding the impact of medication on breastfeeding. http://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm

WEBSITES 

Mother to Baby https://mothertobaby.org Telephone: 866-626-6847

Mother To Baby, a service of the non-profit Organization of Teratology Information Specialists, is dedicated to providing evidence-based information to mothers, health care professionals, and the general public about medications and other exposures during pregnancy and while breastfeeding. MotherToBaby affiliates support and contribute to worldwide initiatives for teratology education and research. 

Infant Risk Center http://www.infantrisk.com Telephone: 806-352-2519 Consumers can call the call center directly to receive information about medications during pregnancy or while breastfeeding. The InfantRisk Center at Texas Tech University Health Sciences Center is a call center based solely on evidence-based medicine and research. They are dedicated to providing current and accurate information to pregnant and breastfeeding mothers and healthcare professionals. They are a training center for medical and pharmacy students and medical residents in the use of drugs in pregnant and breastfeeding mothers. 

Motherisk http://www.motherisk.or Telephone: 877-439-2744 Motherisk provides evidence-based information and guidance about the safety or risk to the developing fetus or infant, of maternal exposure to drugs, chemicals, diseases, radiation, and environmental agents. 

Massachusetts General Hospital (MGH) Women ‘s Mental Health https://womensmentalhealth.org The MGH Library on Women ‘s Mental Health is a repository of useful information and frequently referenced articles compiled into different specialty areas, including psychiatric disorders during pregnancy and postpartum.

Perinatal Psychiatric Consultation Line at the University of Washington. https://sharepoint.washington.edu/uwpsychiatry/ClinicalServices/ConsultationandTelepsychiatry/Pages/Perinatal-Psychiatry-Consultation.aspx
Telephone: 206-685-2924 Provides free consultation for providers in Washington state about mental health issues during pregnancy and postpartum, including about the impact of psychotropic medications.                       

Thomas Hale at Texas Tech University www.ibreastfeeding.com http://neonatal.ttuhsc.edu/lact/ World-renowned expert on lactation and medication and author of Medications and Mothers’ Milk. Provides an open forum for healthcare providers only, and has a searchable database on this subject.            

ARTICLES 

Response to the New York Times Article on SSRIs and Pregnancy: Moving Toward a More  Balanced View of Risk. MGH Center For Women’s Mental Health on September 5, 2014, in Psychiatric Disorders  During Pregnancy. https://womensmentalhealth.org/posts/response-new-york-times-article-ssris-pregnancy-moving-toward-balanced-view-risk/ 

Breastfeeding & Psychiatric Medications https://womensmentalhealth.org/specialty-clinics/breastfeeding-and-psychiatric-medication/?doing_wp_cron=1459832596.2757570743560791015625

Evolving practice in perinatal psychopharmacology: Lessons learnedMGH Center For Women’s Mental Health https://womensmentalhealth.org/mcm_obgyn/evolving-practice-perinatal-psychopharmacology-lessons-learned/ 

Meta-Analysis: Antipsychotics and Pregnancy OutcomesMGH Center For Women’s Mental Health https://womensmentalhealth.org/posts/meta-analysis-antipsychotics-and-pregnancy-outcomes/ 

The Use of Antidepressants in Pregnant and Breastfeeding Women: A Review of Recent StudiesKathleen Kendall-Tackett, PhD, IBCLC, and Thomas W. Hale, PhD http://www.kathleenkendall-tackett.com/jhl_antidepressants.pdf 

Antidepressant Use During Pregnancy and BreastfeedingKathleen Kendall-Tackett, Ph.D., IBCLC http://www.infantrisk.com/content/antidepressant-usage-during-pregnancy-and-breastfeeding

SMARTPHONE APPLICATIONS

Mommy Meds. A consumer-focused application for safety of medications in pregnancy and breastfeeding, based on the research by the InfantRisk Center.
Infant Risk Center. A provider-focused application on the latest info and research on the safety of medication in pregnancy and breastfeeding.
LactMed. A database of drugs and supplements that may impact breastfeeding. Repro Tox. A membership-based database of the impacts of medications on pregnancy, reproduction, and development. Needs website account ($199).

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