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Because there is no currently approved treatment for postpartum depression, what they’re comparing here is the danger of untreated PPD against the danger of either discontinuing breastfeeding or having the newborn ingest a small amount of this medication. Untreated PPD is no joke. Not only does the mother’s suffering matter in itself, it has serious documented effects on the baby.

And there is nothing wrong or negligent about “solving this with a pill.” It needs solving. It is a serious issue.



There is a currently approved treatment. It’s basically an allopregnanolone supplement, given as an IV infusion over 60 hours, for $34,000.

There are much cheaper treatments for PPD, but nothing that would ever pay for the approval process.

https://twitter.com/jamesknochel/status/1688023798447316992?...


> And there is nothing wrong or negligent about “solving this with a pill.” It needs solving. It is a serious issue.

Your points are well made, though this isn't really what I said.

For what it's worth, while I'm worried the decision was made on what essentially amounts to an assumption, the option for using formula exists for parents worried about the drug making it into breast milk. So it seems there's at least one mitigating factor. But it wouldn't surprise me if the drug ends up being labeled for leeching into breast milk later on.


It's already labelled for breastmilk excretion.




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