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Hello and thank you for using JustAnswer. I am very sorry that your daughter is experiencing these symptoms after the birth of her child. When you say highs and lows, do you mean highs with anxiety or are you saying that she has highs of Mania (e.g. Excessive happiness, anger, irritability, increased energy, grandiosity, racing thoughts, pressured speech, less need for sleep, impulsiveness, and recklessness)?
Thank you for your response. The increase in Zoloft is a good choice by her physician as that should help to lessen her anxiety and depression, but it may take 2-3 weeks for the increase to really be noticeable as it takes time for the medication to fully circulate in the system. In the mean time her doctor can prescribe a low dose benzodiazepine like Clonazepam or Lorazepam to lessen her anxiety (this medication does nothing for depression) as the benzodiazepines are a very low risk of causing adverse effects through breast feeding. The use of the Zoloft and a benzodiazepine are considered an excellent combination for post-partum depression, anxiety, and insomnia.
I hope this answers your question and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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