Original Research J Clin Psychiatry August 2026

Pharmacokinetics of Viloxazine ER (Viloxazine Extended-Release Capsules) in Breast Milk of Healthy Lactating Women

JCP 2026;87(3):10.4088/JCP.25m16169

Full Article Read the complete peer-reviewed article in J Clin Psychiatry. JCP 2026;87(3):10.4088/JCP.25m16169 Clinical Summary Postpartum women with attention-deficit/hyperactivity disorder increasingly need treatment decisions that account for breastfeeding, but lactation data for ADHD medications remain sparse. This study addresses a practical question clinicians face: how much viloxazine extended-release reaches breast milk at the maximum recommended adult dose, and what infant exposure that translates to. FAQ How much viloxazine extended-release gets into breast milk? 9 questions
Key Takeaways In this inpatient phase 4 study, lactating women received the maximum recommended adult dose of viloxazine ER, 600 mg/d, for 3 consecutive days, which helps clinicians interpret the low milk transfer findings under a higher-exposure dosing scenario rather than a subtherapeutic one. 6 takeaways Clinical Guide How should clinicians counsel a breastfeeding patient with ADHD who is taking or considering viloxazine extended-release? 7 steps