These … Talking to your health care provider about your symptoms and medication options can help you make an informed decision.If you use antidepressants during pregnancy, your health care provider will try to minimize your baby's exposure to the medication. Experiencing major depression during pregnancy is associated with an increased risk of premature birth, low birth weight, decreased fetal growth or other problems for the baby.
Data on mirtazapine are sparse and therefore this drug should not be used as a first-line treatment in pregnancy.
A new study in the BMJ may help guide clinicians' and patients' choice of antidepressant in pregnancy.. Antidepressants and Pregnancy. Additional information relating to breastfeeding.
The risks and benefits of taking medication during pregnancy must be weighed carefully. Overall, the risk of birth defects and other problems for babies of mothers who take antidepressants during pregnancy is very low. Epilepsia. Due to the absence of data on use in lactation, and the potential for serious interactions with some foods and drugs, first generation MAOIs should not be used during lactationMoclobemide is not considered to be a first line antidepressant for use during lactation.Paroxetine and sertraline are SSRIs of choice. Urato AC(1)(2). "Many women want to stop treatment abruptly and even stop on their own, but this can be very risky," she says.Jennifer Wu, MD, an ob-gyn who practices at New York's Lenox Hill Hospital, agrees.
But there are benefits and risks to consider when taking antidepressants during pregnancy.
Further research is needed.A new study also suggests a link between use of antidepressants during pregnancy, specifically venlafaxine and amitriptyline, and an increased risk of gestational diabetes.
Here's what you need to know.If you have untreated depression, you might not seek optimal prenatal care or eat the healthy foods you and your baby need. "The old conventional wisdom was that pregnancy was a honeymoon period for depression and that patients would be able to come off their Charles Lockwood, MD, FACOG, department of obstetrics, gynecology, and Osborne says that there is generally no need to taper off medications during pregnancy. reproductive Sciences, Yale University School of Medicine, New Haven, Conn.Jennifer Wu, MD, ob-gyn, Lenox Hill Hospital, New York City.Ariela Frieder, MD, psychiatrist, Montefiore Medical Center, New York However, some antidepressants are associated with a higher risk of complications for your baby. The Use of Antidepressant Drugs in Pregnant Women With Epilepsy: A Study From the Australian Pregnancy Register. reproductive Sciences, Yale University School of Medicine, New Haven, Conn.Jennifer Wu, MD, ob-gyn, Lenox Hill Hospital, New York City.Ariela Frieder, MD, psychiatrist, Montefiore Medical Center, New York
Some research suggests that paroxetine … Safest Antidepressants: Top 3 Options. Moclobemide is not considered to be a first line antidepressant for use during lactation. This can be done by prescribing a single medication (monotherapy) at the lowest effective dose, particularly during the first trimester.Keep in mind that psychotherapy is also an effective treatment for mild to moderate depression.Generally, these antidepressants are an option during pregnancy:If you take antidepressants during the last trimester of pregnancy, your baby might experience temporary signs and symptoms of discontinuation — such as jitters, irritability, poor feeding and respiratory distress — for up to a month after birth. "Many women want to stop treatment abruptly and even stop on their own, but this can be very risky," she says.Jennifer Wu, MD, an ob-gyn who practices at New York's Lenox Hill Hospital, agrees. The biggest concern is typically the risk of birth defects from exposure to antidepressants. Highlighted below are some safe treatment options for depression as well as some of the less safe options.
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