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Tue, 13 Nov 2012 11:50:26 +0000en-UShourly1http://wordpress.org/?v=3.4.2Antidepressants and Pregnancyhttp://ehealthadvice.info/antidepressants-and-pregnancy/

http://ehealthadvice.info/antidepressants-and-pregnancy/#commentsThu, 24 May 2012 16:22:04 +0000Bharathhttp://ehealthadvice.info/?p=455Anxiety and depression when a woman is pregnant, and in the early years of the life of an infant usually make the mother, her infant and the family to pass through all kinds of problems. One of the ever-present risks …Read more »]]>Anxiety and depression when a woman is pregnant, and in the early years of the life of an infant usually make the mother, her infant and the family to pass through all kinds of problems. One of the ever-present risks with depression is suicide, in addition to other adverse effects on birth weight and infant growth. Therefore, you need to know certain things about antidepressants and pregnancy.

It is essential to treat depression during pregnancy. The failure to do this may make the woman not to have the needed energy to take good care of herself. She may fail to eat the healthy foods or seek optimal prenatal care her baby to thrive; the woman may even turn to drinking alcohol or smoking, leading to low birth weight, premature birth or some other problems for the baby.

The Relationship between Antidepressants and Pregnancy

New studies have shown that the use of antidepressants during pregnancy should be carefully handled. There are now doubts on how safe some popular antidepressants are in treating depression. These are the SSRIs (Selective Serotonin Reuptake Inhibitors) and some other closely-related ones. The SSRIs are paroxetine (Paxil), fluoxetine (Prozac), sertraline (Zoloft) and citalopram (Celexa), while the three closely-related ones are nefazodone (Serzone), venlafaxine (Effexor) and duloxetine (Cymbalta).

It is now recommended by notable organizations like the American College of Obstetricians and Gynecologists (ACOG) that antidepressants should be used on an individual basis during pregnancy, meaning that SSRIs during pregnancy should be avoided unless it is very necessary. However, pregnant women are generally advised to stay away from Paxil. Therefore, it should only be used before and after pregnancy.

The Side Effects of Antidepressants During Pregnancy

The use of antidepressant has changed in the last few years. Most experts are no longer in support of the use of Tricyclic antidepressants during pregnancy, as the adverse effects of those drugs are very serious, though some people still point out that there was lack of extensive research backing up the evidence against the use of those drugs. This then makes some doctors to still prescribe them to their patients.

There is little or no data on Mirtazapine, making it necessary not to use the drug as a first-line treatment when pregnant, and recent studies carefully suggest that Mirtazapine levels are low in breastfeeding babies. Venlafaxine is a drug which has been linked to increased rates of spontaneous abortion, and is not responsible for fetal abnormality. Reports of neonatal effects have also been reported; therefore, you should use it with great caution when you are pregnant. Venlafaxine can accumulate in the baby you are breastfeeding.

Fetal abnormalities may also be caused by lithium during early pregnancy and lactation, though new studies show that during the first trimester, there are lower rates of cardiac abnormalities than what was documented previously. However, during lactation, infants must be monitored for concentrations of lithium in serum, and for its effects on thyroid and renal function. As it is the case for Lamotrigine, specialist advice is highly recommended before and when taking lithium.

Which Antidepressants Can Be Used During pregnancy?

 In most cases, these are the antidepressants that may be used during pregnancy:

Some selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (Prozac), sertraline (Zoloft) and citalopram (Celexa)

Tricyclic antidepressants, including nortriptyline (Pamelor) and amitriptyline.

Bupropion (Wellbutrin), which is a drug used for both smoking cessation and depression. Although it is seen as a first-line depression treatment during pregnancy, it may be good for women who want to use it in quitting smoking or who have not responded positively to other drugs.

Sodium valproate can also be used in treating depression; however, it is very teratogenic, and should not be used in the first trimester. It can be used during lactation. Therefore, you should consult your healthcare provider, psychiatrist or counselor if you are having depression symptoms during pregnancy. The professionals can help to determine the best treatment option for you. It is also necessary to consult the professionals if you are already taking any drug, and would like to stop taking it during pregnancy. The reason is that suddenly quitting may cause some serious withdrawal symptoms.

If you’d like more information about the dangers of taking antidepressants while pregnant, visit http://symptomsofpregnancy.me/pregnancy-and-antidepressants/.