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Re: Klonopin and pregnancy ...From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)Sat, 19 Jan 2002 19:08:36 -0600 (CST)
At Fri, 18 Jan 2002, anonymous wrote: > >I am working very hard with my doc to change the med's I am on that are >not safe while ttc and during pregnancy. I still have one more change >to make and that is getting off of the Klonopin. I was just searching >the archives to this forum and found 2 different post's, both by doc's >of this forum and that were the total oppostite. One doc said it can >cause cleft lip, cleft palett(?) and possible limb abdnormalities, >whereas, the other doc said there is no evidence indicating any >problems. How can 2 doc's from the same forum have such a difference of >opinion? I am absolutely terrified of the withdrawl symptoms, as I have >heard such horror stories and do not wish to go through terrifying panic >attacks again after being free from them for so many years. But I also >don't wish to cause my baby any birth defects if I get pg. Is there a >"well known" safe alternative to Klonopin? If so, do you have to wean >off of the Klonopin 1st or can you do a direct change? > >Scared beyond words ... here is what Brigg's "Drugs in Pregnancy and Lactation" says: Category C (benefit to mom must be wieghed against risks to baby) in one study of 19 babies exposed during hte first trimester, 3 major birth defects were see (Only 1 was expected) -- 2 were cardiovascular defects. The best thing to do is to have a consultation with a maternal-fetal medicine specialist BEFORE getting pregnant, to discuss medications and other issues
-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA
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