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Re: antidepressants and pregnancy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 12 Oct 1999 20:22:51 -0500 (CDT)


At Tue, 12 Oct 1999, Patti Tessler, FNP wrote: >
>At Mon, 11 Oct 1999, kim wrote:
>>
>>Hope someone can answer this question for me. I've been diagnosed with
>>major depression/anxiety disorder and have been trying medications for
>>almost 1 year now. Currently im on wellbutrin and its affect is so-so.
>>any way,for a very long while i've been trying to fight the feeling of
>>wanting a baby. But my phyc doc said wellbutrin is not safe. Is it? or
>>is there any antideps that are proven safe for pregnancy? I've already
>>made my way through the ssris. thank you in advance.
>
>There are almost no medications that are "proven safe" for pregnancy.
>For the most part, the best we can say is that animal studies show no
>birth defects, or that so far there have been no reports of increased
>birth defects. Each time a woman who's pregnant or trying to conceive
>uses a medication, she must weight the risks versus the benefits of
>using that medication. A woman must do this evaluation in consultation
>with health care professionals who know the specifics of her case. I
>suggest you talk with both your therapist (preferably a psychiatrist due
>to your questions) and gynecological health care provider (preferably an
>obstetrician due to your questions), and ask them to talk with each
>other, to help decide what regimen might be best for you. Good luck!
>
>--
>Patti Tessler, BSN, MSN, RN, CS
>Family Nurse Practitioner
>

Patti's correct that no medication is 100% safe. That being said, an article or two last year indicated tht Prozac has shown no problems in pregnancy. Speak to your psychiatrist about the pros and cons of this therapy in your particular situation.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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