Low Dose Zoloft And Pregnancy

Most expectant mothers want to provide the best life possible for their unborn child, including healthy eating, regular exercise, and prenatal care. But if you’re one of the many women who suffer from a mood disorder, you might be attempting to control your psychiatric symptoms as you get ready to have a child.

If your condition is minor, your doctor may advise stopping your medication and switching to treatments like psychotherapy, prenatal yoga, or acupuncture to lift your spirits instead.

In fact, a developing fetus is at risk from untreated mental illness itself. A depressed woman is more likely to smoke and use drugs, as well as receive poor prenatal care, than she is to be in a healthy state. Osborne asserts that mental illness directly affects newborn children.

“We’ll try to get that down to a higher dose of fewer medications if a woman takes a low dose of many medications and we have time to plan,” she says. The baby is exposed to both the medication and the illness if a woman is taking a low dose and it isn’t controlling her illness. In that case, I would increase the dosage of the medication to prevent her baby from contracting the disease. ”.

Lauren Osborne, M. D. The Johns Hopkins Women’s Mood Disorders Center’s assistant director explains why stopping your medication might not be the best course of action. She details how women can and ought to strike a balance between their needs for mental health and a healthy pregnancy.

Which antidepressants are considered OK during pregnancy?

Generally, these antidepressants are an option during pregnancy:

  • Certain selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally considered an option during pregnancy, including citalopram (Celexa) and sertraline (Zoloft). Potential complications include maternal weight changes and premature birth. Most studies show that SSRIs arent associated with birth defects. However, paroxetine (Paxil) might be associated with a small increased risk of a fetal heart defect and is generally discouraged during pregnancy.
  • Serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs also are considered an option during pregnancy, including duloxetine (Cymbalta) and venlafaxine (Effexor XR).
  • Bupropion (Forfivo XL, Wellbutrin SR). Although bupropion isnt generally considered a first line treatment for depression during pregnancy, it might be an option for women who havent responded to other medications. Research suggests that taking bupropion during pregnancy might be associated with miscarriage or heart defects.
  • Tricyclic antidepressants. This class of medications includes nortriptyline (Pamelor) and desipramine (Norpramin). Although tricyclic antidepressants arent generally considered a first line or second line treatment, they might be an option for women who havent responded to other medications. The tricyclic antidepressant clomipramine (Anafranil) might be associated with fetal birth defects, including heart defects.
  • Are antidepressants an option during pregnancy?

    Yes. In addition to counseling, choosing whether to take antidepressants while pregnant depends on weighing the benefits and risks. Usually, the risk of birth defects from antidepressant exposure is the main worry. Overall, babies of mothers who take antidepressants during pregnancy have a very low risk of birth defects and other issues.

    Some antidepressants, though, are linked to a higher risk of complications for your unborn child. You can make an informed choice by discussing your symptoms and medication options with your healthcare provider.

    Your doctor will work to reduce the amount of antidepressants your unborn child is exposed to if you take them while pregnant. In particular during the first trimester, this can be accomplished by prescribing a single medication at the lowest effective dose.

    Remember that psychotherapy is a successful treatment option for mild to moderate depression as well.

    Risk for newborns when moms take antidepressants while pregnant?

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