i want to get pregnant soon and i am on antideppressants and sleeping pills and anti anxiety pills. Am i going to be ok without these during my pregnancy?
1 Mar 2010
Benzodiazepines may cause fetal harm when administered to a pregnant woman. An increased risk of congenital malformations associated with the use of diazepam and chlordiazepoxide during the first trimester of pregnancy has been suggested in several studies. Transplacental distribution has resulted in neonatal CNS depression following the ingestion of therapeutic doses of a benzodiazepine hypnotic during
the last weeks of pregnancy.
Benzos are contraindicated in women who are or may become pregnant. If these drugs are used during pregnancy, or if the patient becomes pregnant while taking this class of drugs, the patient should be apprised of the potential hazard to the fetus. Patients should be instructed to discontinue the drug prior to becoming pregnant. The possibility that a woman of childbearing potential may be pregnant at the time of institution of therapy should be considered.
•Pregnancy category - D or X
•Trimesters of risk: The first, second, and third trimesters are times or risk for flurazepam, temazepam, and triazolam (category X). Chlordiazepoxide seems to be safe during pregnancy. Avoidance of alprazolam during pregnancy seems prudent.
•Associated defects and complications - Unclear; potential for isolated oral cleft
•Studies: The information currently available is insufficient to determine whether the potential benefits of benzodiazepines to the mother outweigh the risks to the fetus. Pooled data from cohort studies show no association between fetal exposure to benzodiazepines and a risk of major malformations or oral cleft. However, pooled data from case-control studies demonstrated that the risk for major malformations is significantly increased, particularly for isolated oral cleft. Until additional research data are reported, level 2 ultrasonography is useful for assessing the patient for a cleft lip.
I would highly suggest becoming as informed as possible and there's a lot of great information on the web. Consult your doctor and follow his/her recommendations! :) Best of luck and I hope you find the link below helpful.
2 Mar 2010
it depend on how long to have been on them? my babies mama was on xanax and cymbalta untill we found out she was pregnant he tolher since she has been on them before the prgnancy to stay on them until they weened her off of them..now if you want to get off that stuff. you start your week taking a whol one and then ahalf.do that for a full week.and then the next week go lower,and do that for a week.keep doing that until you feel comfortable.thats the best way i know,but if you really need the meds it wont hurt to take a lower dose.good luck
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