[abeech]

I am 14 weeks pregnant and chose to go off of Lexapro when I found out I was pregnant. I am horribly depressed but have chosen to stay off of the Lexapro due to the possible affects on the fetus. However, I suffered post partum depression so severely with my first child and I have suffered depression much of my life and been on medication, that I have a huge chance of facing post partum depression again. My question is: Is there any risk on the fetus if my doctor places me back on the Lexapro for just the last month of my pregnancy so that it is in my system when the baby is born so that I can avoid post partum depression

[knorwood]

I took a low dose of lexapro throughout my pregnancy and didn't have any problems. My daughter is healthy and happy. I increased my dosage after I had her because I did start having some postpartum depression. Good luck!

[meberk]

My girlfriend is 13 weeks pregnant, she was on lexapro for the first 3 weeks, can anyone give me an idea of the chances for birth defects, i am very worried.

[drugbuster]

..... WHAT MAMA TAKES.... BABY TAKES...

What happens when the baby is born and you stop breastfeeding ? How will your baby handle the withdrawal symptoms ?


Tim
prozackills2002@yahoo.ca
______________________________
Advisory
2004-44
August 9, 2004
For immediate release

Health Canada advises of potential adverse effects of SSRIs and other anti-depressants on newborns
OTTAWA - Health Canada is advising Canadians that newborns may be adversely affected when pregnant women take Selective Serotonin Re-uptake Inhibitors (SSRIs) and other newer anti-depressants during the third trimester of pregnancy. This advisory is intended to increase awareness among mothers and physicians of the possible symptoms that may occur in the newborn, so that symptoms can be recognized and addressed quickly.

This advisory applies to the following anti-depressants: bupropion (whether used for depression or for smoking cessation), citalopram, fluoxetine, fluvoxamine, mirtazapine, paroxetine, sertraline and venlafaxine.

International and Canadian reports reveal that some newborns whose mothers took these medications during pregnancy have developed complications at birth requiring prolonged hospitalization, breathing support and tube feeding. Reported symptoms include: feeding and/or breathing difficulties, seizures, muscle rigidity, jitteriness and constant crying. In most cases, the newer anti-depressant was taken during the third trimester of pregnancy. These symptoms are consistent with either a direct adverse effect of the anti-depressant on the baby, or possibly a discontinuation syndrome caused by sudden withdrawal from the drug.

When treating depression in pregnant women, physicians and patients should carefully consider the potential risks and benefits of the various treatment options for both the mother and the unborn baby. To date, there is little evidence-based information on how best to treat depression during pregnancy.

If a woman is pregnant and is taking an SSRI, or other newer anti-depressant, she should discuss with the risks and benefits of the various treatment options with her health care professional. It is very important that patients do NOT stop taking these medications without first consulting with their doctor.

The frequency of symptoms may vary with each drug. In the case of two of the newer anti-depressants - bupropion and mirtazapine - discontinuation problems appear to be less than with the other drugs. In the case of mirtazapine, there are only two reports. Health Canada is issuing this advisory to encompass all newer anti-depressants in order to alert Canadians to the potential risk. Health Canada has also worked with the manufacturers of these medications to update their labelling with new precaution information.

Any suspected adverse reactions can be reported directly to the product manufacturer or to:

Canadian Adverse Drug Reaction Monitoring Program (CADRMP)
Marketed Health Products Directorate
HEALTH CANADA
Address Locator: 0701C
OTTAWA, Ontario, K1A 0K9
Tel: (613) 957-0337 or
Fax: (613) 957-0335

To report an Adverse Reaction, consumers and health professionals may call toll free:
Tel: 866 234-2345
Fax: 866 678-6789
cadrmp@hc-sc.gc.ca

For other inquiries: please refer to contact information.

The AR Reporting Form and the AR Guidelines can be found on the Health Canada web site or in The Canadian Compendium of Pharmaceuticals and Specialties.

Report of Suspected Adverse Reaction due to Health Products Marketed in Canada (Vaccines excluded)
Canadian Adverse Drug Reaction Monitoring Program (CADRMP) Guidelines for the Voluntary Reporting of Suspected Adverse Reactions to Health Products by Health Professionals and Consumers