Desvenlafaxine Pregnancy and Breastfeeding Warnings

Desvenlafaxine is also known as: Khedezla, Pristiq

Desvenlafaxine Pregnancy Warnings

Patients should be advised to notify their physician if they become pregnant or intend to become pregnant during therapy. It should be noted that, in some cases, the clinical picture is consistent with serotonin syndrome. When treating a pregnant woman with desvenlafaxine during the third trimester, the physician should carefully consider the potential risks and benefits of treatment.

Desvenlafaxine has been assigned to pregnancy category C by the FDA. There are no controlled data in human pregnancy. Neonates exposed to SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors), or SSRIs (Selective Serotonin Reuptake Inhibitors), late in the third trimester have developed complications requiring prolonged hospitalization, respiratory support, and tube feeding. Such complications can arise immediately upon delivery. Reported clinical findings have included respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, hypertonia, hyperreflexia, tremor, jitteriness, irritability, and constant crying. Desvenlafaxine should be used during pregnancy only if the potential benefits justify the potential risks.

Desvenlafaxine Breastfeeding Warnings

Desvenlafaxine is excreted into human milk. Because of the potential for serious adverse reactions in nursing infants from desvenlafaxine, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Desvenlafaxine should only be administered to breastfeeding women if the expected benefits outweigh any possible risk.

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