Antidepressants While Pregnant–Follow Up
It was so reassuring to know I’m not alone in my conflict of staying on meds while pregnant. And even though I know I’m making the right decision for myself, I do worry at times. How could I not? Someone who read my blog recommended a Reproductive Psychiatrist at NYU. This is an extremely specialized department on the cutting edge of research.
I saw the psychiatrist this week and I wanted to pass along what she told me. Knowledge is power, right? I’m going to take another leap here and even include the actual meds and dosages I’m on. Here goes:
At conception, if you’re taking antidepressants, then the baby is exposed. As she put it, “Exposure is exposure.” Meaning, going off at 3, 6, 9 months etc. is not going to make a difference. It’s the first couple months that are the big development stages.
I asked her about the studies that say there’s a 1-2% chance of cardiovascular/pulmonary issues in your baby if you take an SSRI (like Lexapro, Zoloft, Prozac, etc.). She said there is no conclusive evidence that those drugs cause higher risk under certain dosages. For example, the recommended maximum dosage for Lexapro while pregnant is 20-milligrams. (I’m currently on 5 mg, which I went down to on about the 3rd month of my pregnancy). She explained that those same risk percentages (1-2%) exist in the general population of pregnant women. Factors such as age, smoking, diet, etc can potentially elevate those risks. But not necessarily SSRI’s taken at the recommended dosages.
She also said to stay the course with what works mentally. You want to avoid huge ups and downs and being a human yoyo. It is better for you, but more importantly—the baby.
I’m also on Wellbutrin. The studies show there are no known or proven higher risks when taking while pregnant at the recommended maximum dosage. It is 300 milligrams or less on the extended release tablets. I’m on 150 milligrams.
Having said all this, studies have shown that the more drugs you’re on, the greater risk for some sort of issue/problem. That kind of follows logic, right? If she had met me before I got pregnant, she probably would have increased my Lexapro and taken me off Wellbutrin entirely. That way, I’d only be on one drug. But she assured me it’s really nothing to be concerned about. She’s had women with far more complicated drug combos than mine who have had beautiful babies.
When it comes to breastfeeding, the risks go down even more. The breasts act as a secondary filter (the body/blood being the first filter). She said tests were done with breastfeeding moms at a 20 mg dose of Lexapro and 300 mg of Wellbutrin. Those tests showed zero trace of the drugs in the baby.
And finally, bottom line: healthy, happy, anxiety-free mom = chances for the best baby. All the evidence supports that.
I thought this was some great information to have. If any of you have other information, I’d love to hear it.