Posts Tagged ‘ lexapro ’

Lexapro and Breastfeeding

Tuesday, April 3rd, 2012

I wrote at length about my decision to stay on my antidepressants while pregnant. It was the right one for me, and so far, knock on wood, Emmett is nothing but alert, healthy and happy.

I did end up going off the Wellbutrin at around 7 months. It was sort of by accident, because I ran out of pills and hadn’t ordered any more. There were no side effects to the instant withdrawal and I felt fine without it. I did stay on the 10 mg of Lexapro until 3 weeks before my C-Section.

At that time, I decided to taper. The reproductive psychiatrist I had met with told me that there was a 10-30% chance of having a baby who is slightly fussy (or fussier) post birth if you keep on the meds. Still, she encouraged me to stay on them, because the fussy-factor dissipates within a few days. However, I tapered with Fia and I wanted to do the same this time around. I can live with .01% risk of staying on an antidepressant while pregnant. But 10-30% felt high to me, even though it’s a short-lived problem.

My taper wasn’t fun. I felt that dizzy/spaced out feeling pretty constantly. But I went with it because when you’re that pregnant, you feel exhausted anyway.

Emmett was born on January 25, 2012 and he has, knock on a forest, been an incredibly easy baby thus far. However, about a week after he was born, my hormones were raging, my nerves were getting frayed and my husband was pushing me to go back on the Lexapro before things went south.

I consulted a lactation consultant who informed me that Lexapro is now an L2 drug. Here is the website that explains the categories and gives a list of drugs. An L2 is a drug which, has been “studied in a limited number of breastfeeding women without an increase in adverse effects to the infant. And/or the evidence of a demonstrated risk which is likely to follow use of this medication in a breastfeeding woman is remote.”

L1 is the safest, L5 is the most risky.

I was so relieved to hear that Lexapro had been studied, that the first thing I did when I got home was take a 5 mg dose. I’ve been on that for about 2 months, and just last week went up to 10 mg. I was feeling a lot of anxiety and intensity about things. I was hoping 5 mg would be enough, but it wasn’t. I have noticed an immediate difference in my state of mind.

Wellbutrin is still an L3, which means it’s moderately safe, but no controlled studies have been done. I may go back on a small dosage of that as time goes on. We’ll see. I have some semi-obsessive issues I’m trying to deal with that seem to be getting worse. Like my obsession with cleaning. I feel like it is getting a bit out of control–which is ironic because I think “control” is what it’s all about. I will blog about that soon, as I have some ideas on how I may try and tackle this.

Anyway, I just wanted to update all of you who were interested and/or in similar situations as I was with the whole antidepressant arena. Thanks for listening.

 

Picture of breastfeeding via Shutterstock

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Moving Mid-Pregnancy: Getting Close!

Wednesday, January 4th, 2012

Author’s Note: Join me every Tuesday or Wednesday for “Moving Mid Pregnancy,” to read about my ongoing search for a new “everything” (from nannies to mom friends to health providers) while pregnant and living in a new city.

Me and My HUGE Belly

Last night I had stomach cramps. Bad ones. I also just felt “off.” I was thinking maybe labor was imminent. As uncomfortable and miserable as I am right now, I’m like the boy who cried wolf. When it comes down to it, I’m not ready for the new baby. I mean, for god’s sakes: I still have wall decals to put up!! Not to mention a wax to schedule (it’s all about the timing of it, right?) and lexapro to wean off. I’ve started the process with the lexapro, but it will take about 3 weeks to complete.

BTW–I decided to wean off the last few weeks based on the conversation I had with the reproductive psychiatrist (I wrote a blog about this). She said there is a 10-30% chance of the baby having some sort of withdrawal. Just general fussiness, but I think newborns are already ass kicking enough. I want my guy to be happy when he gets pulled out. So I’m going to wean off. I did this same thing with Fia and was glad I did.

I went to my OB today and they put a monitor on to see if I was contracting. Turns out, I wasn’t imagining the stomach tightening. There were a few contractions, though nothing regular. I’m also so thirsty lately. So the doc just told me to go home, hydrate a lot and take it easy. I asked if I could go for hikes still. He said yes, but just not to push it. He wants to keep that baby in as long as possible. I guess I sort of do…. it’s such a catch 22. Being so uncomfortable right now, but also needing more time before baby Leroy rocks our world.

By the way, I do love my new OB out here. He came recommended from a few friends. It wasn’t that hard making the transition from my NYC OB-GYN to this one. I knew I wanted to deliver at Cedars Sinai, even though it’s a bit of trek from our house. It’s kind of the celeb/famous hospital, but the way I looked at it is this: if anything should go wrong, you want to be at the place with the best medical and neonatal care. Especially in my, ahem, AMA (Advanced Maternal Age). And UCLA and Cedars are two of the best.

Also had my iron re-tested today. Hoping the pills and the 8 hamburgers I eat a day help get my levels back up.

More to report but it’s 9:30 pm, which means bedtime. I’ll add more to this tomorrow when Fia’s at preschool. Night night.

Follow up: it’s the next morning. Fia’s at preschool. Right before bed, the cramps got pretty bad. But then once I laid down, they subsided. I ended up sleeping really well. So I guess the doctor knows what he’s talking about when he says to get off your feet. He told me if I lay down and they continue, or become more regular, to let him know. So far so good. I’m going to make a conscious effort to sit more, and nap when Fia naps (I’ve been doing that on and off lately and it makes a huge difference in the rest of my day).

Oh, and we just found out my C-section time got moved up. This is great news. It was scheduled January 25th at 4:30 pm. and you can’t eat for 8 hours prior. I didn’t know how I’d do it. Now we just got in for a 7:30 a.m. C-section. So I can wake up and just go to the hospital. That is, if this baby doesn’t come sooner!

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