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(from The Maudsley and Oxleas Prescribing Guidelines 11th Edition, 2011). A 'normal' outcome to .. When taken in late pregnancy, SSRIs may increase the risk of persistent pulmonary hypertension of the new-born . In bipolar depression during pregnancy use CBT for moderate depression and an SSRI for more severe.
15 Sep 2008 Practice Guidelines. ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation. CARRIE ARMSTRONG. Am Fam Physician. .. The combination of breastfeeding and SSRI use has not been studied extensively; however, medication exposure from breastfeeding is less than the
A brief summary of key findings: • When discussing medication in pregnancy, acknowledge that there is uncertainty surrounding risks. • Explain the risks of treating versus not treating mental health conditions and the background risk of malformations in women without mental disorder; between 2 and 4 in 100. • Discuss the
The largest amount of data on the safety of antidepressants in pregnancy is found for tricyclic antidepressants and SSRIs. Tricyclic Therefore, women who desire to change their medication regimen to products for which safety data are more abundant need to do this under the guidance of a psychiatrist. Weaning off
tricyclic antidepressants, such as amitriptyline, imipramine and nortriptyline, have lower known risks during pregnancy than other antidepressants. most tricyclic antidepressants have a higher fatal toxicity index than SSRIs. fluoxetine is the SSRI with the lowest known risk during pregnancy.
Guidelines for the Pharmacological Management of Depression: Review date Sept 2018 1. Guidelines on Choice and To provide guidance on the safe and effective prescribing of antidepressant medication to patients .. With respect to SSRIs the greatest experience in pregnancy is with Sertraline and Fluoxetine with.
There is evidence that taking SSRIs early in pregnancy slightly increases the risk of your baby developing heart defects, spina bifida, cleft lip. Increased risk of miscarriage and mental health without medication. (See our information on coming off psychiatric drugs for guidance on how to come off your medication safely).
Which antidepressants are considered OK during pregnancy? Generally, these antidepressants are an option during pregnancy: Certain selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally considered an option during pregnancy, including citalopram (Celexa), fluoxetine (Prozac) and sertraline (Zoloft).
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