What You Must Know About Taking Lexapro During Pregnancy

 

Is there an antidepressant that is safest to take while pregnant?

Video taken from the channel: IntermountainMoms


 

ANTIDEPRESSANTS & PREGNANCY: What to Take & What to Avoid | Dr. Paul

Video taken from the channel: paulthomasmd


 

Is it Safe to Take Antidepressants While Pregnant? Anne Hofer CHI Health

Video taken from the channel: CHI Health


 

Psychiatrist Katie Hirst discusses use of antidepressants in pregnancy

Video taken from the channel: UC San Diego Health


 

How do SSRIs affect pregnancy?

Video taken from the channel: IntermountainMoms


 

I’m Pregnant and on Antidepressants

Video taken from the channel: Linda Barsi


 

Risk for newborns when moms take antidepressants while pregnant?

Video taken from the channel: CBS This Morning


There has not been much research done regarding the safety of using Lexapro while pregnant. Because of this lack of data, you should only take Lexapro while pregnant if it is necessary. Your doctor will be able to determine if the benefits of staying on Lexapro while pregnant outweigh the possible risks of using the medication. If you are on Lexapro and become pregnant, do not adjust your. Lexapro During Pregnancy.

Depression is one of the most common mental health conditions experienced by individuals worldwide. Unfortunately, the onset of pregnancy can trigger depression. As such, it is common to question if it is safe to use escitalopram aka Lexapro during pregnancy. Using escitalopram during pregnancy may be the right option if the benefits outweigh the.

Start at lower doses and titrate upward more slowly to a maximum recommended dose of 10mg/day. Endocrine-May exacerbate or cause SIADH or hyponatremia. Monitor sodium level closely when starting.

No, it is not safe to take Lexapro during pregnancy as it can affect the mother and the baby. The US Food and Drug Administration (USFDA) ranks Lexapro under category C, which means animal studies have shown adverse effects on the unborn bab. During your pregnancy, if you took lexapro or another antidepressant your child might be born with a congenital birth defect. Lexapro side effects.

If the pregnant women take lexapro, then her child might suffer from some serious side effects of lexapro that include heart defects and congenital birth defects. Cardiac (heart) birth defects. Escitalopram is not expected to cause adverse effects in breastfed infants, particularly in infants over 2 months of age. One case of necrotizing enterocolitis has been reported in a breastfed newborn whose mother was taking escitalopram during pregnancy and lactation; however, causality was not established.

Lexapro is not recommended for pregnant mothers as it may affect the fetus as well as the mother. Lexapro belongs to category three of pregnancy safety rating. Studies have been conducted by administrating this drug to the animals. Unfavorable consequences are detected in.

Lexapro is a popular antidepressant drug for treating depression and anxiety. If women take it when they are pregnant, however, their unborn babies are at an increased risk of developing birth defects. Lexapro, a brand name for escitalopram, was introduced in 2002. Since then, millions of people around the world have used it.

My physiatrist said that the rate of birth defects in patients on lexapro is the same as the rate for people taking nothing at all. I just wasn’t comfortable taking it anymore personally. I will say I quit taking it when I was 6-7 weeks along.

With my second child I wasn’t taking anything more serious than ibuprofen when I got pregnant with him. Medications used during pregnancy are put into risk categories. There are 5 categories (A,B,C,D,X, and NR).

Lexapro is a category C drug meaning that animal studies have shown an adverse effect on the fetus, but adequate studies haven’t been conducted in humans.

List of related literature:

SSRI and SNRI antidepressants other than paroxetine: Pregnant women should try to avoid antidepressants during the third trimester to reduce serotonin-induced problems in the newborn, including jitteriness, feeding difficulty, and breathing issues.

“Bipolar Disorder For Dummies” by Candida Fink, Joe Kraynak
from Bipolar Disorder For Dummies
by Candida Fink, Joe Kraynak
Wiley, 2015

Most serious adverse events include ejaculation disorder in males; fetal abnormalities and decreased fetal weight in pregnant patients; serotonin syndrome if co-administered with MAOIs, St. John’s wort, or SSRIs, including citalopram (Celexa), of which escitalopram (Lexapro) is the active isomer.

“Psychiatric and Mental Health Nursing for Canadian Practice” by Wendy Austin, Mary Ann Boyd
from Psychiatric and Mental Health Nursing for Canadian Practice
by Wendy Austin, Mary Ann Boyd
Wolters Kluwer/Lippincott Williams & Wilkins, 2010

Third-trimester exposure to SSRIs is associated with an approximately 25% risk of perinatal symptoms—including irritability, jitteriness, poor muscle tone, weak or absent cry, respiratory distress, hypoglycemia, and seizures—that sometimes require admission to special care nurseries.

“The American Psychiatric Association Publishing Textbook of Psychiatry, Seventh Edition” by Laura Weiss Roberts, M.D., M.A.
from The American Psychiatric Association Publishing Textbook of Psychiatry, Seventh Edition
by Laura Weiss Roberts, M.D., M.A.
American Psychiatric Association Publishing, 2019

Antidepressant use during pregnancy and the risk of pregnancy-induced hypertension.

“The Maudsley Prescribing Guidelines in Psychiatry” by David Taylor, Carol Paton, Shitij Kapur
from The Maudsley Prescribing Guidelines in Psychiatry
by David Taylor, Carol Paton, Shitij Kapur
Wiley, 2015

Antidepressant use during pregnancy

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

Antidepressant medications, particularly the SSRIs and tricyclic medications, have been found to be relatively safe during pregnancy between 9 and 36 weeks gestational age.

“Encyclopedia of Women's Health” by Sana Loue, Martha Sajatovic
from Encyclopedia of Women’s Health
by Sana Loue, Martha Sajatovic
Springer US, 2004

The health of the mother and baby are paramount; mild-tomoderate depression should be treated with psychological methods, and for more serious depression SSRIs (except paroxetine) are generally considered safest in pregnancy.

“Pharmacology for Health Professionals eBook” by Bronwen Bryant, Kathleen Knights, Andrew Rowland, Shaunagh Darroch
from Pharmacology for Health Professionals eBook
by Bronwen Bryant, Kathleen Knights, et. al.
Elsevier Health Sciences APAC, 2018

Infants born to mothers who took Zyprexa during pregnancy may develop extrapyramidal symptoms and withdrawal symptoms, including agitation, trouble breathing, and difficulty feeding.

“Mental Health and Mental Disorders: An Encyclopedia of Conditions, Treatments, and Well-Being [3 volumes]: An Encyclopedia of Conditions, Treatments, and Well-Being” by Len Sperry
from Mental Health and Mental Disorders: An Encyclopedia of Conditions, Treatments, and Well-Being [3 volumes]: An Encyclopedia of Conditions, Treatments, and Well-Being
by Len Sperry
ABC-CLIO, 2015

SSRI use during pregnancy.

“Volpe's Neurology of the Newborn E-Book” by Joseph J. Volpe, Terrie E Inder, Basil T. Darras, Linda S. de Vries, Adre J du Plessis, Jeffrey Neil, Jeffrey M Perlman
from Volpe’s Neurology of the Newborn E-Book
by Joseph J. Volpe, Terrie E Inder, et. al.
Elsevier Health Sciences, 2017

Decisions on continuing antidepressant drugs during pregnancy must be individualized, but it must be recalled that the effects of severe untreated depression on maternal and fetal health may be far worse than the unknown risks of SSRIs or tricyclic drugs.

“Handbook of Psychiatric Drug Therapy” by Lawrence A. Labbate, Jerrold F. Rosenbaum
from Handbook of Psychiatric Drug Therapy
by Lawrence A. Labbate, Jerrold F. Rosenbaum
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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48 comments

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  • I’m glad your feeling well Linda. I take sertraline 100mg and it’s honestly my saving grace. I was previously on a higher dose but I reduced down almost a year ago now. Coming to terms on my head with the fact that I need to take this medication constantly almost like a multivitamin was a challenge but I know I see it as a strength.

  • (thank you so much for adding “people who can become pregnant” when you talk about this subject, I’m non-binary and it means a lot to be included)

  • 5 years ago I was on antidepressants and pregnant. I had GD, poor diet, Diabetes meds, My baby was under weight @ 5lb11oz at 39+4 days, he was in distress and meconium and was not breathing after birth, then he had low sugars 4 days after birth.
    At 3 years old I noticed some behaviour problems and he had speech delay. As he was too young for behaviour we waited till he was in school.
    He is now 5 going on 6, below average in reading and spelling, excellent in maths, fidgety, impulsive, can’t sit still,
    He’s now ADHD with speech and communication problems. He’s baby number 8 and the only child I carried on antidepressants but I could not go off it as I mentally couldn’t.
    I feel my poor diet and antidepressants contributed to my sons delays. I don’t have ADHD in any of my family.
    But we getting the help and support here in Australia.
    Next baby I made sure id never have meds again. She was born a year ago, perfect weight, and no problems. I been 4 years clean no antidepressants ��

  • thanks so much for saying all this. i myself dont plan to have kids, but i really appreciate youre using your platform for this sorta content for the huge chunk of population who need to hear this sorta stuff c:

  • My girlfriend used to be on Paxil and then she found out shes pregnant. But I keep reading the risks. I’m scared. I want the most healthy baby possible. But I dont wat her stressing and having anxiety attacks.

  • Thank you for this video. I have a two year old and my husband and I plan to get pregnant in a few months.. one thing I’m worried about was whether I should or shouldn’t get off my lexapro. I’m glad I’m not the only mom with thoughts like “But I want to be a pure vessel”, I’ve been beating myself up with negative thoughts like i wont be able to do it or what if the baby gets hurt but Your video gives me hope. Thank you so much. And of course I plan to talk with my OB and primary dr about it so we’ll see how it goes(: thank you again! Best wishes to your new baby and being A wonderful mom for your kids. That was the best thing I heard❤️

  • This video helped me so much I was just put on Zoloft for anxiety PTSD and depression I’m 31 weeks pregnant I was so scared I was doing the wrong thing and I was being selfish taking it while pregnant because I needed to be a pure vessel as you said this video gave me a such peace saying that it’s ok

  • Many thanks, I been tryin to find out about “over the counter medicine for depression” for a while now, and I think this has helped. Ever heard of Hanincoln Nanlivia Framework (do a google search )? Ive heard some amazing things about it and my partner got great success with it.

  • ‘the perfect vessel’ is such a catch 22. sure, be ‘pure’ but also run the risk of not being emotionally present for your child. I think each persons journey is so different that it shouldn’t be prescriptive. You’re doing a fantastic job and you should be proud.

  • This was great, I’ve been looking for “can you overcome depression on your own” for a while now, and I think this has helped. Ever heard of Hanincoln Nanlivia Framework (should be on google have a look )? Ive heard some pretty good things about it and my co-worker got excellent results with it.

  • I really needed to see this today! We’ve been planning on try to getting pregnant and had been told being on paxil was not a good option. So I tried multiple other ssris to ending up just wanting to go off everything completely. It’s been a struggle some days and this info has me considering trying zoloft again and be ok not to do it completely drug free

  • I really appreciate you posting this. I recently started taking antidepressants. After I had my daughter is when it started then my Dr prescribed me something but my pharmacy said they didn’t have it like nothing was called in so I thought that was a sign and I would be fine and as a year went by it just slowly but surely got worse. Watching your video made me just cry about you talking about how you couldn’t get out of bed and I was like that everyday with my daughter I only got up bc I had to and that made me feel terrible as a mom and a person bc I wasn’t achieving what I know I need to be doing but just physically could not do it and forgot how to function like a person and was in an absolute fog. Im so paranoid about being pregnant with baby #2 rn like terrified bc I’m so scared of being like that again and coming down to being okay or the baby being not having risks and It just helped so much like seeing someone else on it and everything is okay.

  • Hi Linda….thanks for this video.

    I was taking antidepressants before I got pregnant. As soon as I got to know I am pregnant, I stopped taking them. Now I have 3 months old baby and it has been an year I haven’t taken antidepressants. And I desperately need them as my anxiety has become worse than before. My psychiatrist has prescribed me fluxotine.
    I just want to ask were you on antidepressants while breastfeeding. Please comment.

  • Thank you so much for making this video. I really appreciate it! Will you be making another one once your baby is here? Thank you! Prayers for happy and healthy family!

  • I’m 31 weeks pregnant i was taking Paxil 40mg lamictal 20mg and clonazepam 3 mg and I use to smoke to a lot! When I found out I was pregnant I stop everything!! I was in hell!! I have 2 kids and they where in pain with me seeing me like that!! It broke my hearth then i went to my doctor and they gave me Zoloft 25mg and clonazepam.5mg if I had a severe panic attack and I was sad for my baby I was so scared but it’s my reality and I wasn’t going to abort just for a pill that maybe didn’t harm my baby so I’m still with them my baby is fine and my 2 children’s are better now that I can take care for them and they see me “normal” and happy I honestly don’t regret my choice.

  • Cheers for this, I’ve been looking for “fighting depression naturally” for a while now, and I think this has helped. Have you ever come across Hanincoln Nanlivia Framework (do a search on google )? Ive heard some interesting things about it and my m8 got excellent success with it.

  • I’m on bupropion, too! I’m not pregnant, but I want kids down the road. This video gives me courage to communicate with my doctor and stay informed whenever I do choose to start trying! Thanks for using this voice to talk about this stigmatized yet vital topic. I support you ��☺️

  • I’m pregnant with a little girl & my anxiety was well managed with CBT. Due to COVID and my sessions getting cancelled/spaced out and the obvious hormones & emotions, it’s gotten to a point where I worry nonstop where I have breakdowns crying every single day. I was so against taking medication for so long, but now that’s it’s not just about me anymore I’ll be picking up a Zoloft prescription tonight. Thanks for the video, it made me more calm about it. You’re absolutely right, our children deserve happy moms. ❤️

  • This is so important thank you for posting this ❤️ I thought maybe i couldn’t have a baby in the future because of my anxiety/depression medication

  • I definitely stayed on my meds. It gets really hard after birth, my little boy was born 5 weeks early (momma got so so sick but he was fine!!) so it definitely is good to be on something, especially because labor can be traumatic even if it goes perfectly. It’s just a shocking experience that your body races through and your mind is just kinda left in the dust like “what’s happening!! What just happened?? What does this mean, how do I feel??” Good luck momma! You can do it!!

  • She literally said don’t panic lol and here yall go panicking smh your mental health is important to carry a baby. So you come first.

  • This was such an interesting video for me. I have always thought that you couldn’t be on antidepressants or mental health meds in general while pregnant. Of course, it is important to review with your own physician, but it’s so nice to know that staying on your meds is an option. Will definitely share with my sister, who is looking to have kids and was very nervous about meds effecting babies. Thanks for always sharing your experience! Much love ♥️

  • yaay this was such a helpful video! i had always believed that women couldnt be on antidepressants while pregnant so, im glad you’ve busted this myth! also, not sure when this was filmed (before this week or after) but hope you and baby are doing okay!! <3

  • I’ve been on anti-depressant/anxiety meds for over 4 years, and I’ve always wanted to have kids. The thought of having to choose mental wellbeing or a healthy baby was really awful, but this video (and the comments!) were really reassuring to me. Thank you so much for speaking so candidly

  • I just wanted to give you a big hug and say that I am proud of you for being open about this. Even though I both am not on medication or want to become pregnant this is so important to know:-)

  • Thanks for talking about this Linda! It’s so important and also so underdiscussed. Wishing you and your baby good (mental and physical) health this year xxx

  • I appreciate this a lot. I’m not yet pregnant but have been told that Welbutrin isn’t the best medication to be on for pregnancy. The problem is, I’ve tried lots of medications over the years and this is the one that works for me. So this video brings a lot of peace to my heart. Letting go of that idea of needing to be a “pure vessel” is so hard, but remembering that a “happy and whole” vessel is more effective than a “pure” one is important. Thank you for being authentic and putting yourself out there for the sake of encouraging others!

  • So it seems like the risk is very lightly increased and could also be due to a lot of other factors related to depression (More anxiety, less healthy habits: smoking, alcohol, sedentary lifestyle, unhealthy diet, etc)

  • This is SUCH a relief to hear. I’m still figuring out whether I want kids but one of my biggest deterrents was having to go off my meds during pregnancy and hormones play a big role in my depression. Good to know that there are options!

  • Thank you so much for this! Really, its so important! This is one thing which scares me about being pregnant and having baby, it’s how am I supposed to do that if I have problems just with myself when a bad period of depression comes… Knowing that there is help and it is possible to manage it throughout this time is quite uplifting. I am truly sorry for all you were going through though:( don’t be so hard on yourself:) you are doing perfect!

  • Hi hun I struggle with depression I take 10 mg Prozac I’m currently pregnant do u think it’s safe to take that I’m not good without these depressants ��

  • Great content! You are so pretty and charming! I enjoy to watch your videos every single time!

    You are one of the people which inspirited Me and My Husband to start our own channel, where we brings high quality informational and educational videos for parents.

    Thank You one more time! God bless You and Your Baby!

  • You’re just a few weeks ahead of me I’m 34 weeks with a baby boy too:) Really related to this though I went on anti-anxiety meds 4 years ago and they made a huge difference in my sense of well-being and ability to cope with things productively. When I decided I wanted to get pregnant I worked with my psychiatrist to try and go off of them slowly, but even just on a lower dose I was struggling at work and just not doing great. Had a obgyn appointment and she immediately said to go back on them that I was much better off (and the baby would be much better off) with my anxiety under control. Was reassuring when I did get pregnant to hear the same message from my midwives. Pregnancy can be so stressful when it feels like you need to be perfect for me it’s really been an exercise in learning there is no perfect, there are always going to be things I do that carry some risk (even just driving a car), and I just have to do the best I can to take care of myself and the baby.

  • huuugggsss I’m proud of you for beating your perfectionism and asking questions and also changing doctors midway through like the last thing you need is extra forms to fill out haha

    I hope the last leg of your pregnancy is okay and that it’s all as smooth as can be:) you’re gonna be a fab set of parents and I’m excited for you:) xxx

  • Thanks for sharing this experience! I’m on antidepressants and, after struggling to even let myself start, I’ve also worried about what happens during pregnancy. Its good to hear your experience so I know what to look for!

  • Thank you so much for sharing your story. I’m 13 weeks pregnant and had weaned off my antidepressant when we found out we were expecting, around 6 weeks. Today, I got back on them with my OBGYN’s support. The side effects, and the idea of having to “backtrack,” have me feeling pretty discouraged; but like you said, it’s all about the health of mom and baby, no matter what that takes.:) Your story is comforting and encouraging to me. Hopefully I’ll feel back to myself soon. <3

  • I’m 7 weeks pregnant and my dr told me to come off and now I’m feeling sick…not sure if it’s the pregnancy symptoms or withdrawal but I’m calling her back tomorrow

  • 30 weeks pregnant & my dr put me on anti depressants today. probably should have been on them a long time ago so im interested & kind of excited to see how they affect me cuz ppd is a terrifying thought

  • thank you so much for making this video, I always find your videos super helpful and worth watching anyways, but this one really hit home for me ��

  • Thanks for making this video! I had also assumed that you can’t be on medication while you’re pregnant, so it’s important to let other people know that they should talk to their doctors first.

  • I’m thinking of baby number 3 but I’m on 100 mg of Zoloft. It helps me SO much and I don’t want to wean. I also get bad PPD. Glad you can manage your depression during pregnancy!

  • Thank you for making this video. I wish I could have watched this when I was pregnant 2 years ago. I started taking anti depressants because I didn’t want my son to see me crying all the time.

  • Hi Linda, any update on your giving birth? How’s your baby? I’m pregnant and I am on anti depressant (paroxetine 20mg) I wasnt able to wean off because my pregnancy was sudden.:( I am trying to wean off now but it’s really hellish for me:( I am not functional. My psych told me I should stop taking it as soon as I find out im expecting. My 1st OB advised me as well to stop taking it. Then I went for a 2nd opinion another OB and she told me it’s ok to continue my meds. Now I am really caught between feeling better and of course thinking the pill might harm the baby.:(

  • Nice Video! Excuse me for chiming in, I am interested in your thoughts. Have you considered Nanackson Guardo Philosophy (google it)? It is a good one off product for revealing the secret to get rid of panic attacks minus the headache. Ive heard some amazing things about it and my mate after a lifetime of fighting got excellent success with it.

  • I have been suffering from depression and chronic severe anxiety for more than 9 years now. Since 2010, I have been taking Zoloft with interruptions from time to time, but the anxiety came back after a while I stopped taking it and I had to restart taking it.
    Now, I am pregnant and I suffer from insomnia and anxiety. Which is the safest antidepressant, in your opinion?
    Thank you.

  • My PPD was Bad bad BAD!! Depression was already an issue and PPD hit me like a truck! It was so bad that with my 2nd they were really really keeping an eye on it. Since we knew it might happen we were prepared and when it did happen I had a much much better handle on it. Thank you so much for speaking on this!

  • The class of drugs mentioned are called “SSRI’s”, which means “Selective Serotonin Re-uptake Inhibitor”. Too bad, but there is NO credible evidence that so-called “depression” is caused by low serotonin levels. That’s literally MARKETING HYPE….. You’d do better going to > madinamerica.com<, and reading some TRUTH about the pseudoscience drug racket known as “psychiatry”….