Psychiatrist Questions Antidepressants

Is it safe for me to conceive if I am on antidepressants?

I have been on antidepressants for my depression for the past 6 months. I am planning to conceive. Could there be any counter interactions?

19 Answers

There are risks with some medications and risks if your depression should reoccur. Cognitive-behavior Therapy might be an option, but your best choice would be a psychiatric evaluation.
See psychiatrist to see what newer drugs may be safe in pregnancy
it's safe to conceive but you have to be on certain anti depressant not others like Prozac or paxil
What kind of anti-depressant are you on some of them are not safe during pregnancy however you have to balance what kind of anti-depressant are you on some of them are not saved you the pregnancy however you have to buy listed is and benefits
There are antidepressants that are safe for use before and during pregnancy
It depends on the type of antidepressant you are taking. Generally these medications are safe to take while you are trying to conceive. Some have to be stopped or changed once you are pregnant. You should discuss this with your doctor to make sure the medication you're taking is safe to take with pregnancy.
There no safe medications for pregnancy. Talk to your doctor to weight risk vs benefits, discuss other options of treatment. If pregnant while on medication, tell your OBGYN about meds and doses. Later in pregnancy pediatrician will join the team of doctors to provide the best care for the mother and the baby.
It is safe to be on certain antidepressants and not necessarily others. This should be discussed with the gynecologist and the psychiatrist. But being pregnant with untreated depression also has risk factors for the fetus so treating the depression is definitely important. A medication risk could be wellbutrin with inconclusive evidence for heart defects, while zoloft has a very low risk in pregnancy of infant problems and any problems that would occur do not even come up until the third trimester
It would depend on which medications you are currently taking. Some are safe during pregnancy while others are not. I would schedule a preconception discussion with your obstetrician and bring the list of medications you are currently prescribed.
Certain medications are not used in pregnancy, so I would recommend you have the discussion with your psychiatrist in term of your plans to be pregnant.
Hope this helps.
Depends on what you are taking
You may need to evaluate your medication with one of the maternal fetal medicine physician
He /she may work with your mental health provider to advice or change medication for safety of the fetus
All the médication you take may passe to the fétus second if your dépression persiste after délivrer who will take care of theBB
Recommend you consult the doctor prescribing the antidepressant and your Ob-Gyn before conceiving so risks and benefits may be discussed. Some antidepressants are considered relatively safe in pregnancy while others are contraindicated in pregnancy completely. Your medical doctor(s) should be able to guide you on your best options..but you are doing the best thing for you and your future baby by exploring this issue before conceiving..I truly s-plaid you for this. Wishing you all the best, Dr. Amy
This is a common problem for women of child-bearing age. You need to discuss this both with your OB/GYN and with the doctor who is prescribing antidepressant medication. This best scenario is stopping anti-depressants completely prior to conception and during the 1st trimester, when the fetus is forming all of his/her major organs, inside your uterus. If your symptoms are intolerable off medication, then again discuss this with your doctors, both providers, as I mentioned above. Sign releases, so each can communicate with the other. The most widely recommended drug during pregnancy is zoloft (sertraline). It seems to be the safest, with least effects on the baby. I have had several patients take zoloft during her entire pregnancy and the baby arrived with no problems what-so-ever. But I always communicated with the OB/Gyn to make sure we were all aware of the medication the pregnant mom was taking. I have 3 grown daughters, so I have a special interest in helping women make it thru pregnancy safely for both mom & baby. Best wishes, and it is good you are thinking about this in advance!
Certain antidepressants like Paxil are contraindicated in pregnancy.
Most SSRIs like Zoloft could be used in pregnancy if need be
Please consult with your OBGYN to discuss the details. First trimester has few risks, it depends on your previous depressive episodes and severity, they may be able to guide you through the process.
There are always possibilities with conception. Even with no meds, some babies have defects. However, for you specifically, the risk of injury to you/your child from non-treated depression is vastly greater than the risk due to side effects. No one can do a true study, because what mother would agree to take something she knew was harmful (ignoring those that drink, smoke, or use drugs)? A good guess is, there is one chance in a million your child will have something wrong as a birth defect. Taking your meds probably means there’s 2 chances in a million of a true defect. Not taking your meds puts you at about 2 in a hundred. That’s because depressed women can’t take care of themselves as well; they don’t sleep as well, and there is a serious risk of worsening, leading to self-harm. And more chance of post-partum depression, also damaging to the baby. Remember, too, you probably have genetic “defects” that everyone ignores. Heart disease, baldness, obesity. But no one avoids pregnancy because of those. Every baby has risks.
No doubt in my mind. Stay on your meds. But talk to your doctors, not just me.

Good luck!
You need to discuss with your doctor who prescribed the antidepressants and with your obstetrician. Antidepressants might have negative effects during pregnancy. It is possible that your doctor might be able to wean the antidepressants before you conceive or if you absolutely need to be on antidepressants, then you will be monitored closely by your doctor and the obstetrician.
It can complicate the pregnancy; pain during pregnancy and sometimes preterm delivery. Depending on where the fibroid is located in the uterus, it can result in a cesarean section.