In Part 6 of our 7-part Drugs in Pregnancy series, we tackle the difficult issue of antidepressants during pregnancy. As we noted in the intro to this series, about 90% of pregnant women take at least 1 medication during pregnancy, with 70% taking at least 1 prescription drug, according to the National Birth Defects Prevention Study. That said, it’s safe to say most pregnant women don’t want to do anything to harm their unborn child, but they’re often in a bind when they have to take certain meds — and few drugs fit that description better than the antidepressants that allow them to function, says Lori Wolfe, a certified genetic counselor who advises women about the risks of medication use in pregnancy and while breastfeeding. (Wolfe is also the president of of Mother To Baby, a free, national informational service of the non-profit Organization of Teratology Information Specialists). For more on pregnancy and drugs, see the other chapters in our series, and check out our Drug Classification of Prescriptions Medicines During Pregnancy. And always ask your doctor or other healthcare provider what course of treatment is best for you and your baby. Kelly Kautz, who has suffered from depression and anxiety since she was 13 years old, tried to go off her antidepressant before becoming pregnant. Sertraline is used for a number of conditions, including major depressive disorder (MDD), obsessive–compulsive disorder (OCD), body dysmorphic disorder (BDD), posttraumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD), panic disorder, and social anxiety disorder (SAD). The comparative efficacy of sertraline and TCAs for melancholic depression has not been studied. A 1998 review suggested that, due to its pharmacology, sertraline may be more efficacious than other SSRIs and equal to TCAs for the treatment of melancholic depression. A meta-analysis of 12 new-generation antidepressants showed that sertraline and escitalopram are the best in terms of efficacy and acceptability in the acute-phase treatment of adults with unipolar MDD. Sertraline used for the treatment of depression in elderly (older than 60) patients was superior to placebo and comparable to another SSRI fluoxetine, and TCAs amitriptyline, nortriptyline (Pamelor) and imipramine. Sertraline had much lower rates of adverse effects than these TCAs, with the exception of nausea, which occurred more frequently with sertraline. In addition, sertraline appeared to be more effective than fluoxetine or nortriptyline in the older-than-70 subgroup. placebo in elderly patients showed a statistically significant (that is, unlikely to occur by chance), but clinically very modest improvement in depression and no improvement in quality of life. A meta-analysis on SSRIs and SNRIs that look at partial response (defined as at least a 50% reduction in depression score from baseline) found that sertraline, paroxetine and duloxetine were better than placebo. Inderal for migraine Buy viagra online sydney In every pregnancy, a woman starts out with a 3-5% chance of having a baby with a birth defect. This is called her background risk. This sheet talks about whether exposure to sertraline may increase the risk for birth defects over that background risk. Jan 28, 2016. About 15% of women of reproductive age had an antidepressant. doctor about the risks and benefits of antidepressants during pregnancy. Antidepressant use in pregnant patients which antidepressant medications are. a pregnancy category B medication by the US Food and Drug Administration. Several SSRI's can be taken during pregnancy if the benefits outweigh the risks. Zoloft, Prozac, and Celexa are a few examples of Class C antidepressants that fit into this category. In general, its best to avoid these medications during the 1st trimester, if at all possible, and depending on the dosage you are on you may need to tapper down before delivery as some baby's do experience mild-moderate withdrawal symptoms after delivery. Visteral can be taken during pregnancy for panic attacks. Food and Drug Administration (FDA) as a Category C drug during pregnancy. Based upon current scientific and medical research regarding Zoloft and its effects during pregnancy, the drug has been determined to be potentially harmful to the fetus during development. Although the drug may be determined necessary and prescribed by a physician during a pregnancy, there are several risks which should be considered. I have the same question as you, because i suffer from significant anxiety and depression, is it worse for the baby to have these in their system or suffer the effects of my anxiety? I was on Zoloft for about 5 months at a max dosage of 100mg. I know that if you google zoloft and pregnancy you can find articles that might help you. I'm really hesitant to switch, especially that whole transitional part between going off the Effexor and going on Zoloft. When he decided to take me off he did the tapering down process in 25mg increments every five days so I thought that was a good tapering process. Deciding to continue or stop using antidepressants during pregnancy is one of the hardest decisions a woman must make. Untreated depression can have harmful effects on both the mother and the baby. But, taking antidepressants while pregnant may increase the risk of problems for the baby. When making the decision, it’s important to consider your health, the health of your unborn child, and the well-being of your family, including your other children. It’s also important to not make the decision before discussing it with your doctors. Together, you can weigh the pros and cons of continuing or stopping your medication and make the right decision for you. Many women battle depression and need antidepressants to manage their symptoms. In the past, it was thought that pregnancy protected against depression. More and more women are taking antidepressants while pregnant to keep their symptoms in check. Sertraline pregnancy category Sertraline Zoloft Use During Pregnancy -, Women need better info on antidepressants and pregnancy, CDC. Order celexa onlineBuy cialis professional onlineXanax discussion Most pregnant women want to do everything right for their baby, including eating. withdrawal from the SSRI after birth or exposure to the drug itself before birth. Antidepressants and Pregnancy Tips from an Expert. Antidepressant Medication Use in Pregnancy - Medscape. FDA Drug Safety Communication Selective serotonin.. Oct 1, 2007. Maternal depression and anxiety during pregnancy and the early years. Antidepressant use in Australia has changed in the last two decades. Apr 22, 2005. Although the category B medication bupropion may seem a logical first. issued a practice guideline on antidepressant use during pregnancy. Common Questions and Answers about Zoloft pregnancy category. We strongly desire to have our first baby. I read from some websites that the two medicines are of "FDA Pregnancy Category C". If I successfully got pregnant, will the medicine has any adverse effect on the baby . Sertraline pregnancy category. Zoloft in pregnancy 2010. Mike.