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Name: Wendy
[ Original Post ]
I stoped taking prozac for anxiety before getting pregnant, but it is becoming unbearable w/out it. Has anyone taken it when pregnant ? What if any were the side effects ?
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Name: cherisalorraine | Date: Dec 11th, 2008 1:10 AM
Your OB/GYN should be able to tel you of all of the risks. They may also offer you something else during your pregancy.


Can taking fluoxetine during my pregnancy cause birth
defects?
Fluoxetine is one of the better-studied
antidepressants in pregnancy. There are reports of nearly
2,000 pregnancies exposed to fluoxetine during the first
trimester. No study found an increased risk for major
structural birth defects (those requiring surgery or
reducing function). One study has identified an increased
rate of three or more minor birth defects (those not
medically or functionally significant) among children
exposed to fluoxetine in the first trimester. When three or
more minor birth defects are seen together, a major birth
defect (including learning problems) occurs more often,
although this was not seen in the fluoxetine study.
I need to take fluoxetine throughout my entire
pregnancy. Will it cause withdrawal symptoms in my
baby?
If you are taking fluoxetine during the third
trimester until the time of delivery, your baby may
experience some complications for the first few days of
life requiring extra care. Symptoms of withdrawal such
as problems breathing, jitteriness, increased muscle tone,
irritability, altered sleep patterns, tremors and difficulty
eating may occur. Your baby may need to stay in a
special care nursery for several days until the withdrawal
symptoms go away. While these problems occur at all
doses of fluoxetine, they may occur more often with
higher doses of fluoxetine.
Are there any other problems fluoxetine can cause
when used in the third trimester?
Further research is needed to answer this
question. One study found that third trimester use of
fluoxetine compared to first trimester use increased the
chances for premature delivery, higher rates of care in
the newborn special-care nursery, and lower birth weight
and length. In this study, women who stopped using
fluoxetine by the end of the second trimester did not
seem to be at an increased risk for these problems.
Another study did not confirm these findings. Studies
have shown that prematurity and other pregnancy
complications may be related to the maternal depressive
disorder itself rather than to the medication exposure.
One study showed that babies whose mothers
take SSRIs like fluoxetine during the third trimester may
be at an increased risk for pulmonary hypertension, a
serious lung problem at birth. You should inform your
obstetrician and your baby's pediatrician that you are
taking fluoxetine so that any extra care can be readily
provided 

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