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Prozac vs. Zoloft when pregnant / nursing

post #1 of 6
Thread Starter 
Hello,

I've made the HUGE decision to go forward with taking a med for my chronic depression.
Any thoughts on Prozac vs. Zoloft.

I am 6 months pregnant and I am going to nurse my baby. I am actually still nursing my toddler, so I will be nursing two children.

My doc wanted to prescribe Prozac, but my lactation specialist said Zoloft is better when nursing. However there are higher risks of withdrawals for the newborn with Zoloft.

I think we are going with the Zoloft. But before I take the first pill:

does anyone have an experience with baby going through withdrawals from Zoloft when born???? what exactly happens?

my pediatrician (whom i trust with my lives) is against both, but she doesn't' know the whole picture. she will be supportive either way.

thank you very much for your time!!!
post #2 of 6
I can't imagine a ped having a problem with it. That's weird.

Zoloft is the one that is preferred. Prozac has a really long half life... so I would do the zoloft.

Start at 25 mgs for a week and see how that goes.

I was on zoloft throughout pregnancy with ds2 and there were NO issues. So I think you would be fine. My OB was totally cool with it, and never worried about it at all. Same with the peds.
post #3 of 6
I'm on Zoloft and actively TTC. ND, OB/Gyn, and Psychiatrist believe it's better to be on this than to be depressed/anxious and stressed. I hate medication, but after doing the research about being pregnant while depressed/stressed the benefits of taking Zoloft outweighed the risks. I also heard that Zoloft recently became a Class B drug, however, I not 100% sure about that. I just saw this on several forums recently...good luck!!
post #4 of 6
I'm actually on Prozac now for my depression. I was on Zoloft until I was about 3 months pregnant, and then I went off, of it not wanting to be on anti-depressants while I was pregnant. The reason I am on Prozac now instead of Zoloft is because Prozac has a longer half life then Zoloft and you don't have as bad of withdrawal symptoms from Prozac. It took me forever to get off of the last tiny little bit of Zoloft, I kept getting neurological zings, and my vision would get weird if I turned my head to quickly. It was very disconcerting. It was actually the reason why it took me so long to go on meds again (2 years), because of the awful time I had getting off of Zoloft. I didn't want to go through that again, but I did anyway because my depression got bad enough. Prozac leaves your system a lot slower them Zoloft, that way you don't get the weird withdrawal symptoms. IMO if I were in your shoes, but had my experience, I would go, or in my case stay, on Prozac. I think that both are class C drugs for pregnancy so they don't really know the affects of these drugs on babies, and small children. I would do more research on your own, or maybe get a second opinion.
post #5 of 6
I am pregnant and on the minimum dosage of Prozac to treat depression and prevent a resurgence of my eating disorder. As PPs have stated, Zoloft is the drug-of-choice for nursing moms; however, it is ineffective in my situation. The one that is better for you will depend on your full diagnosis.

The risk that most disturbed me with Prozac was Neonatal Abstinence Syndrome (NAS), which affects babies who have been abruptly cut off from the supply of the med acquired through the placenta. But because I will be breastfeeding, the baby will gradually wean from it as s/he weans from nursing.
post #6 of 6
I just started Zoloft after trying to stay off meds through my pregnancy. (almost made it- I'm 38 weeks) My doc. said the risk to Baby is withdrawal, but that won't affect Baby if I breastfeed. (Because it passes through the placenta and through breastmilk, Baby won't be withdrawing after (s)he is born because (s)he will still be getting some of the med, you know?)

I'm glad you have made this important decision. Hang in there, I'm sure you will come to the right decision for you and your Babe. Take Good Care, Mama.
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