Lexapro and pregnancy - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 8 Old 11-27-2010, 05:47 AM - Thread Starter
 
MsBlack's Avatar
 
Join Date: Apr 2007
Location: SE MO
Posts: 3,609
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I can't find much of value on this...well, everything from 'the benefits outweigh the risks', to 'causes serious problems for babies'.  One piece of info that seems universal is that it's not recommended at all for last trimester (when it is most likely to cause problems for baby).

 

Anyone with good articles or any experience with Lexapro in pregnancy?  This prospective client is currently taking 10mgs.  She has come through 2 other pregnancies on low-dose Paxil, later discovered the addictive quality of Paxil and got off it this year after some 4-5 yrs of use.  New pregnancy (before she knew she was pregnant) brought back her anxiety in force, and lexapro was dx'ed. 

 

It all seems to boil down to a faulty thyroid, now in process of being explored.  But for the meantime, debilitating s/s of anxiety drive her to use some SSRI to be able to function.

 

thanks!

MsBlack is offline  
#2 of 8 Old 11-27-2010, 06:36 PM
 
~Kristina~'s Avatar
 
Join Date: Mar 2006
Location: South Lyon, MI
Posts: 780
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I used Lexapro 10mg in my 4th pregnancy with no issues and 20mg half way through my 5th pregnancy.  Sorry I couldn't help more.


Wife to Jesse, Mom to Ayden 12/01, Kailey 07/03, Ashlyn 6/05, Dylan 9/07, & Riley 12/09

~Kristina~ is offline  
#3 of 8 Old 11-29-2010, 09:51 PM
 
jengacnm's Avatar
 
Join Date: Oct 2006
Posts: 331
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Most studies are about SSRIs, not only Lexapro. Third trimester use increases the risk of persistent pulmonary hypertension of the newborn-from 1-2 per thousand to 6-12 per thousand.

 

Odds I'm willing to live with.

 

If her anxiety is truly debilitaing, the risk of PPHN is worth the risk of untreated anxiety-the concrete risk is preterm labor, the less quantifiable one is the baby being bathed in catecholamines for however long she's not taking the Lexapro.

 

HTH!

 

Jennifer

jengacnm is offline  
#4 of 8 Old 12-21-2010, 03:14 PM
Banned
 
Join Date: Dec 2010
Location: Sunny Southern California
Posts: 428
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)



 

Quote:
Originally Posted by jengacnm View Post

Most studies are about SSRIs, not only Lexapro. Third trimester use increases the risk of persistent pulmonary hypertension of the newborn-from 1-2 per thousand to 6-12 per thousand.

 

Odds I'm willing to live with.

 

If her anxiety is truly debilitaing, the risk of PPHN is worth the risk of untreated anxiety-the concrete risk is preterm labor, the less quantifiable one is the baby being bathed in catecholamines for however long she's not taking the Lexapro.

 

HTH!

 

Jennifer


Agreed.  I have pretty bad depression and stayed on Lexapro for both of my pregnancies.  The risks were so small (as you quoted) compared to a very real risk of depression while pregnant, and very very high risk of PPD after.

 

Both my kids are fine, for what that is worth. 

MsFortune is offline  
#5 of 8 Old 12-22-2010, 02:59 PM
 
mamato3cherubs's Avatar
 
Join Date: Nov 2004
Location: Little Town Oregon
Posts: 1,449
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I was researching this for a friend this year as well, and could ony find about as much as has already been mentioned. She stayed on, as the anxiety and her own fear of ppd after birth seemed to outweigh the risk. Babe is now 2.5 months, exc.breastfed, mom still on 10mgs and all seem to be doing very well.


Lisa~Was Aspiring Midwife~Now-AAMI Midwifery Student #2020~Mama to Zackery 3/29/96, Drake 9/22/01, and Selina 10/26/03...and here was the link to my new blog
mamato3cherubs is offline  
#6 of 8 Old 12-22-2010, 03:52 PM - Thread Starter
 
MsBlack's Avatar
 
Join Date: Apr 2007
Location: SE MO
Posts: 3,609
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Thanks, all--

 

I'd forgotten about this thread because of many other things overtaking my attention this past few weeks.  But it's time for me to get back to it since I'll be seeing this mom again soon.  I totally agree that the risk with debilitating anxiety is great enough to merit pharmacological intervention--and mainly have hoped to find out Lexapro's safety and whether other SSRI's might be better. 

 

Hi Lisa!  hola.gif

MsBlack is offline  
#7 of 8 Old 12-22-2010, 07:03 PM
 
mamato3cherubs's Avatar
 
Join Date: Nov 2004
Location: Little Town Oregon
Posts: 1,449
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by MsBlack View Post

 

Hi Lisa!  hola.gif



Hey there! I don't make it over this way too much any more, maybe I will drop you a PM sometime, dont know if I still have your emial addy, as we should chat! (I still wish I could have gotten your but over this way!)

 


Lisa~Was Aspiring Midwife~Now-AAMI Midwifery Student #2020~Mama to Zackery 3/29/96, Drake 9/22/01, and Selina 10/26/03...and here was the link to my new blog
mamato3cherubs is offline  
#8 of 8 Old 12-22-2010, 07:15 PM
 
spedteacher30's Avatar
 
Join Date: Nov 2005
Posts: 1,065
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Lexapro was not my psych's first choice because it was still a relatively new drug 5 years ago when I got pregnant. He preferred me to take Zoloft, but was insistent that even Lexapro was better than anxiety, depression and panic attacks--particularly recurrent panic attacks which he said caused low birth weight and placenta issues.

spedteacher30 is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off