I have taken Lexapro for years, but I always planned on going off of it when I started trying to conceive. My (normally very all-natural) midwife strongly advises me to stay on the medicine, but I really don't want my baby exposed to psychoactive drugs. It seems counter intuitive to avoid cold cuts and plastic bottles but down a pill every day. I have a tendency toward some pretty serious depression, but I have never (and would never) hurt myself. Can anybody offer advice, I am really torn.
I would not come off your meds with out doctors supervision. There are some natural ways to treat depression, like 5-htp, SAM-e, fish oil, exercise, and rhodiola, that can be pretty effective, but I wouldnt start those until you titrate off the current medication with a doctors supervision. That said plenty of women use the psychiatric meds during pregnancy, with no issues. So there is that to consider.
Depression while pregnant isnt a good thing either. However, if you are managing it then it shouldnt be a problem. If you are just coming off your meds, planning to just grin and bear it, that is not good at all.
My doctor explained that uncontrolled mood issues increase chances of poor pregnancy outcomes. I have bipolar disorder and am trying to balance everything. So, I have weaned down to less than half of my meds, but I'm not going any further, and may even raise them back up again in a few weeks.
I'm TTC, and have to supplement progesterone for luteal support. It is really doing a number on my moods. It seems even worse than dropping my med doses.
I think, ultimately, we just have to decide what balance to aim for, and to try to accept whatever compromise we make. Depression carries its own set of risks.
Good luck on your journey.
Don't feel guilty for staying on the meds. You've got to take care of you before you can take care of a baby! I read about adverse effects of Lexapro and it seems that it's possible but linked only to really high dosages (like 20 to 50 times the max human dose).
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