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I posted this in mental health but didn't get any answers. I am super depressed right now. It sucks so bad. I've never felt like I needed meds. for depression before. I could normally go see a counselor or friend, spill all my feelings and be fine.

I really think I need meds right now, but I'm pregnant and breastfeeding my 14 month old daughter. I can go see a doctor, but don't want to bother if there isn't something I can take safely. I would love to talk to a counselor in addition to meds, but I'm not sure my insurance covers that. I'll have to look into it.

Thanks Mamas.
 

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I was super depressed during my first trimester. My midwife suggested that I wait until the 2nd trimester, and then I could take zoloft. My depression lifted somewhat at that point, so I decided to hold off. In short, (from what i recall) I read that zoloft (and others) appear safe and have not demonstrated to cause any problems; but I guess nothing is guaranteed 100%, so one should weigh whether the individual feels the depression warrants the meds. I don't know if that was so helpful, but I was sort of procrastinating trying anti dep medications, was going to try them finally, and then got pg, so now I'm procrastinating again...
 

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Have you looked into high doses of fish oil? I know that helped me when i was pg (i'm bipolar) Now i am on meds and ok with it, but my DD doesn't really nurse anymore. I'm not anti-meds, i just urge you to look into Fish oil (better than borage seed or flax oil) Google it and i'll bet you find some really enlightening info. BTW, high doses aren't harmfull, even helpfull to gestating baby and nursling. Oh, it can take up to 30 days to fully kick in as an antidepressant, but worth it.
 

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IMPO, no drugs are "safe." Some may have less side effects or noticeable effects than others, but none are totally safe.

Carlson or Nordic Naturals are good fish oil brands. I agree that this would help tremendously. Since you are pg AND bf, it is a surety that your body is being robbed of the good fatty acids!

Also, increasing your vitamin Bs often help. I'm not big on segmented nutrient supplementation, but getting a good quality B complex is a good idea if you choose not to use a whole food supplement.

I know several people and patients who find a lot of success with these measures.
 

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Quote:

Originally Posted by Lindsaylou
I posted this in mental health but didn't get any answers. I am super depressed right now. It sucks so bad. I've never felt like I needed meds. for depression before. I could normally go see a counselor or friend, spill all my feelings and be fine.

I really think I need meds right now, but I'm pregnant and breastfeeding my 14 month old daughter. I can go see a doctor, but don't want to bother if there isn't something I can take safely. I would love to talk to a counselor in addition to meds, but I'm not sure my insurance covers that. I'll have to look into it.

Thanks Mamas.
Celexa, Lexapro, and Paxil can be taken during pregnancy. I took Welbutrin three years ago and don't regret it.
 

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I took Paxil while pregnant & for about a year after (while nursing). I was on it for a few years before I got pregnant & while I cut back the dose I couldn't get completely off it & didn't want to try to hard while pg & I also had a throat abcess during my pregnance so I was on a relatively low maintenence dose. It is supposedly 'safe' to use but there isn't a lot of long term data to back up that claim. If I knew then what I know now, I would've gotten completely off of it before pg, just for my own personal comfort level. It also took me a loooong time to get off the paxil & I had some weird side effects, both when cutting the dose & for quite awhile (many months) after I stopped taking it.

I *totally* agree with the fish oil recs. I have been using this for about a year now & it has really made a huge difference. I've also found a great counselor but I would try this route before taking an Rx.
 

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i have talked to my doctor about this and she really prefers people not take any at all when ttc and pregenant, i went off effexor in december and am now slowly tapering off of trazadone, i think there havn't been a lot of long term studies to see the effects that might not show up until the kids are in there 20's

if you want to try things instead of meds, sunlight is really important for the body to create the chemicals that make one feel good, so does exercise, and a good diet, i know that those things arn't always enough, for me i still get very depressed off effexor tho i get less depressed effexor actually made my depression worse, as long as i am not suicidal i won't be going back on any meds, not untill i have had kids and they are no longer breast feeding
 

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I just wanted to clarify about Paxil and other SSRIs. It's now being questioned whether or not they're safe for use in pregnancy. Health Canada issued a warning to medical practitioners in August 2004 suggesting a correlation between use of SSRIs in the 3rd trimester and complications in some newborns.

Here is a link to the Health Canada advisory.
 

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nak

i think it's hard to answer the question of whether it's a good idea for a preg/lactating woman to take anti-depresants without all the info about that person's situation. i do think it can be dangerous to not treat depression (pharmacologically or otherwise) & just expect women to tough it out. this is definitely something i would get help with.

best of luck lindsaylou!
 

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Everyone will have their own opinion but untreated depression and bipolar disorder is not something to take lightly. I have bipolar disorder and wasn't on any meds with my pregnancies. With my daughter's pregnancy it was really bad and I was not functioning properly. After she was born I still didn't go on anything because of nursing and ended up with really severe postpartum depression. I still shudder to think of that time. I was a horrible mother and a horrible person because I didn't want to risk the drugs. Well let me tell you my children were a hell of a lot more damaged by a mom untreated than my daughter would have been getting medications in utero and in breastmilk. I started Wellbutrin (the only antidepressant alone that I've found can be used for bipolar) when she was a year old and I am so thankful I did. She is now 2.5 years old, still nursing, and I am 5.5 weeks pregnant. I will be staying on my medication throughout the pregnancy and after. You have to remember that yes there might be some risk but a seriously depressed mom is way more dangerous for a child IMO.
 

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I have had severe ppd since my son was born 2.5 years ago. I was on zoloft for 2 years and it stopped working. I tried going off, bad idea. I tried lexapro and wellbutrin, both made it worse. I decided to take time off TTC (had been trying for almost a year) so I could take a new med, cymbalta. It worked fantastic. That same month, we finally conceived! Yay! But ack! Talked to the doc--no info on cymbalta and pregnancy. They are all class C, which means "when the benefits to the mother outweigh the risks to the fetus" Doc (and OB) said if I really need it, and I do, that there are no studies that it is harmful. Many docs will say zoloft and paxil are best tolerated during pregnancy but my doc said they're all in the same class and have basically the same risk.

Anyway, do talk to your doc. I also take some herbal stuff--GABA--which helps with anxiety. Another mom recommended 5-htp to me too but I haven't tried it. Of course, omega 3's are natural mood stabilizers but you have to take quite a lot to get any effects.

Good luck to you--I can't imagine being PG without my meds. I agree with heavenly--we are looking into bipolar II for me. If vitamin B and fish oil help you, that's fantastic. If not, please don't hesitate to seek out more conventional therapy
 

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What a difficult situation. I agree with whoever said that mental health ought not be taken lightly. By all means try the natural methods (oils, vitamins, sunlight, exercise, etc) but if it comes down to it you really need to treat yourself. You don't want to be messing with depression. Talk to your midwife/OB about what options they think are safe, also do some searching online. They have not outright tested very many of medications on pregnant women ( I think synthroid and maybe insulin are about it) so you won't find actual studies, but thousands, probably millions of women have used antidepressants during pregnancy so there is a good bit of information. Many of the older drugs, since they have been around longer, have more safety data. I would be much more cautious of newer drugs. Elavil is a tricyclic antidepressant, the tricyclics are an older type of antidepressant, has been used by many women and we have not seen horrible effects. This group of drugs isn't used as much anymore and the SSRIs have become more common. Now the SSRIs are a first choice and tricyclics, which seem to have more side effects, are the second choice. Lately there have been lots of women taking Zoloft during pregnancy, I don't know much about those drugs and why Zoloft seems to be a drug of choice lately, but I have seen alot of women use it through their pregnancies. Only one baby comes to mind whose mom took Zoloft and I always had a nagging question in my mind, was it the Zoloft that made her the way she was? But when there are so many other perfectly normal babies with moms who took it and this little girl had so many other possibilities as to why she was "the way she was" that I am sure it was just me digging around for answers in a time when there were no concrete answers. But I guess all I'm saying is I have only been suspicious of it once. But of course I only see babies and we must always be thinking of long term effects, it is often hard to tell right away. I am sure that many thousands, millions, of the children of moms who have used antidepressants are older now and that if you find the right place to look you may find some information. I have seen lots of information out there but don't have any specific links at hand. I do remember seeing studies that showed the behavior and development of tricycylic exposed babies were identical to babies whose moms didn't take any antidepressants. But from what I understand, they generally consider it "safe" for women to take antidepressants during pregnancy, drugs like Elavil, Nortryptyline, Zoloft, Paxil. Some babies may show withdrawal symptoms, I'm sure it wouldn't be as much of an issue if you are breastfeeding, and some women taper to a lower dose or quit a week or two before the duedate. Good luck, I hope you find something that makes you feel better, both depression wise and peace of mind about the effects to the baby.
 
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