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Discussion Starter · #1 ·
I am a little bit scared to even ask this, so let me just say up front that I am mostly hoping for reassurance and/or stories of your own experiences. Hopefully no judgment.<br><br>
I've suffered from major depression, later re-diagnosed as bipolar disorder, since I was fourteen (I'm twenty-five now). Along with that has been debilitating anxiety and panic attacks. The sort where I wake up in the middle of the night with my heart pounding and feel I can't breathe, or spend 12-24 hours locked in my closet crying.<br><br>
The good news? After years of being on every antidepressant/mood stabilizer/etc under the sun, I've been off of EVERYTHING for the last two years. Given that I have treatment-resistant depression and the meds never made a difference, this was kind of a no-brainer.<br><br>
The bad news? The anxiety and panic attacks are still really bad. Really, really bad. And I'm in a high stress job right now which makes it worse.<br><br>
Last week my therapist (who is also a psychopharmacologist, ie. a very highly specialized form of psychiatrist), recommended that I take beta-blockers this upcoming week when I head to NYC for work to make a very high-stress presentation in front of Very Important People. He knows I'm pregnant and suggested that this was one of the things least likely to harm the fetus.<br><br>
I'll be 7 wks tomorrow, and though this is an IUI pregnancy, it is otherwise not believed to be high risk in any way.<br><br>
Of course, as soon as I got home I checked SafeFetus. I don't know yet which beta-blocker specifically he wants to prescribe me, but the most common one is Inderal (propranalol) and it's a Class C drug. On the one hand, I really do trust the guy to do what's in my best interests -- his comment was that the immense surge of adrenaline and stress hormones I'm going to experience this week are *really* bad for my and the fetus' health. A beta-blocker will really help with that.<br><br>
But I'm still scared.<br><br>
(Before anyone asks, yes, I've tried yoga and breathing and warm baths and massage. These things can help mild anxiety, but they do nothing for a full-blow panic attack, I'm afraid...)<br><br>
Advice? Thoughts? Kind words?
 

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I think that your mental health is very important for a healthy pregnancy. I would probably double check with an OB/MW, and then ask for the least contrained medication that he thought would work. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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I say you go with your gut, mama. As pregnant ladies, we all make choices that involve some level of risk (i.e., I don't eat raw fish, but I haven't given up my coffee). We all have to balance the positives and negatives of each choice, and do what we think is best, even though there's rarely a clearly right-or-wrong answer. In regards to class C drugs, according to the FDA, "Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks." I think the key there is "potential benefits." Only you perfectly understand the effects of your condition on your body, so it's up to you to weigh the benefits vs. risks.<br><br>
You might consider a drug like phenegran as an example. Phenegran is commonly prescribed for HG, and it's a Class C drug. When the effects of hyperemesis are severe, many believe the benefits of phenegran outweigh the risks. I myself took phenegran with dd, until i ended up on zofran. For me, having lost 15 lbs in the first couple of months of pregnancy, i was willing to take a chance.
 

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This will be my fourth pregnancy taking medication for anxiety/depression. (Additionally, I had surgery before I knew I was pregnant, and spent the first month taking a bunch of painkillers! Awesome.)<br><br>
Anyway, I think it's a risk/benefit scenario. I would rather take the medication than risk being off it and how I will feel/act as a mother. I've tried going off medication several times and do not react well. I'm not about to try again during such an emotional time.<br><br>
I had a homebirth last time and will have another this time.
 

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Hi! I had high blood pressure going into my last pregnancy (I've struggled with it off and on since I was 16). I was on Inderal LA (I believe it was 160 mg 1/day) in the beginning of my pregnancy with DS until my perinatologist switched me to Labetalol later on in my first tri (I think it was between 11-12 weeks). My DS is fine. I actually didn't even know beta-blockers weren't recommended until later on, but my perinatologist told me that while it wasn't recommended, DS would probably be fine...anyway, there's my been there done that story and I was on it a lot longer than you'd be. I know this is a tough choice...perhaps you can contact a local perinatologist and ask just to assuage your fears? Best of luck!
 

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I too have been diagnoised with bipolar. I went off my meds as soon as I relized I was pg. But I continue to take an anti depressant while pg and did with my last pg. My high risk dr (last pg) told me the health of the mother is just as important as the baby, maybe more. healthy mom healthy baby.<br>
I am sure your baby will be fine.<br><br>
Good luck at the confrence.
 

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Discussion Starter · #7 ·
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<div>Originally Posted by <strong>lawmama1984</strong> <a href="/community/forum/post/15367578"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hi! I had high blood pressure going into my last pregnancy (I've struggled with it off and on since I was 16). I was on Inderal LA (I believe it was 160 mg 1/day) in the beginning of my pregnancy with DS until my perinatologist switched me to Labetalol later on in my first tri (I think it was between 11-12 weeks).</div>
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Ahh, thanks you SO much for sharing. I breathed a huge sigh of relief, reading this.
 

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I was depressed for a very long time and had panic attacks as well, though I went to a naturapath and found out most depression and all that is caused by being low on your amino acids. Look up the book "Mood Cure." Just taking fish oil, 5-htp, tyrosine, and a good multi-vitamin got me back on my feet. He also gave me a shot of B12. It does take a full 6 months to fully get the effects of supplements on your body, but it does work and making sure you get exercise helps a ton with keeping your mood in check as well. HTH<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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I've been on meds throughout pregnancy before. You do what you do to have a happy, healthy pregnancy and baby. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>lovesoup</strong> <a href="/community/forum/post/15369602"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Ahh, thanks you SO much for sharing. I breathed a huge sigh of relief, reading this.</div>
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No problem! Glad my experience could help you. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Take care of yourself
 
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