SG3 - The selective serotonin reuptake inhibitors (SSRIs) as a group are "relatively" safe when used in pregnancy. Probably the best SSRI for panic disorder (also OCD and social phobias) is Paxil (paroxetine) because of it's antimuscarinic activity which gives the drug a calming effect.

All SSRIs, as a typical start-up side effect, increase the number of panic attacks and raise anxiety levels until the brain adjusts to the drug. This takes approximately two to four weeks. So, stick with the Lexapro (escitalopram) until the babe is weaned; or, if you are getting too many panic attacks for your liking, maybe give Paxil another try.

The important thing is to keep an open dialogue going with your doctor. Also keep a log of your attacks and take them with you to your appointments. There are also relaxation techniques (deep breathing, meditation, etc.) that you can ask your doctor about. These are non-drug interventions that are safe and easy to do.

I hope that this is of some help. - Cam