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Originally Posted by krminnj
Hi pinkflower! Thanks for the suggestions.
The nurse practitioner at the partial hospitalization program I was at back in October took me off Wellbutrin because she said it was bad for my anxiety/panic.
I was actually on Latuda briefly. My regular NP wanted to replace the Abilify I was on at the time with it because, as you said, it is Class B. It was one of the few meds she thought was okay to take during pregnancy. It didn't help me much and that is when I ended up in the PHP. The NP there, interestingly enough, said she would never prescribe it for pregnancy because even though it is Class B, it is so new she didn't believe it had stood the test of time as far as being safe for pregnant women. I wish I could get consistent answers from healthcare providers about these things--but I guess it's just one of those issues where there aren't clear answers.
I see my NP this morning. I am going to ask her to prescribe me some Prozac to help with the Effexor withdrawal. I am scared she is going to say that my reaction to coming off the Effexor shows that I am not ready for pregnancy or a baby. Sometimes because of my self-doubt I believe her. I need to stay strong and assertive and let her know what I need from her.
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Good luck.
The Prozac should help with the withdrawals. There's a lot of conflicting data, but most of the studies show the typical SSRIs (with the exception of paxil) are fairly safe. Sorry the Latuda didn't do anything. That sucks. There actually is a fair amount of data on it in pregnancy bc it is class B, even though it is new. It does appear to be safe.
I think you have to really weigh the risks of being mentally unstable vs. the risks of meds bc both have significant risks to the unborn child. It's kind of a what's worse scenario.
There's a lot less studies regarding the second gen antipsychotics. One Swedish birth registry study showed a small increase in cardiac malformations with use of any second gen antipsychotic, not one in particular, but that studies been the main one so far. There's also been some empirical data showing an increased risk of neonatal withdrawal syndrome and extrapyramidal symptoms initially after birth, but all eventually did fine and it was a very small percentage effected.
Good luck. I'm excited about your impending pregnancy. I hope it goes well. Just an idea regarding your NP, a good maternal fetal medicine doc will probably be just as educated regarding this issue as a psychiatrist, if you can't get into a psych with experience with pregnant patients...