What anxiety medications are safe during pregnancy?

SSRIs are generally considered an option during pregnancy, including citalopram (Celexa) and sertraline (Zoloft). Potential complications include maternal weight changes and premature birth. Most studies show that SSRIs aren’t associated with birth defects.

What can a pregnant woman take for anxiety?

While benzodiazepines are category D, long-term anxiety medications like Prozac and Zoloft are often described as “probably safe.” Tricyclic antidepressants and buspirone may be safe during pregnancy as well.

Which antidepressant is safest in pregnancy?

Some antidepressants are considered safer for pregnant women than others.

Antidepressants that are considered safer include:

  • Fluoxetine (Prozac, Sarafem)
  • Citalopram (Celexa)
  • Sertraline (Zoloft)
  • Amitriptyline (Elavil)
  • Desipramine (Norpramin)
  • Nortriptyline (Pamelor)
  • Bupropion (Wellbutrin)

Can you take lorazepam while pregnant?

Per the U.S. Food and Drug Administration (FDA), Ativan and generic lorazepam is a pregnancy category D drug, which means it carries known risks to pregnant women or their babies and should be avoided during pregnancy.

Why is my anxiety so bad while pregnant?

Causes of anxiety during pregnancy

Some women experience a decrease in their symptoms during pregnancy, but your anxiety may get worse. After all, not everything that makes you feel anxious is under your control. Hormonal changes during pregnancy may affect the chemicals in your brain. This can cause anxiety.

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Is anxiety bad for pregnancy?

In humans, high levels of anxiety during pregnancy have been associated with an increased risk of developing preeclampsia, premature birth and low birth weight. It has been demonstrated that low birth weight in premature infants has been associated with changes in brain morphology (4).

Can antidepressants cause miscarriage?

Conclusions: Antidepressant use in the first trimester is associated with an increased risk of miscarriage when compared with either nondepressed or depressed unexposed women, even after accounting for induced abortions.

Can you take melatonin while pregnant?

Is It Safe to Take Melatonin Supplements While Pregnant? Currently, there isn’t enough research to confirm that taking melatonin supplements while pregnant is safe. Experts don’t recommend melatonin for insomnia, the sleep issue most commonly faced by pregnant women.

Which is the best SSRI for anxiety?

Selective serotonin reuptake inhibitors. These include fluoxetine (aka Prozac), paroxetine (aka Paxil), sertraline (aka Zoloft), fluvoxamine (aka Luvox), citalopram (aka Celexa), and escitalopram (aka Lexapro). They tend to be the first line choice for multiple anxiety disorders and depression.

What is the safest benzo to take while pregnant?

The available literature suggests that it is safe to take diazepam during pregnancy but not during lactation because it can cause lethargy, sedation, and weight loss in infants. The use of chlordiazepoxide during pregnancy and lactation seems to be safe.

Does lorazepam cross the placenta?

Lorazepam and its pharmacologically inactive glucuronide metabolite do not cross the placenta as easily as other benzodiazepines, such as diazepam, and do not have the long-lasting effects on the newborn that occur with diazepam and nitrazepam (8).

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What pregnancy category is Lorazepam?

Safety of Psychiatric Medications During Pregnancy and Lactation

Drug FDA pregnancy category* Lactation risk category†
Lorazepam (Ativan) D L3
Oxazepam (Serax)‡ D L3
Quazepam (Doral) X L2
Temazepam (Restoril) X L3
Psychoactive drugs and substances