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  1. #1
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    Default Alternatives for citalopram

    Im on 20mg Citalopram daily. Have been for for years and years. Ive weaned myself off them due to being 6 weeks preg, but im feeling the depression and anger come back.

    What can i do??

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    Is there a reason you want to change? I thought Citalopram was okay during pregnancy?

    Btw, I was on Effexor for my whole pregnancy, although my Doctor suggested that Zoloft could be a good alternative during pregnancy...but that never happened.

    For me the risk to myself and the baby was more concerning if I stopped the medications...

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    Talk to your GP - I've heard there are safer AD that can be taken during pregnancy - but I think they all carry a risk - your doctor will more than likely weigh up wether it's worth you taking them or not ? Have you tried CBT ? It works wonders for me - hope you find an answer soon & congrats on your pregnancy

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    LivinOnAPrayer  (25-04-2013)

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    Citalipram is a class 3 medication, said to be unsafe in pregnancy. (My Dr gave me his mims book last pregnancy, but that ended in a miscarriage).

    Ive tried to stay off it, but im losing my patients too quickly (even snapped at a colleague yesterday!!). Im down and everything is getting to me. I need the support of an antidepressant, just not sure wether its worth the risk??

    I havent seen the gp yet

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    Yeah, I become pretty horrible when withdrawing from an anti depressant. For me the withdrawal was causing the snappiness and agitation, not the unmedicated depression, I think it is important to remember that.

    But also, the emotional impact of all of those pregnancy hormones will be making it harder to cope with the withdrawal effects too. Try to be a bit forgiving of yourself and your moodiness...other people will understand...eventually...you are growing a human ffs...how amazing!!!

    The problem is that you have to withdraw from one AD completely before you start the new one, arghh!

    Missie_Mack has a post somewhere in the breastfeeding section with the contact details for an academic with a specialisation in the effects of medications during breastfeeding. I wonder if he could also provide some useful advice on citalopram and alternatives during pregnancy...could you call or email to ask about this?

    Tbh, I found my GP and Psychiatrist to be much more conservative and less informed than my OB in terms of anti depressant use during pregnancy.

    Are you going to be seeing an OB soon?
    Last edited by Albert01; 25-04-2013 at 09:14.

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    LivinOnAPrayer  (25-04-2013),Rutabaga  (25-04-2013)

  8. #6
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    Rutabaga is offline Getting it together, one day at a time.
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    Congrats on your pregnancy!

    My fs gave me the all clear to continue citalopram 30mg daily when we started ivf. It's such a common one that she new it's safety off the top of her head, although she looked it up too.

    I had issues with depression with the hormones involved in ivf, and my fs and GP agreed straight away that my dose would need adjusting when I felt it was time. I wanted to stay with a drug I knew worked for me, esp as the idea of weaning off then trying to find a new drug and dose DIDN'T appeal! I went up to 40mg daily when they put me on steroids (crazy angry sad lady) and have been on that since, despite weaning off the steroids. My ob is not concerned about the drug or dose.

    My long winded point is some women stop their ADs in pregnancy with no concerns, which is fantastic. Other women aren't able to, and they should be taking their Drs lead, especially their ob or a GP who has an interest in pregnancy.
    I posted a link a while ago that helped me feel more comfortable with my decisions, will find it and post.

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    IBelieve  (25-04-2013),LivinOnAPrayer  (25-04-2013)

  10. #7
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    Thanks everyone. I will approach the gp this week, in the mean time im going to go back on a very small dose to help me through it.
    Its not fair on anyone!!

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    I was on 40mg of citalopram throughout my pregnancy with DS. I was seeing a specialist psychiatrist in pregnancy pnd etc. and it's his preferred antidepressant as it has been around for years and is very safe. But see your GP

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    Albert01  (25-04-2013)


 

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