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Anti depressants and conceive
I want to conceive a child but I was on anti depressants for 21 days for my eating behaviour . I had stress eating. I occasionally still do. My medications got over a month ago. Can I plan a baby soon ? And more over is taking
Prozac 20mg safe incase I wish to conceive ?
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Any medication taken will have certain side effects, some people may develop side effect and majorly people don’t appear to develop any.
For any medication there is always a risk to benefit ratio that needs to be assessed.
Prozac is an SSRI, if you are responding to it and all the symptoms have been remitted, no need to restart it until recurrence of symptoms.
Binge eating or stress eating shows lack of impulse control when seen through brain functional circuits. This can be manifested in many forms like skin excoriating, anger outbursts, self harming behaviour, purging behaviour etc.
Further there are likely chances of developing anxiety or depressive features which needs to be watched.
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As you aren’t on any medication, despite the long half life of Prozac, 1 month duration is sufficient to wash off all its effect. No issues in conceiving. Even if you keep on taking it while you are pregnant, nothing much to worry, very less teratogenic effect noted in research. Thus benefit outweighs the risk.
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Pregnancy itself is can precipitate psychiatric symptoms. Thus keep a close watch for any symptoms that develops and don’t hesitate to consult a psychiatrist for it.
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You dont need to worry discuss with psychiatrist and you can be shifted on safer medication with respect to pregnancy. Also dont stop medication by your own as relapse can cause more complications.
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The necessity to continue antidepressants during pregnancy is based on risk benefit to the patient. If already stopped it is perfect to conceive now. However if symptoms recur discuss with your treating psychiatrist and decide. Most of the SSRIs can be prescribed. Good luck
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Dr. Vishal Bhatt
Psychiatrist
4 yrs exp
Rajkot
You may continue with same 💊, usually suppose someone is maintaining well we didn't change medicine before pregnancy as pregnancy is stresfull situation
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Dr. Mithun Das
Psychiatrist
7 yrs exp
Kozhikode
It is better to avoid any medication while planning to conceive. But it must be based on weighing risk- benefit.
If you are well maintaining without medication its better to continue like that for at least first trimester and there after if needed you can re-start with relatively less risk.(Only after consulting a psychiatrist)
Fluoxetine have half life of 1-4 days , and hence it appears to be safe for you if your were not taking medication since past 1 month or more.
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Consult psychiatrist to evaluate your symptoms and to plan further treatment
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