Depression is one of the most prevalent mental health issues faced by individuals worldwide. Unfortunately, the onset of pregnancy can trigger depressive episodes for many women. This raises an important question: is it safe to take escitalopram (commonly known as Lexapro) during pregnancy?
Taking escitalopram during pregnancy may be a suitable option if the benefits outweigh the potential risks to your baby. It’s essential to have a thorough discussion about the use of escitalopram with your healthcare provider. Your doctor might suggest alternatives that could be more beneficial for both you and your child.
Escitalopram During Pregnancy
- Brand Name: Lexapro
- Manufacturer: Forest Pharmaceuticals
- Indications: Lexapro is prescribed for the acute and maintenance treatment of major depressive disorder in adults and adolescents aged 12 to 17. It is also indicated for the acute treatment of Generalized Anxiety Disorder in adults.
- Pregnancy Safety Classification: Category C
- Recommendation for Pregnant Women: Human studies indicate a risk during the third trimester.
Common Side Effects:
- Frequent (21%-11%): Nausea, dry mouth, drowsiness, insomnia, sweating.
- Occasional (8%-4%): Tremors, diarrhea, abnormal ejaculation, indigestion, fatigue, anxiety, vomiting, loss of appetite.
- Rare (3%-2%): Sinusitis, sexual dysfunction, menstrual disorders, abdominal pain, agitation, decreased libido.
Lifespan Considerations
Escitalopram is distributed in breast milk.
Summaries on Escitalopram Use During Pregnancy
According to sources like Briggs, Freeman & Yaffe, human experience with escitalopram during pregnancy is limited. Animal studies suggest a low risk to the fetus. Two large case-control studies found no increased risk for certain birth defects, though the absolute risk appears small. However, SSRIs have been linked to various developmental toxicities, including miscarriages, low birth weight, premature delivery, neonatal serotonin syndrome, and potential long-term neurobehavioral issues.
The Physicians’ Desk Reference highlights that there are no well-controlled studies of escitalopram in pregnant women; therefore, it should only be used if the potential benefits justify the risks to the fetus. Newborns exposed to Lexapro and other SSRIs late in the third trimester may experience complications that require prolonged hospitalization and respiratory support.
The Reproductive Toxicology Center states that standard therapeutic use of escitalopram is not expected to increase the risk of congenital anomalies, although late pregnancy exposure may be associated with mild transient neonatal syndrome.
If you’re pregnant and have concerns about medication use, consider visiting resources like Make A Mom for at-home insemination options or Mayo Clinic for additional information on pregnancy and insemination methods. For insights into the mental health challenges of trying to conceive, check out our article on the mental health impact of trying to conceive.
Additionally, if you’re in Las Vegas, you might explore the free sperm donor matching service at Vegas Pregnancy to find suitable options for building your family. For more on at-home insemination strategies, visit Make A Mom’s How It Works page.
In summary, if you’re considering escitalopram during pregnancy, it’s crucial to consult with your healthcare provider to weigh the risks and benefits. Remember, your mental health is just as important during this time.