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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Racer on November 3, 2005, at 19:12:35
OK, I've just started Clomid -- after a complete meltdown last week over the reason for the Clomid.
Right now, I'm taking 40mg Cymbalta, 300mg Wellbutrin XL, 100mg Provigil (which I don't take some days, if I'm feeling too anxious to begin with), and 30mg Prevacid which I should be able to stop very soon.
I have read the articles that say, well, ADs are not great during pregnancy, but if you gotta take 'em, it's better to do so. But I've also read the things that make me think it might be better to try to get off them for the duration. (Those of us who know me can stop laughing and pointing fingers now, 'K? ;-}) Before I really make any decisions about this -- heck, before I even discuss it with Dr CattleProd -- I want to do a bit more pondering and reading.
Soooo.......
Does anyone know anything from first hand experience? Can anyone tell me about Clomid experiences? (I've been told that it's likely to be worse for me than for my husband who has to be around me. True?) Does anyone here know anything about the relative safety of the various ADs?
Now, mind you, I'll be high-risk, if we even manage to accomplish this. And I'm terrified by the whole thing, although fully committed to doing it if at all possible. Although, I'm terrified by the whole thing. Or did I mention that a few times?
Also, anyone know anything about anxiolytics that are safe in pregnancy?
Posted by SLS on November 3, 2005, at 20:17:30
In reply to Clomid, mood swings, ADs -- reassurance/advice?, posted by Racer on November 3, 2005, at 19:12:35
Dear Racer,
Congratulations on your decision!
I could spend hours putting together a treatise on the subject of the use of antidepressants during pregnancy, but a far greater mind than my own has already done that. Larry Hoover wrote a series of essays a few years ago on the subject. I found his treatment of the subject to be objective and his conclusions sound.
http://www.dr-bob.org/babble/20040904/msgs/387693.html
The only thing that I might recommend is that you make an attempt to discontinue Cymbalta using a gradual taper during the third trimester. This will help prevent your infant from suffering a SRI withdrawal syndrome upon birth, the complications of which can be quite serious.
Sometimes, pregnancy can act as a natural antidepressant. Some women with TRD report never having experienced a remission except during pregnancy. Perhaps you can be without the Cymbalta during that third trimester without suffering a full relapse.
- Scott
Posted by JaneB on November 3, 2005, at 22:15:36
In reply to Clomid, mood swings, ADs -- reassurance/advice?, posted by Racer on November 3, 2005, at 19:12:35
I have a daughter who has 12 children! She always feels her best when she is pregnant. It seems to be a natural antidepressant for her. Perhaps you will have the same experience. Another daughter couldn't get pregnant, tried Clomid and had horrible mood swings. She eventually used herbs instead to conceive and has a healthy child. I won't (can't) give advice--just know I care. Jane
Posted by Racer on November 4, 2005, at 12:28:50
In reply to Re: Clomid, mood swings, ADs -- reassurance/advice? » Racer, posted by SLS on November 3, 2005, at 20:17:30
> Dear Racer,
>
> Congratulations on your decision!Thank you. I'm frightened, but excited. And mostly figuring the fear is just, well, my usual anxious response to, you know, the world... :^D
>
> I could spend hours putting together a treatise on the subject of the use of antidepressants during pregnancy, but a far greater mind than my own has already done that.I beg to differ -- you and Larry are 'bout equal in my book for brain power and knowledge on these subjects.
Then again, I'm biased ;-)
By the way, you know that body image is a big problem for me, but the first time I was pregnant -- which I've never managed to stay for long {sigh} -- was the one time that I really remember mostly loving my body. I remember checking my stomach -- one of the biggest problem areas for me -- each day, hoping the swelling was starting to show a bit more. And despite the situation, which was bad, I remember a real sense of --- something. Something good.
Cross our fingers, yes? And let's make you an honorary uncle.
This is the end of the thread.
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