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Fludac during pregnancy, safe? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi
Doctor :   Dr. XXXXXXXX here
User :   HI
Doctor :   Good evening
Doctor :   How can I help you?
User :   Good Evening i was in touch since last 2 days
User :   is he around or can i speak to u
Doctor :   currently unavailable now.
User :   I am suffering for Depression for last 1 year and had been taking Fludac 20 MG twce daily
Doctor :   Ok
User :   I had conceived now and now question was that is Fludac safe in pregancy
Doctor :   May I know how many weeks pregnant you are?
User :   6 weeks
User :   r u there
Doctor :   Yes, I am sorry, I was referring to the latest journals to give you the best information possible.
User :   ok so whats the advice
Doctor :   Let me explain to you.
User :   ya pls
Doctor :   Fludac contains fluoxetine. It is known to cross placenta and reach the growing infant.
Doctor :   Theoretically it can causes harmful effects, however studies done on animals have found that
Doctor :   there are no teratogenic effects or harmful effects developed.
Doctor :   in new borns
Doctor :   when this medications was given to pregnant animals.
Doctor :   Hence it is described as one of the safest antidepressant medications that can be used during pregnancy.
User :   Animals even suffer from depression????adviced me to go for regular scans in these days and keep in touch with my Gynae
User :   by regular scan i gues he meand regular Ultra Sounds
Doctor :   Drugs were given to animals for study purpose.
User :   Is Ultra sound safe for the child and how soon can we get it done
Doctor :   To answer your both questions in simple points.
User :   Alos just wanted to tell u it would be my second child and that too after 8 years
User :   so i dont want to take any kind of risk
Doctor :   Ok
Doctor :   Let me put across in simple points
User :   ya pls
Doctor :   1. Fluoxetine is considerably safe drug during pregnancy,
User :   ok
Doctor :   but your current doctor who is treating you is the best person to decide if you need it now.
Doctor :   2. Yes, the ultrasound scan done at the 12th weeks
Doctor :   is the best test to rule out neonatal effects.
Doctor :   and the scan is definitely safe for your growing child.
User :   neonatal effects?
Doctor :   The 12th week scan is referred to as anamoly scan
Doctor :   as scan that is done to look for fetal problem generally.
User :   now i am six weeks pregnant and i want to get my ultrasound done today and my Gynae has advised me to get the same done after 2 weeks
Doctor :   It is adviced to all pregnant women.
User :   so is it safe if i go for ultrasound today and even after 2 weeks
Doctor :   12 weeks is the ideal time to get an anomoly scan.
User :   I AM SORRY BUT WHAT DO U MEAN BY anamoly scan
User :   and also what do u XXXXXXXX by neonatal effects?
Doctor :   Anamoly scan is an ultrasound scan done in the first trimester around 12 to 20 weeks.
Doctor :   It's a scan done to see if your growing child is developing properly or not.
Doctor :   A scan which is routinely adviced to all pregnant women.
User :   so is it safe if i go for ultrasound today and again even after 2 weeks
Doctor :   With respect to safety, yes ultrasound scans are absolutely safe during pregnancy.
Doctor :   One can undergo any number of scans during pregnancy without any side effects.
User :   Can i know which specialist you are
Doctor :   I am general physician.
User :   Thanks Dr XXXXXXXX for your valuable advise and is there anything else you would lo=ike to advise
Doctor :   2 more things which I wish to suggest.
Doctor :   1. If you wish to get the scan done now, you may go ahead and get the scan,
User :   ok
Doctor :   but it is advisable that you get a repeat scan after 2 weeks as suggested by your doctor.
User :   ya sure
Doctor :   You may discuss with your gynecologist if you need a repeat scan on the 12th week
User :   ok
Doctor :   2. You would need to be on regular antenatal check ups with your obstetrician and the dose of the antidepressant necessarily be modified especially in the first 3 months and the last 3 months (before delivery).
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query that you wish to discuss?
User :   yes
Doctor :   Do you have any other query that you wish to discuss?
User :   no query as if now
User :   but it was great to get ur advise
Doctor :   Thanks for consulting me.
Doctor :   Have a nice weekend.
User :   Have a nice weekend to you too and thanks once again
Doctor :   Yes, I am also located.
Doctor :   Wish you safe pregnancy, bye for now.
User :   bye for now
User :   thanks Dr
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