Hello, and I hope I can help you today. Cipralex is a medication that is used to treat a number of disorders including depression and anxiety. It is in a class of medications called SSRIs which overall have been widely studied during pregnancy. Some types of SSRIs have been shown to have a withdrawal effects on newborns when the mother has taken the medication in the last three months of pregnancy. These can include jitteriness, difficulty sleeping, and transient rapid breathing called tachypnea. All SSRIs have been shown to have a risk for this to some degree. However, use of the product during the pregnancy has not shown to be harmful or cause birth defects. You may want to speak of health provider about considering changing her medication or tapering it as your pregnancy progresses. There are other classes of SSRIs, like Prozac, which have been to your meant more widely studied during pregnancy and whose effects are better known. So if you are not yet pregnant, it may be worth having a discussion with your mental health provider about your pregnancy plans and possibly changing to a medication that may have a better known safety profile during pregnancy before you conceive. If you are already pregnant, you do not need to worry about discontinuing the medication in the first trimester, as the only ill effects of SSRIs have been noted with use in late third trimester. I hope that I was able to adequately answer your questions today, and that my advice was helpful. Best wishes, Dr. Brown