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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Medication For Severe Anxiety And Depression

I suffer from severe anxiety and depression. I have been successfully treated with Cymbalta and ativan. Unfortunately, I had to stop them when I learned I was pregnant at 5 weeks. For awhile I was ok but then the anxiety symptoms started rearing their ugly heads.....I was told to try zoloft, which I did but landed up in the ED with severe reactions of heart palpations,irritablity,numbness and more anxiety. It has gotten so bad that I wasn't eating, didn't want to leave my house or go to work and has been a strain on my relationship. I've used warm bathes, meditation,aromatherapy, yoga, all to no avail. I finally reached a crisis of almost a nervous breakdown so my PCP ordered 0.5mg of ativan 2 x day. It has helped to give me back part of my life. I saw my OB today and he said absolutely not because it is a category - D benzodiazepam. He ordered me paxil and when I got to the pharmacy, not only did I find out it was a category D med but also a category X med with proven birth defects in humans. Please help me!!!!
Tue, 4 Feb 2014
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Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

In case of pregnancy any drug can cause harm, but there are certain drugs which are in category C and D that should be avoided. In that certain drug like fluoxetine, tricyclic antidepressants etc are helpful and can be given. All benzodiazepines are in category C except clonazepam which is in catergaory D. Rest you can discuss with your gynecologist and treating psychiatrist.

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Need Medication For Severe Anxiety And Depression

Hi Thanks for using healthcare magic In case of pregnancy any drug can cause harm, but there are certain drugs which are in category C and D that should be avoided. In that certain drug like fluoxetine, tricyclic antidepressants etc are helpful and can be given. All benzodiazepines are in category C except clonazepam which is in catergaory D. Rest you can discuss with your gynecologist and treating psychiatrist. Thanks