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Dr. Andrew Rynne

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Suggest treatment for anxiety and severe OCD during pregnancy

My daughter is currently taking Paxil for anxiety and severe OCD. She recently found out that she is pregnant. She has been on 30 mg. for about 4years. She was told to take 10 mg. twice a day for a week and then 10 for one week. She could not deal with the change.
What alternative drug could she take that is safe. Her OCD's and anxiety are pretty intense without the Paxil. Thank you for your time.
Thu, 5 Jun 2014
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Psychiatrist 's  Response
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Thanks for using healthcare magic

In that case, she could try fluoxetine. Paroxetine is not safer in pregnancy. It could lead to teratogenic effect. Fluoxetine is approved and safer during pregnancy. Try to avoid any benzodiazepine during pregnancy due to their sedative effect on fetus. Beside drugs, she can try behavioral therapy. Rest, you can discuss with your psychiatrist. In case, you need further help, you can ask.

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