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12 06, 2013

SSRIs and Benzodiazepines: Reproductive Safety of Combined Treatment

By |2015-08-06T09:31:18-04:00June 12th, 2013|Psychiatric Disorders During Pregnancy|

Serotonin reuptake inhibitors (SSRIs) are frequently combined with benzodiazepines for the management of anxiety disorders or major depression with comorbid anxiety.  While we have data regarding the reproductive safety of both the SSRIs and benzodiazepines, we have much less information on outcomes in women taking SSRIs and benzodiazepines together.  A previous study (Oberlander 2008) found that neither the use of an SSRI alone nor the use of a benzodiazepine alone increased the risk for congenital malformation; however, in this study, the combined use of the two drugs increased the risk of cardiovascular defect. A recent study reassesses the risk of major malformation in women taking SSRIs combined with benzodiazepines.

30 04, 2012

Breastfeeding and Benzodiazepines: Good News

By |2015-08-12T16:37:03-04:00April 30th, 2012|Breastfeeding and Psychiatric Medications|

Clinically significant anxiety symptoms are common during the postpartum period and frequently complicate the treatment of postpartum depression.   While SSRIs are indicted for the treatment anxiety symptoms, especially when they co-occur with depression, many women may need to use a benzodiazepine for managing more severe symptoms of anxiety or insomnia. 

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