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Tag Archives | antidepressants

Happy New Year: Let’s Start By Taking a Look Back to 2014

2014 was a huge year in the field of Reproductive Psychiatry.  Never before have we seen so many articles published in this specialty.  Much attention has focused on the reproductive safety of psychotropic medication; however, we have seen an increased interest in the mental health of women and a greater appreciation of how psychiatric illness in the mother may affect the entire family, including her unborn child and family.

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Impaired Maternal Infant Bonding More Common in Women with Severe Postpartum Depression

Maternal psychiatric illness can profoundly affect how a mother interacts with her child and is a risk factor for impaired mother-infant bonding, which may include a spectrum of difficulties: decreased maternal affective involvement, increased irritability, aggressive impulses, or, at worst, outright rejection of the infant (Brockington et al, 2006).  It is important to note, however, […]

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Women Who Stop SSRIs Prior to Pregnancy Have Same Risk of Miscarriage as Women who elect to Remain on SSRI Antidepressants

Some, but not all, studies have demonstrated an increased risk of miscarriage among women who take antidepressants. However, it has been difficult to determine whether this increased risk was related to exposure to the medication or to exposure to other risk factors, including maternal depression. Several recent studies have been reassuring and indicate that antidepressants […]

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Response to the New York Times Article on SSRIs and Pregnancy: Moving Toward a More Balanced View of Risk

We have received many emails and calls from colleagues and patients regarding the recent article on the safety of SSRI use during pregnancy published in the New York Times.  In this article, health writer Roni Caryn Rabin, detailed the risks associated with the use of antidepressants during pregnancy.

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Antidepressants and Weight Gain: Which Ones are the Worst Offenders?

Many women are understandably concerned about the risk of weight gain associated with antidepressants. It is difficult to advise them as to which antidepressants are less or more likely to cause weight gain, as there are no head-to-head comparisons. In a recent electronic health record study including data from 22,610 individuals, 19,244 of which were […]

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Antidepressant Use Associated with Longer Duration of Breastfeeding

Data was presented at the 18th Perinatal Society of Australia and New Zealand (PSANZ) Annual Conference in Perth regarding the use of antidepressants among breastfeeding women. Analyzing the data from the Danish National Birth Cohort in Denmark, researchers examined outcomes in 368 women who were taking antidepressants prior to becoming pregnant.  Two thirds of the women (67%) […]

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Do SSRIs Increase the Risk of Postpartum Hemorrhage? Maybe, But Not By Much

Selective serotonin reuptake inhibitor (SSRI) antidepressants may affect platelet aggregation and thus may increase the risk of bleeding.  Several studies have sought to determine if exposure to SSRI antidepressants in late pregnancy is associated with an increased risk of postpartum hemorrhage.

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Novel Approaches to Antidepressant-Induced Sexual Side Effects: Exercise and Acupuncture

Sexual side effects may occur in 40% to 70% of patients treated with serotonin reuptake inhibitors (SRIs) and is a common reason for poor compliance with treatment and eventual discontinuation. When sexual side effects occur, they tend to emerge early, are persistent, and rarely resolve spontaneously.  A new study, reviewed in Medscape, suggests that exercise may help to reduce sexual side effects:

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