However, depression itself might increase the risk for miscarriage, which makes it difficult to find out whether the medications used to treat depression can also cause miscarriage.In every pregnancy, a woman starts out with a 3-5% chance of having a baby with a birth defect.

Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.

Work with your health care provider to make an informed choice that gives you — and your baby — the best chance for long-term health.Mayo Clinic does not endorse companies or products. Concerns about potential risks must be weighed against the possibility that a drug substitution could fail and cause a depression relapse.If you have depression and are pregnant or thinking about getting pregnant, consult your health care provider. To monitor maternal-fetal outcomes of pregnant women exposed to antidepressant therapy, a National Pregnancy Registry for Antidepressants has been established. Use only if potential benefit outweighs risk.

For some women, the benefits of staying on an antidepressant during pregnancy can outweigh the potential risks. There are no controlled data in human pregnancy. Some research suggests that paroxetine … A single copy of these materials may be reprinted for noncommercial personal use only. All rights reserved. Some people may have a relapse of their symptoms if they stop this medication during pregnancy.Miscarriage may occur in any pregnancy.

Does taking nortriptyline increase the chance of having a baby with a birth defect? Pregnancy: The safety of Nortriptyline for use during pregnancy has not been established, nor is there evidence from animal studies that it is free from hazard; therefore the drug should not be administered to pregnant patients or women of child bearing age unless the potential benefits clearly outweigh any potential risk.

The use of psychotropic medications in these women is a concern because of the risks of adverse perinatal and postnatal outcomes. Animal studies have revealed inconclusive fetal harm results. The biggest concern is typically the risk of birth defects from exposure to antidepressants. Corona, CA: Watson Laboratories;2006 June.Briggs GG, Freeman RK, Yaffe SJ. In recent weeks, the FDA has recalled numerous hand sanitizers sold in In every pregnancy, a woman starts out with a 3-5% chance of having a baby with a birth defect. Please see our fact sheet on Depression and Pregnancy at Babies exposed to tricyclic antidepressants (including nortriptyline) may have withdrawal symptoms in the newborn period. Breast-feeding: See section 4.3. However, some antidepressants are associated with a higher risk of complications for your baby. But there are benefits and risks to consider when taking antidepressants during pregnancy. Although the FDA has not given nortriptyline a pregnancy risk classification, there have been a few reports of birth defects. This can be done by prescribing a single medication (monotherapy) at the lowest effective dose, particularly during the first trimester.Keep in mind that psychotherapy is also an effective treatment for mild to moderate depression.Generally, these antidepressants are an option during pregnancy:If you take antidepressants during the last trimester of pregnancy, your baby might experience temporary signs and symptoms of discontinuation — such as jitters, irritability, poor feeding and respiratory distress — for up to a month after birth. -  Rebecca Gruenspan, MSW, RG Adoption Consulting, Chicago Her expertise is in the developmental and behavioral effects of prenatal exposure to drugs and alcohol and the interaction of these effects with the postnatal environment. Here's what you need to know.If you have untreated depression, you might not seek optimal prenatal care or eat the healthy foods you and your baby need. This is called her background risk. This leaflet summarises the scientific studies relating to the effects of amitriptyline on a baby in the womb.