Post # 1
Hey all! So my doc put me on Paxil about a year ago because of the stress of dealing with a family member who waschronically ill as well as some issues with my mom losing her mind about my wedding. Anyhow!! The Paxil worked great for the anxiety, I was able to just stay on the baby dose, and now the wedding is over and we want to start TTC when the time is right. The big question is me getting off the Paxil. I started weaning off of it and am down to half my dose with no problems thanks to my regular therapist. I asked my gyno who is also an obgyn about it, and she didn’t seem concerned about me being on the Paxil at all, so when I asked her how long I should be off it, she didn’t really answer? I’m just wondering how long I should be completely off the medication before we start TTC since Paxil has a bad rep for birth defects. Granted, if someone needs antidepressants while pregnant I totally think that is the right thing since you have tobe healthy to take care of your baby, but i do not need them now thanks to talk therapy and less stress! So I’d like to make sure my system is all clear if it can be. 🙂
Did anyone else wean off before TTC? Any advice from your dr or personal experience?
Post # 3
Congrats on your wedding and beginning the TTC journey!
I’m on Celexa for anxiety/depression and weaned off slooooowly for TTC. I was on 40, then did 30 for 3 weeks or so, then 20, then 10 then stopped. I was off it for 2 months (the two months we started TTC) and I found that the stress and dissapointments that come along with not getting pregnant right off the bat were realllly intense. I’ve decided to go back on a low dose. Doctor’s will often talk about weighing the potential risk to a fetus versus the risk of having the mother off of the meds. I think in my case (and celexa is a pretty safe one out there, I think prozac is the best though) going back on a smaller dose was what I needed to get by.
If you were on it for situational anxiety etc., I’d say talk to a doctor (cause I’m supposed to say that) and wean off as slowly as you can. Sudden drops in these types of meds can be really bad – lead to worse anxiety/depression. Good luck! Rooting for you!
Post # 4
@knittylady: thanks for the thoughtful answer. 🙂
Yeah, that particular time was really low. They had put me on lexapro, zoloft, prozac…none worked for me since I had anxiety and panic, not depression. Finally Paxil, and I loved it. It gets a bad wrap, but if it works for you, it really works!
My ob didn’t seem to worry about it at all even though paxil is supposed to be very bad for birth defects. I may need to make an appt just to ask her about that and only that so she can focus!!!!!
I am trying the wean slowly, but I am worried about exactly what you mentioned that I will end up anxious and then it will just make things worse. Right now I am down to 15mg from 20mg. I had tried to go down to 10mg after two weeks, but was having w/d symptoms so went back up for now. (Like I started having thoughts about what if I am off Paxil for 6months, and my baby still has a defect, will I still think it is my fault? I would because that’s just how my anxiety works. And there would be no telling me that was wrong.)
I’m really optimistic that since I have regular talk therapy and less stress I can get off of it at least temporarily for the health of the baby….but if it takes long to conceive….I’m not as sure….so I do hope that we can start TTC as soon as I’m off it full for 2 weeks to a month. And my therapist and family members have said pregnancy has done wonders for their anxiety (that they were less anxious while pregnant).
Hopefully in another week I can try again to wean lower. 🙂
Post # 5
I am not taking Paxil but my best friend has taken it for about eight to nine years. She is currently trying to concieve and was advised by her doctor that the side effects of NOT being on it far outweigh the potential birth defects and other issues of taking it while pregnant.
Post # 6
I’m not TTC right now but I did take Paxil for a while and I wanted to say: do go off of it slowly! I went off too quickly at first and had weird symptoms, most notably a feeling of “zaps” going through my body (like a small current of electricity). I had to go back up in dosage and taper off more slowly but going the slow and steady route I was able to get off and have been off of Paxil for years now. Good luck with tapering and TTC when you get there 🙂 For situational anxiety have you spoken with your doctor about xanax (alprazolam) or a similar medication you can take “as needed”? I don’t know about using it when you are pregnant but I spoke with my doctor about having someting for my anxiety if I really need it, but not wanting to be on a daily medication. After discussing some options with me she prescirbed xanax which I only take if I am having an anxiety or panic attack.
Post # 8
@belleforest: thx fthe sharing your story! It’s so encouraging to hear when someone else has made it off of it. I know exactly what you are talking about with the zaps! I went on a business trip and had lost my bottle and went without a dose cold turkey for two days….it was awful!! I learned my lesson right away without meaning to.
I am thinking that is possibly why my ob/gyn didn’t say anything. Since it wasn’t like the first one I went on, she probably is assuming I need it. But I wish she would gal how I felt…she has a great rep for being really good in our area though so I don’t want to go to someone else.