A member asked:

I found out i am 5 weeks pregnant and i have been on paxil (paroxetine) so i stopped taking it and im going through really bad withdrawals i can't keep anything down and i don't know what to do

2 doctors weighed in across 2 answers

If : If you are pregnant and can't keep anything down, you need to go to the emergency room for an IV and anti-nauseant medications. Please be seen immediately.

Answered 10/3/2016

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Dr. Michael Opsahl answered

Specializes in Fertility Medicine

Paxil (paroxetine) : Paxil (paroxetine hydrochloride) is considered a class d drug by fda classification. You should stop the medication. You also need to work with your doctors: the one who prescribed the Paxil for possible alternatives and your obstetrician to consult about the risks and concerns (for your piece of mind, the risks to the fetus is low). The symptoms of nausea and vomiting may be unrelated to the paxil. You need to be hydrated and your obstetrician can offer guidance for solutions. Best wishes. Fda pregnancy categories the fda-assigned pregnancy categories as used in the drug formulary are as follows: category a adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters). Category b animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women. Category c animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. Category d there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. Category x studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.

Answered 10/4/2016

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