A member asked:

Can i still take citalopram while trying for a baby, and while pregnant? i'm currently on 30mgs once a day

2 doctors weighed in across 2 answers

Can you reduce it?: It has been difficult to glean clear information about ssris in pregnancy. The general consensus is that they are relatively safe, and that there is no advantage to changing from one to another during the pregnancy. We used to think that depression was a risk to the fetus, but it is probably not, unless it interferes with your nutritional status. I would urge reducing to minimum effective dose.

Answered 3/2/2013

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Dr. Ecaterina Sartina answered

Specializes in Pediatrics

Not recommended: A possible case of citalopram- induced withdrawal effects has been described in an infant. The study indicate that 30% of neonates who had prolonged exposure to ssris in utero experience symptoms, in a dose- response manner, of a neonatal abstinence syndrome. Citalopram has been assigned to pregnancy category c by the fda. Citalopram and its metabolites have been shown to cross the placenta.

Answered 12/10/2013

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