A member asked:

Is 20mg prozac (fluoxetine) safe during pregnancy? not pregnant yet, but maybe in the future. itp, hypothyroidism, anxiety. on 50mcg levothyroxine and 20mg prozac (fluoxetine)

3 doctors weighed in across 2 answers

Category C: Risk can't be ruled out but pretty low-- it's been around longer than all the other Ssris & no major problems noted--most ons in our area okay it the pts I've followed were ok through their pregnancies

Answered 5/11/2016

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Dr. Johanna Fricke answered

Specializes in Pediatrics - Developmental and Behavioral

Maternal ITP, hypo-: thyroidism & chronic antenatal anxiety vs. SSRI use warrant a pre-pregnancy consult with a maternal-fetal medicine specialist. Start daily folic acid supplement at least 3 mos. & get flu shot at least 2 mos. before conception. Learn how to minimize the risks of low Free T4/ ^ TSH, especially 1st trimester, low platelet counts, ^ cortisol from chronic anxiety & SSRI's on maternal & fetal outcomes.

Answered 2/26/2015

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