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)

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

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.