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Doctor insights on: Mom Away Mother Taking Antidepressants

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88 yr old mom confused. Taking aricept, lexapro, (escitalopram) loritab, and inderal. Shouldn't meds be evaluated? If so, by whom?

88 yr old mom confused. Taking aricept, lexapro, (escitalopram) loritab, and inderal. Shouldn't meds be evaluated? If so, by whom?

Geriatrician: There are a few meds that can be contributing to your mom's confusion and are used less in the elderly due to higher incidence of side effects( inderal, (propranolol) lortab). A full geriaric assessment will include a med review and a cogntive evaluation, often with blood tests and brain imaging to assist with diagnosis and then treatment , if needed. ...Read more

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Mother Takes Antidepressants (Definition)

Many medications (prescription and over-the-counter medications) will pass into the mother's milk. Most of them are safe, but check with your pediatrician ...Read more


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Should my mother stop taking her daily 81 aspirin while on hydrocodone/apap?

Should my mother stop taking her daily 81 aspirin while on hydrocodone/apap?

NO: There is no reason to stop the aspirin, and doing so could lead to dangerous complications. Sounds like your mom is elderly. Narcotic pain pills have much greater risk in the elderly. Please be very cautious and minimize their use. ...Read more

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My cousin is taking Consta Invega and Saphris (asenapine). She wants to taper off drug #2. PCP says symptoms elevate when she doesn't take it. Should she taper??

My cousin is taking Consta Invega and Saphris (asenapine). She wants to taper off drug #2. PCP says symptoms elevate when she doesn't take it. Should she taper??

I would be a pretty: poor doctor if I gave medical advice to the relative of a patient whom I don't know or treat. It looks like you and your cousin both take the same medications. I would encourage anyone with Schizophrenia to have their medications managed by a psychiatrist . ...Read more

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Can mom who are breastfeeding take dulcolax?

Can mom who are breastfeeding take dulcolax?

Yes: This is one of many bowel related products that breastfeeding moms can take that will not interfere with lactation. ...Read more

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I had my baby 8 days ago. I have bad baby blues. My family doctor prescribed me .25 mg of Xanax (alprazolam) and 10mg of lexapro. Is that safe while breast feeding?

I had my baby 8 days ago. I have bad baby blues. My family doctor prescribed me .25 mg of Xanax (alprazolam) and 10mg of lexapro. Is that safe while breast feeding?

Possibly unsafe: Xanax (alprazolam) is listed as "possibly unsafe" as studies have found Xanax (alprazolam) in breast milk. This means that the breast fed infant would likely receive some Xanax (alprazolam) while breast feeding; the benefits of Xanax (alprazolam) must be weighed with these risks Lexapro is listed as "safety unknown" as it has not been as well studied. Consult your doctor, or seek another opinion for your specific situation. ...Read more

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My dad takes Zoloft (sertraline) and donezepil. Ever since taking donezepil he has dreams that he thinks are real, told doc. Is it safe to continue taking it?

My dad takes Zoloft (sertraline) and donezepil.  Ever since taking donezepil he has dreams that he thinks are real, told doc.  Is it safe to continue taking it?

This wouldn't be: That abnormal, as 3% of patients taking this medication can have vivid abnormal dreams or hallucinations. If it truly is related to the medication than stopping the medication will usually stop the adverse effect. Otherwise like with any medication, you have to balance the benefits with the risk, which is a discussion best had with your father's doc. ...Read more

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6 weeks pregnant. Would it harm my developing baby if i stop my lamotrigine abruptly? Cold turkey? Taking a prescribed folic acid too.

6 weeks pregnant. Would it harm my developing baby if i stop my lamotrigine abruptly? Cold turkey? Taking a prescribed folic acid too.

Seizure: That depends on your reason for being on Lamotrigine in the first place. Each case will need to be decided individually with you and your doctor. If your seizures are severe then the known risk to a fetus of uncontrolled seizures far outweighs the theoretical risk of medication exposure. Discuss with your obgyn and make a decision together. ...Read more

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30 weeks pregnant will taking klonopin (clonazepam) effect my unborn baby?

30 weeks pregnant will taking klonopin (clonazepam) effect my unborn baby?

Always a risk: I try to get my pregnant patients to stop taking any meds if possible [there are exceptions]. The first 3 months are the most crucial. Is talk therapy available? If Klonopin (clonazepam) is absolutely necessary then use the lowest possible dose. Check with your obgyn doctor. ...Read more

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If my mother stopped taking her heart meds(verapamil) - should she be worried?

If my mother stopped taking her heart meds(verapamil) - should she be worried?

Contact her doctor: I think that she is on verapamil for a purpose -- so she should not stop taking it without talking to her doctor first. ...Read more

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Can my mother take holy basil with her depression medication?

Indian Herb: Holy basil is an herb that has been used for stress among other things. You might try it for her depression and see if it works. ...Read more

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Does taking Zoloft (sertraline) harm my unborn baby?

Does taking Zoloft (sertraline) harm my unborn baby?

No: Don't listen to the lawyer ads. There is no evidence for birth defects from zoloft (sertraline). It has been the antidepressant of choice for pregnant women for the last ten years because of the largest data base of babies born showing to clear effect. Such the ads naming it. There's a rate of birth defects in all and zoloft (sertraline) doen't increase that risk. Being depressed and not taking care of oneself is a risk. ...Read more

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Pristiq (desvenlafaxine) and pregnancy. On medication for 12 months. We want to start a family in 2013. Effects on falling pregnant? Harm baby? Breast feed?

Pristiq (desvenlafaxine) and pregnancy. On medication for 12 months. We want to start a family in 2013. Effects on falling pregnant? Harm baby? Breast feed?

Talk to doc, but: There is no data yet on Pristiq (desvenlafaxine) in pregnancy. However Pristiq (desvenlafaxine) is a metabolite of effexor, prospective data on 150 women exposed to venlafaxine (effexor) during the first trimester of pregnancy suggest no increase risk of major malformation compared to non-exposed controls. Remember there are risks of being depressed during pregnancy. Go to http://www.Womensmentalhealth.Org/specialty-clinics/. ...Read more

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Pregnant and having seizures. Will mom and baby die?

Pregnant and having seizures. Will mom and baby die?

Not with proper care: Improvements in medications for seizure control and better means of monitoring the unborn baby have allowed more pregnancies complicated by seizures to be less ominous. Since there are different types of seizures, not one medicine fits every case. An experienced obstetrician trained for high risk pregnancies usually with the aid of a neurologist should be able to safely manage this situation. ...Read more

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A woman taking meds for mdd, can still breast feed her baby?

A woman taking meds for mdd, can still breast feed her baby?

Most of them, yes: Most of the anti-depressants used for mdd are perfectly fine to take while you are breast feeding. There are a very few exceptions of rare ones used, so i would run it by your doc or a lactation consultant for a specific med. One thing i would let you know, thoug, is some of them may slightly dry up your milk if you are not drinking enough fluids, so really push your intake of water every day! ...Read more

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Mom theropist prescribed0.5mg clonazepam at night0.5citalopram after lunch had heart attack&angio 2months ago!takes other BP pills.Ok together?Low bp?

Mom theropist prescribed0.5mg clonazepam at night0.5citalopram after lunch had heart attack&angio 2months ago!takes other BP pills.Ok together?Low bp?

See below: There are no significant drug interactions and the drugs are ok to use with cardiovascular disease. You may find after 3-6 months of steady use, she will be more irritable 18-24 hrs. After her clonazepam. While some mds will attribute this to her symptoms reemerging, it is often due to tolerance and withdrawal. ...Read more

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My mom took 3.5 hydroco/apap pills. Will she be okay?

Acetaminophen: Hi. Acetaminophen (aka Tylenol) can become toxic in doses exceeding 4 grams in a 24-hour period. 3.5 pills (even strongest Acetaminophen dose of 500 mg/pill) will not exceed the safe Acetaminophen dose. Warn her of the Acetaminophen risk. If pain is severe, her doctor can write her for a narcotic that does not contain acetaminophen. ...Read more

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Dr. Alan Ali Dr. Ali
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Can someone give me honest experiences with pregnant mothers on citalopram and having healthy babies?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Can someone give me honest experiences with pregnant mothers on citalopram and having healthy babies?

Celexa (citalopram) & Pregnancy: There are several, all of whom were monitored by their prescribing doctor working close with their Ob/Gyn. to monitor pregnancy closely. ...Read more

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Remeron (mirtazapine) meds bad side effects on sister. Afraid of me and meds now.?

Remeron (mirtazapine) meds bad side effects on sister. Afraid of me and meds now.?

Many options: Sorry to hear your sister had a bad experience with remeron (mirtazapine). Don't let that discourage you from treatment as there are many other options. I hope your sister has found a medication that helps her without unpleasant side effects. ...Read more

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My sister is taking Celexa (citalopram) and breastfeeding her 7 month baby, is it fine for her to take a B-complex vitamin?

My sister is taking Celexa (citalopram) and breastfeeding her 7 month baby, is it fine for her to take a B-complex vitamin?

Yes but...: B vitamins are water soluble. You put them in at one end and they come out the other. Far better if she just eats a well rounded diet. Fresh fruits, vegetables, some dairy, minimal meat, fish. She will get all the vitamins and minerals she needs. ...Read more