It is very important for you to ask both your obstetric health care and mental health provider for the available literature on pregnancy and your specific anti-depressant. Your pharmacist may also be able to assist you in obtaining medication information. Then together with your health care providers you need to make a decision that weighs the benefits of the medication to you (in your case considerable) against what, if any, harm the medication may cause to your baby.

It is extremely important that you not stop your medication without consulting your health care providers as many anti-depressants take weeks or months to reach therapeutic levels.

Information on medications and pregnancy can be obtained from the Illinois Teratogen Information Service: 800.252.4847 or the Reproductive Toxicology Center: 202.293.5137 (for a fee). As you are gathering information, make sure to also ask about this medication and breastfeeding.

It is very important that all women of childbearing age on medication ask questions about the medication's affect on pregnancy and breastfeeding in case of a planned or unplanned pregnancy.

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