Trazodone and Pregnancyor

Trazodone and Pregnancyor

Trazodone and Pregnancy

If you are wondering if you can take trazodone while you are pregnant, set up a meeting with your doctor to discuss whether trazodone is right for you. Generally, this medication is only recommended for use during pregnancy if the benefits of the medication outweigh the risks. For example, if a woman with severe depression becomes pregnant, using trazodone to treat her depression may be more beneficial to her and her fetus than suffering from severe depression. Your provider will be able to determine whether the benefits of trazodone outweigh the risks to the fetus in your specific situation.


Sleep disturbance may also be a symptom of depression or an anxiety disorder, thus it is important to screen for these problems. Many women with depression or anxiety have difficulty falling asleep or they wake early and are unable to return to sleep. Treating the underlying disorder may improve sleep quality. (More information on the treatment of depression and anxiety during pregnancy can be found here.) Typically antidepressants, including fluoxetine (Prozac) and the older tricyclic agents (including nortriptyline and amitriptyline) are used in this setting.While certain strategies may help to improve sleep quality, some women may require some type of pharmacologic intervention. Although Ambien (zolpidem) and other sedative-hypnotic agents, including Lunesta (eszopiclone) and Sonata (zalepion), are commonly prescribed to women with sleep disturbance, the data regarding their reproductive safety is limited and generally we try to avoid their use during pregnancy.

I am wondering if anyone has any information on the medication Doxepin. It is a tricyclic agent, used for anxiety and insomnia. I am 21 weeks pregnant and suffer from severe anxiety and insomnia and have a PTSD, and have been prescribed this medication. I have had chronic insomnia since I was 10 years old, and for the past 5 years, the only way I have been able to sleep was from taking Remeron combined with smoking marijuana. No sleep medications on their own have ever worked for me, and I have tried many over the last 10 years. Since I found out I was pregnant in February I gave up my medicating cold turkey. Like many women on this site, I have been unable to sleep more than 2-3 hrs a night. I haven’t had one full nights sleep in 5months, and am barely surviving. My heart races all day long, and all night long, preventing me from being able to relax and sleep. If I do dose off my heart racing wakes me up. I have tried my absolute best to make it through this pregnancy unmedicated, but I feel as if I am barely surviving. I have tried anything and everything natural: warm baths/epsom salts, essential oils, deep breathing, meditation, CBT, acupuncture and herbal chinese medicine, melatonin, as well as flotation therapy. My heart continues to race and I can not sleep. The last 5 months have been an absolute nightmare, and I can’t imagine how I will get through labor and raising an infant. I am thankful to have found this site and hear of other women who have suffered similar to me. If anyone has any information on what is the best/safest medication to take for severe anxiety/insomnia or specific info on Doxepin I truly appreciate it. (Source: womensmentalhealth.org)


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