Postpartum Depression

Not PPD, but nowhere else to post...

I am not suffering from PPD, yet. I am still pregnant, 29 weeks, and I am struggling with antepartum depression. I have battled depression my whole life and was taking welbutrin before I got pregnant. I decided to stop taking it when I got pregnant and was doing okay until recently and now I am a mess. I have discussed it with my OB and she was on board with me trying to go without meds but if I needed to start up again we would do that. At my last appointment, not with my regular OB, I spoke to the doctor about it and she prescribed me 200 mg of welbutrin/day.She seemed to feel that would be fine and had no reservations giving me the script. I am worried about taking this high of a dosage, especially to start with. That is what I had worked up to before pregnancy but my psychiatrist had started much lower and worked up to that.  I am not sure what I should do. I really want to feel better and enjoy the remaining weeks of my pregnancy as much as possible, as of now I am not even able to be excited about it most of the time which makes me feel horrible.  Has anyone else taken welbutrin during pregnancy? Did everything go okay for you? I am so worried that if anything goes wrong I know I will blame myself for not being able to get through this without medication. I know that more than likely I will suffer from PPD so I am definitely going to start up medication again after birth. Sorry about the length of this post. TIA for your help.

Re: Not PPD, but nowhere else to post...

  • I ended up with severe antepartum depression at 16 weeks and had to go on Zoloft. My doctors thought that was the best for me. I started at 25 mg and worked up to 200 mg, which I am still on. My son was perfect at birth and is still fabulous, even while I breastfeed and take the med.

    I don't know how close Welbutrin and Zoloft are but I would think going up slower would be better.

     I besides my OB I also saw a Psychiatrist and a therapist. They all really helped.

    If you have any questions I would be happy to chat, just PM me.    

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  • I would ask for 2nd and 3rd opinions about the dosage. I know that some meds can be taken safely during pregnancy.
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  • I understand. I'm also still pregnant and went on 50 mg Zoloft at 14 weeks or so. Now I'm 20 weeks and feel a ton better... my doctor will keep me on zoloft until at least 6 months after baby is here. I was also depressed after my first two kids.

     

    I've also had depression struggles for a few years too. I thought I was doing well and then BOOM I just couldn't take it. I felt so weepy and unmotivated all the time.

     

    A second opinion is always GREAT in my view! You can't go wrong with that.

  • I would talk to your OB.  Just make sure about the dosage and that Wellbutrin is okay during pregnancy.  Like PP said, get a 2nd opinion.  Hope you start to feel better soon!!!!
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  • You sound a lot like me. I came over to this board to talk about depression during pregnancy, which i too am suffering from. It feels so good to hear other women know how I feel, because sometimes I feel like such a failure, being so sad and unmotivated all the time, but your post helped me to remember it is not my fault i feel this way!

    I am taking effexor xr for my depression. I've been on it for 4 years. I weened down to 75 mgs (from 225) before I became pregnant, because I too was hoping to be drug free while pregnant. My psychiatrist and midwives convinced me to stay on the 75 mgs, but it has not been enough of a dose for me throughout this whole pregnancy. I have been very depressed and have physical symptoms from the depression as well. But I just suffered through it, because I wasn't so bad that I wasn't able to take care of my 6 year old son, and myself and the baby, I just didn't feel as happy as I should. I finally agreed to go up 37.5 mgs when I was 29 weeks, actually. I am now 32 weeks today, and I am still waiting to see a difference. I will go up as high as I need to at this point, because I realize that post partum depression is way worse for my baby than taking medicine. I don't want to feel this way when she comes out! And breastfeeding, as I plan to do, with help to ween her off of the medication, since babies do not get as much of the medicine through breastmilk.

     I was on prozac for my entire pregnancy and even had to double my dose when I was pregnant with my son. He is happy, healthy, and very smart, there were no problems what so ever from taking the medicine.

    I understand your concerns, but as my doctors like to remind me, you have to weigh your options here, as it is worse for your baby to be born to a depressed momma than it is to take medicine, at least in my opinion and all of my midwives and psychiatrists. As for going on a high dose right away, I would ask another doctor, someone you trust more, because I was always put on lower doses and then increased slowly.

     

    Good luck and I hope we both feel a lot better soon. 

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  • Thanks for all the words of encouragement ladies. I will be seeing a different doctor at my practice on Friday and plan to discuss it with him. I get so frustrated with by OB office because there are 4 docs and a nurse practitioner and they want me to see all of them, which is great, but it is next to impossible to see the doctor I have been seeing for the past several years. Evidently everyone wants to schedule with her because she is always booked...so I will see how it goes with this doctor. I know it is better for me to deal with this now and do not want to face the potential of horrible PPD if I don't seek treatment during pregnancy. As much as I would have liked to remain drug free during my pregnancy I  need to be healthy mentally too.  I am feeling better the past day and a half because I have made myself go to work which keeps my mind off of things and keeps me from dwelling on being depressed. Thanks again to all for their kind words.
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