October 2018 Moms

Taking Xanax for severe anxiety?

I am 3m pregnant and I have extremely bad anxiety. I have been taking xanax for years. My doctor told me not to stop just to take less.  Has anyone taken this whole pregnant? 

Re: Taking Xanax for severe anxiety?

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  •  I have anxiety and definitely do not take Xanax during pregnancy or breastfeeding. It has proven negative fetal effects. I would speak in depth about this with your OB. There are much safer alternatives out there. 
  • DunkinDecafDunkinDecaf member
    edited April 2018
    Benzodiazepines are definitely not pregnancy safe. Talk to your doctor to find a safer anxiety medication. Not sure about what else you’ve tried before but I took Ativan for a while for my anxiety and found that increasing the dosage of my Zoloft mitigated a lot of my symptoms. Definitely talk to your doctor ASAP about transitioning meds.

    edited because spelling is hard
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  • ...Lurking- www.mothertobaby.org is a great resource for this kind of question rather than relying from posts from people that are not doctors and searched Google.  There are plenty of studies that show that certain doses of benzos are not as harmful during pregnancy as once was thought.  Dealing with untreated anxiety can actually be worse for some then taking a benzo for many different reasons.  If your actual doctor is telling you to continue with your medication then I would trust their medical judgement.

    And xanax at a low dose is prescribed by many doctors in a low dose for anxiety management when other drugs and therapies are ineffective.  Many medications are addictive.  If you are taking a medication prescribed by a mental health doctor and being monitored I would think they have your best interest in mine. 
  • So I looked at this website after you suggested it and I didn’t see anything that stated what you said. I saw “it’s unclear” and “more research is needed” 


  • So I looked at this website after you suggested it and I didn’t see anything that stated what you said. I saw “it’s unclear” and “more research is needed” 


    You can request a "fact sheet" based on scientific research studies.  You have to request for a certain medication.  I requested a fact sheet for klonopin and it was very helpful. You can start a live chat with someone and they can answer a lot of questions.  This site was recommended by my doctor and I love it.  
  • Recommended by your ob or a different doctor? Is the site run independently or by a pharma company?
  • @HoosOnFirst Motherisk is put together out of Toronto Sick Kids Hospital, in Ontario/Canada. The different medical system structure here in Canada means that it’s not a business model (structured on gaining funds for the hospital), but a social benefit model (decreasing system costs by keeping people healthy). Motherisk is one of the most reputable sources I’ve come across, from a mom and a nurse standpoint. 
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  • HoosOnFirstHoosOnFirst member
    edited April 2018
    Thanks for clarifying! I went off antidepressants before getting pregnant and met with loads of professionals, so I totally get why some people stay on and some do not. It’s a personal choice but it’s important to get advice for reputable and non biased sources. Sounds like that is one.
  • Thanks for clarifying. I am always amazed at the difference between Canada, Europe and the US when it comes not only to health care, but to doctors advice. 
  • Even within the US! I’m in a major American city with the some of the best healthcare in the US and I have friends in other states where we get very different advice for the same issues. It’s problematic for sure and I feel very fortunate. There is literally a center here called the center for women and mental health. I got to do a research study before I got pregnant on folic acid as a way to reduce relapse in women going off antidepressants. There’s a lot of research being done but almost nothing is conclusive yet. I wish it were.
  • Definitely, I’ve gotten mixed advice. I used to be on Paxil which is a hard fast no for pregnancy. My OBs office suggested switching to Zoloft if I was considering pregnancy. I took 8 months to cross taper. When I was safely off paxil we start TTC.

    My psychiatrist was horrified was she found out I was expecting and made me promise to run it by my OB. My OB was like yeah that’s totally fine. I too did a lot of research and spent a lot of time on my choice. I only decided to try Zoloft when it became clear that at this point in my life I need anxiety meds. I hope to go off them in the future, when life is less stressful and I sleep more.
  • My OB sent me to a Maternal Fetal Medicine Dr about staying on Celexa. What I liked was he has access to a good database of scientific journals regarding meds during pregnancy. My entire appt with him was a consultation in his office about my history, why I was on the meds and how I felt about them during pregnancy. He read right from an article about the (mild) risks, explained them, and discussed my options.

    He told me medicines are most dangerous to the fetus from weeks 4-10 and then around 40 weeks. The main issue at the end of term is withdrawal effects for the baby. 

    Celexa is an SSRI and considered reasonably safe. Xanax is a different class of drug. If you're at all concerned, talk to a licensed psychiatrist or a fetal medicine Dr. Both of whom have medical degrees.
  • Right - I can’t speak to Xanax either. I was in lexapro, an ssri, which right now appear to be relatively ok to stay on as long as you are aware of the risks.
  • Recommended by your ob or a different doctor? Is the site run independently or by a pharma company?
    Recommended by my therapist.  They are a non-profit, not run by a pharmaceutical company.  This is from their site...

    About Us

    MotherToBaby, a service of the non-profit Organization of Teratology Information Specialists (OTIS), is the nation’s leading authority and most trusted source of evidence-based information on the safety of medications and other exposures during pregnancy and while breastfeeding. Our information service is available to mothers, healthcare professionals, and the general public. We also conduct state-of-the-art research on the safety of medications and vaccines in pregnancy.

  • Not a doctor- though, I did do one pre-med semester.... :wink:

    I was on a pretty "average" dose for anxiety PRN prior to pregnancy and both my OB and PCP told me to stop. So, that's all the advice I can give. I would talk with your psychiatrist and OB about your personal care and what is best for you. 
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  • Gizmo1231 said:
    Not a doctor- though, I did do one pre-med semester.... :wink:

    I was on a pretty "average" dose for anxiety PRN prior to pregnancy and both my OB and PCP told me to stop. So, that's all the advice I can give. I would talk with your psychiatrist and OB about your personal care and what is best for you. 
    What she said. Also - buspirone is pregnancy safe.
    me 32 | dh 45
    married <3 11.11.17
     mama. epicurean. plant lover. wine enthusiast.
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