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Suggest Alternative Medication For Pexep Taken For Depression
Question: I am suufering from depression. And i am taking pexep 25cr. Now i am feeling good. But if i stop taking pexep i again suffer from depression and anxiety. So i dont want to stop them. But i am thinking about pregnancy. My dr said dont think about baby while you are taking pexep. Is there alternative tablets for pexep which are not harmful for pegnancy period?
Brief Answer:
Switch to sertraline.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
Pexep can affect the development of baby. So, pregnancy should possibly be avoided with Pexep.
Ideally, during pregnancy, only those drugs to be taken which are absolutely necessary.
There are other antidepressants which you can use and which are relatively safer during pregnancy. I would suggest sertraline for such case. It is safe than Pexep in pregnancy.
You can gradually reduce the dose of Pexep and start with sertraline simultaneously, building up its dose. Till you the reach the dose which is effective for you depression, you can continue with that dose.
It may take some time, around 1-2 months, for you to stabilise on sertraline and stop pexep. You should best avoid pregnancy till then.
As your depression relapses after stopping the drug, you will have to take the treatment for long. I cannot comment on the exact duration but it may not be necessary for life time.
Kindly discuss this strategy with your doctor and proceed further under his guidance.
Feel free to ask for more queries.
Wish you well.
Thanks.
Switch to sertraline.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
Pexep can affect the development of baby. So, pregnancy should possibly be avoided with Pexep.
Ideally, during pregnancy, only those drugs to be taken which are absolutely necessary.
There are other antidepressants which you can use and which are relatively safer during pregnancy. I would suggest sertraline for such case. It is safe than Pexep in pregnancy.
You can gradually reduce the dose of Pexep and start with sertraline simultaneously, building up its dose. Till you the reach the dose which is effective for you depression, you can continue with that dose.
It may take some time, around 1-2 months, for you to stabilise on sertraline and stop pexep. You should best avoid pregnancy till then.
As your depression relapses after stopping the drug, you will have to take the treatment for long. I cannot comment on the exact duration but it may not be necessary for life time.
Kindly discuss this strategy with your doctor and proceed further under his guidance.
Feel free to ask for more queries.
Wish you well.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can you suggest me the power of sertraline tablet? And is it 100% safe for baby?
Brief Answer:
Starting dose is 25mg
Detailed Answer:
As I mentioned earlier, NO drug is 100% safe in pregnancy.
While prescribing in pregnancy, we consider the risk:benefit ratio. As the pregnancy involves lots of physical and emotional stress and hormonal changes, there are high chances that depression can worsen in pregnancy if not well treated.
So, the treatment should be continued.
The antidepressant considered safest in pregnancy is sertraline. Therefore, I recommend it's use for you if you conceive.
The starting dose of sertraline is 25mg. The dose can be gradually increased depending on the response under your doctor's supervision.
Hope this answers your query satisfactorily.
Take care.
Thanks.
Starting dose is 25mg
Detailed Answer:
As I mentioned earlier, NO drug is 100% safe in pregnancy.
While prescribing in pregnancy, we consider the risk:benefit ratio. As the pregnancy involves lots of physical and emotional stress and hormonal changes, there are high chances that depression can worsen in pregnancy if not well treated.
So, the treatment should be continued.
The antidepressant considered safest in pregnancy is sertraline. Therefore, I recommend it's use for you if you conceive.
The starting dose of sertraline is 25mg. The dose can be gradually increased depending on the response under your doctor's supervision.
Hope this answers your query satisfactorily.
Take care.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you know any psycotheropist or counseller in nashik? I live at XXXXXXX
Brief Answer:
No personal links there.
Detailed Answer:
Sorry dear, but I do not know any psychotherapist in nasik as I am from XXXXXXX (North India).
You can search the related doctors on internet and you might get a few names there.
Or, you can consult your treating doctor ask him to refer you to a psychotherapist in his acquaintance.
Regards.
Dr. Shubham Mehta, MD(Psychiatry).
No personal links there.
Detailed Answer:
Sorry dear, but I do not know any psychotherapist in nasik as I am from XXXXXXX (North India).
You can search the related doctors on internet and you might get a few names there.
Or, you can consult your treating doctor ask him to refer you to a psychotherapist in his acquaintance.
Regards.
Dr. Shubham Mehta, MD(Psychiatry).
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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