Psychiatr. pro Praxi, 2005; 1: 26-30

Therapy of depression, anxiety disorder and insomnia during pregnancy and lactation

MUDr. Věra Strunzová
Psychiatrické centrum Praha, 3. LF UK, Praha

The presented overview is focused on medication by anti-depressives during pregnancy and lactation and on pharmacotherapy of anxiety disorder and insomnia in these periods. It comprehensively maps known data from publications dealing with therapy by anti-depressives. Relatively new clinical data obtained during ambulant treatment of patients are reported together with experience gained at Prague Psychiatric Center (PCP). The article may serve as an advise material for a psychiatrist during intervention in a case of a pregnant or breast-feeding woman.

Keywords: Key words: pregnancy and lactation, psychopharmacological therapy, risk factors, treatment principles, teratogenity, malformation.

Published: February 1, 2006  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Strunzová V. Therapy of depression, anxiety disorder and insomnia during pregnancy and lactation. Psychiatr. praxi. 2005;9(1):26-30.
Download citation

References

  1. Miller LJ. Use of electroconvulsive therapy during pregnancy. Hosp Community Psychiatry 1994; 45: 444-450. Go to original source... Go to PubMed...
  2. Steer RA, Scholl TO, Hediger ML, Fischer RL. Self-reported depression and negative pregnancy outcome. J Clin Epidemiol 1992; 45: 1093-1099. Go to original source... Go to PubMed...
  3. Bazire S. Psychotropic Drug Directory, Snow Hil, Mark Allen Publishing, 2000.
  4. Smolík P. Duševní a behaviorální poruchy - průvodce klasifikací, nástin nosologie, diagnostika. Praha: Maxdorf 1996; 502.
  5. Burke KC, Burke JD, Rae DS, Reiger DA. Comparing age at onset of major depression and other psychiatric disorders by birth cohorts in five US community populations. Arch. Gen. Psychiatry 1991; 48: 789-795. Go to original source... Go to PubMed...
  6. Janciak PG, Handbook of psychopharmacotherapy. Baltimore: Lippincor Williams & Wilkins 1999, 391.
  7. Cohen LS, Rosenbaum JF. Psychotropic drugs during pregnancy: weigthening the risks. J. Clin. Psychiatry 1998; 59 (Suppl. 2): 18-28.
  8. Bareš M. Antidepresiva v léčbě depresivní poruchy v těhotenství a po porodu. Psychiatrie 2002; 6 (Suppl. 2): 11-18.
  9. Wisner KL, Wheeler SB: Prevention of recurrent postpartum major depression. Hosp. Commun. Psychiatry 1994; 45: 1191-1196. Go to original source... Go to PubMed...
  10. Wisner KL, Gelenberg AJ,Leonard H, Zarin D, Frank E. Pharmacologic treatment of depression during pregnancy. JAMA 1999; 282: 1264-1269. Go to original source... Go to PubMed...
  11. Stowe ZN, Nemeroff CB. Psychopharmacology during pregnancy and lactation. In: SchazbergAB, Nemeroff CB, eds. The American Psychiatric Textbook of Psychopharmacology. 1st ed. Washington: American Psychiatric press, 1995 (American Psychiatric Electronic Library - no page given).
  12. Nulman I, Rovet J, Stewart D, Wolpin J, Gardner HA, Theis JGW, Kulin N, Koren G. Neurodevelopment of children exposed in utero to antidepressant drugs. N. Engl. J. Med. 1997; 336: 258-262. Go to original source... Go to PubMed...
  13. Zuckerman B, Bauchner H, Parker S, Cabral H. Maternal depressive symptoms during pregnancy and newborn irritability. J. Dev. Behav. Pediatr. 1990; 11: 190-194. Go to original source...
  14. Steer RA, Scholl TO, Hediger ML, Fischer RL. Self-reported depression and negative pregnancy outcome. J. Clin. Epidemiol 1992; 45: 1093-1099. Go to original source... Go to PubMed...
  15. Rybakowski JK. Moclobemide in pregnancy. Pharmacopsychiatry 2001; 34 : 82-83. Go to original source... Go to PubMed...
  16. Saks BR. Treatment of depression, anxiety and hyperemesis gravidarum in the pregnant patient. A report of 7 cases. Arch. Women's Ment. Health 2001; 3: 165-170. Go to original source...
  17. Einarson A, Lyskiewicz DA, Koren G. The safety of dextramorphan in pregnancy: results of a controlled study. Chest 2001; 119: 466-469. Go to original source... Go to PubMed...
  18. Stowe ZN, Cohen LS, Hostetter BA, Ritchie JC, Owens MJ, Nemeroff CB. Paroxetine in human breast milk and nursing infants. Am. J. Psychiatry 2000; 157: 185-189. Go to original source... Go to PubMed...
  19. Miller LJ. Use of electroconvulsive therapy during pregnancy. Hosp Community Psychiatry. 1994 May; 45 (5): 444-450. Go to original source... Go to PubMed...
  20. Troutman BR, Cutrona CE. Nonpsychotic postpartum depression among adolescent mothers. J Abnorm Psychol. 1990 Feb; 99 (1): 69-78. Go to original source... Go to PubMed...
  21. Iqbal MM. Effects of antidepressants during pregnancy and lactation. Ann Clin Psychiatry. 1999 Dec; 11 (4): 237-256. Go to original source...




Psychiatry for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.