In addition to doing other research, I thought I'd ask you all if anyone has had a patient who has taken Wellbutrin throughout their pregnancy.
I found a Wellbutrin Pregnancy Registry, but the info is hard to interpret.
Cylert (for ADD) isn't prescribed very often and so there is next to no information about it.
Anyway, I'm figuring you will all tell me that it's a decision that I have to make on my own, and I know this. Maybe I just need to throw all of my questions/concerns out there into cyberspace and see if anyone has any experiences/ideas.
My pysch doc wasn't very helpful when I asked him about it. I have not yet asked an OB doc, but I would, of course. But nurses are easier to talk with sometimes.
I've been on Wellbutrin/Cylert for 8 years, after trying numerous other meds. These meds changed my life. I have had "drug holidays" since, and always revert right back to the old feelings. I feel that I would not want to continue these meds during pregnancy, though. My ideal plan would be to "abstain" from my meds during pregnancy, and start taking them again after delivery (thereby forgoing bf'ing) if I needed to.
Am I fooling myself that I could go this long? Others that I've talked to kind of brush my concerns off, saying that with all the hormone changes during pregnancy, they're just sure I'll be fine. I'm not so sure. On the flip side, if I were to take them for all or part of my pregnancy, and something were to happen (birth defects, etc), I know I'd blame myself for not holding out.... even if I didn't know for sure that meds were the cause.
I've been pondering this for months and am not really any closer to a decision. Anyway, thanks for reading.
Feb 21, '04
The FDA rates Wellbutrin and Cylert as a category "B" drug, which means it is relatively safe to take while pregnant and during breast feeding.
Category "B" = NO EVIDENCE OF RISK IN HUMANS. Adequate, well-controlled studies in pregnant women have not shown increased risk of fetal abnormalities despite adverse findings in animals, or, in the absence of adequate human studies, animal studies show no fetal risk. The chance of fetal harm is remote, but remains a possibility.
I would take the lowest dose possible and monitor your symptoms carefully. You have to weigh the benefits that you get from this drug with the risks. The risks seem very low. I would hate to see you fall into a major depression while pregnant - that's not good for the unborn fetus either. Plus, you will be more prone to a postpartum depression, so it is important that you stay on your meds. Discuss all of this with your doctor.
Last edit by fiestynurse on Feb 21, '04