Planning A Medicated Pregnancy: Dr. P

Nathan and I went to Manhattan last Thursday to meet Dr. P; my psychiatrist had referred me to Dr. P for her expertise in perinatal mental health (translation: medication and mental health during pregnancy and the postpartum period). We talked about my history, my symptoms, the triggers for those symptoms; I explained that because transitions are the worst trigger for my anxiety and out-of-control anxiety triggers depression, I do not see a way through pregnancy and childbirth (the biggest transition ever) without medication. She asked which medications I take. I told her. She asked Nathan how he felt about me taking medication during pregnancy (100% in favor).

Dr. P: In an ideal world, when would you start trying to conceive?

Me: January.

Dr. P: This January?

Me: Yep.

Dr. P: Two months! Wow, that’s… a little soon. I’m not saying wait a year, but definitely more than two months…

Me: You said “ideal.”

Then came the science. In sum, the good news is this: the drugs that have worked best for me, Effexor XR and Klonopin, are prescribed often, have been taken by many pregnant women and many of these pregnancies and the children born have been tracked by doctors. The bad news is that because it’s not ethical to run “randomized controlled studies” (proper drug trials) on pregnant ladies. You see, we don’t actually know that pregnant women will harm a fetus by taking your average prescription medication, but we’d have to risk a whole lot of harm in order to find out. Animal trials are useful because they let us test out chemicals in highly controlled environments. So how do we know anything about pregnant women and drugs? Researchers get women who are already pregnant and already taking a drug like Klonopin to take tests and document as many details as possible about their pregnancies and the health of their children. An example of one problem with gathering information this way: recently, the New York Times published an article about a study linking antidepressant use to increased rates of Autism. Dr. P mentioned this study and said that because all it shows is a possible correlation (link, connection) and doesn’t tell us anything about causation, there’s no way of knowing if that link to autism is because of the medication or because of depression. Catch that? If you take antidepressants while pregnant, you might put your child at a higher risk for autism. But there’s also a pretty good chance that if you don’t take your meds and you become depressed, only then is there a higher risk that your child will be autistic. There’s definitely a correlation between age and autism, so you also have to factor in all the women in that study who are, oh, no one knows, maybe over 35? Oh, and Effexor is similar to Zoloft, but not exactly the same, so there’s really no way of knowing whether that study does, in fact, apply to me. But don’t worry, the risk is still small. (Feel better? Me neither.)

So here’s what Dr. P told us to think about: what if we are in fact the couple who has the child with, say, autism? If you are that family, the fact that the odds are tiny tend to matter, well, not at all. Will we be able to cope with the knowledge that my medication may have contributed to that child’s illness? or birth defect? Yes, and I’ll tell you why: no one will ever know whether my medication did anything specific except make a significant contribution to my own mental well-being.

I know, I was surprised, too. But check this out:

[quote]Based on experimental animal studies, venlafaxine [Effexor] … [is] not anticipated to increase the risk of congenital abnormalities. A study published in abstract has suggested an increase in some malformations based on small numbers of exposed individuals. Transient and usually mild neonatal complications have been reported for venlafaxine and other serotonergic antidepressants. –Reprotox database of potential teratogens [/quote]

Translation: The drug doesn’t cause birth defects in rat or rabbit babies. As for human beings, one study (for real, just one–the National Birth Defects Prevention Study, 2010) found some (very few) cases of cleft palate, limb defects, gastroschisis and heart defects.

And this is about Klonopin, the benzodiazepine that I thought was too dangerous to take during pregnancy:

“Based on experimental animal studies and human pregnancy experience, clonazepam [Klonopin] therapy is not anticipated to increase the risk of congenital malformations. The risk of mild transient neonatal complications may be increased when this drug is used in combination with selective serotonin reuptake inhibitors. –Reprotox database of potential teratogens”

Translation: We don’t see any birth defects when Klonopin is the only medication used. In combination with an SSRI (I take an SNRI, but they’re very similar), it might cause problems for babies just after they’re born. The “complications” are mild because they mostly include feeling mild withdrawal after birth. There have been babies born with birth defects to mothers who took Klonopin during the first trimester (when “physical abnormalities” occur). It’s not clear that Klonopin exposure caused those birth defects. Here’s an example: one study in Hungary looked at 22,865 babies exposed to one of five benzodiazepines, including Klonopin, in the first trimester and found 57 “affected” infants. Out of 38,151 babies not exposed, 75 were “affected.” Reprotox says that “These data … showed no increased teratogenic risk associated with benzodiazepine exposures.” And so on.

I have another appointment with Dr. P in two weeks to discuss “a timeline” and plan when exactly it’s a good idea to start trying to conceive. In the meantime, I am no longer taking BuSpar, because my psychiatrist and I think it was actually making me feel worse, and I’m about to start a prenatal vitamin regimen.  Oh, and Nathan and I are disgustingly mushy about this whole baby possibility. Our conversation over brunch at Alice’s Teacup after the appointment was too ridiculous to repeat!

So there’s no way to know for sure, but it seems like combining Effexor XR (generic) and Klonopin (also generic) will be safer than my other options. That’s the plan. It might change, but it’s a thoughtful plan. And yes, I do have a headache.

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Comments

  1. says

    Best of luck to you as you start your family. My daughter went off her antidepressants with her first pregnancy, and the PPD was hell for all of us. She stayed medicated throughout her second pregnancy, and had a wonderful experience with her newborn. Both of those children, by the way, are healthy and lively and bright. Take care of yourself.

    • Anne-Marie says

      Thank you for sharing, Cynthia! We need to share our stories so that we learn that all we can do is make choices and hope for the best. And I love hearing from a supportive mother and grandmother. I bet you have been a huge help to your daughter and her family.

      • ayanna says

        I’m 6w4days my psychiatrist told me to stop lamictol 300 mg lexapro 20 and klonopin 2 mg over the course of 4 days when I found out I was pregnant so I did .. THEN all hell broke loose I could barely drive let alone think I had a studer shaking hands worrying crying just scared for my life going crazy type feeling ..outerbody feeling ..so I go to the doc Friday I started taking the klonopin again but not the other meds how on earth am I supposed to get through a pregnancy like that its impossible! So I’ll tell my doctors when I see them ..I do not want my baby coming out with issues I’m already the mother of 3 girls I have to stay sane .. I have no support ..I mean my husband is here but you don’t know anxiety and bipolar till you yourself have gone through it .

        • Jessica says

          Telling you to stop the lamictal 300 me over the course of 4 days is massively incorrect advice from a dr. Stopping that quickly can cause seizures and other severe problems. I had to take almost a month to get off 300 mgs of Lamictal. I hope everything is going ok.

  2. Anon E. Mouse says

    Just found out I am expecting….not planned, while taking high doses of Effexor XR, klonopin to sleep, an various other medications. Nice to know not everything is a horror story!

  3. says

    Thank you for this post. I went med free for my first pregnancy, it was really hard, but I made it. But thinking about number two I know things will be way harder, because I’ll have a 2 year old to take care of. So I don’t think I will try it med free the second time around. I found a really supportive psychiatrist, luckily. Also know that the vast majority of meds are safe during breastfeeding too, in fact more meds are safe then, very few are not safe.

    • says

      The American Academy of Pediatrics published a study of “maternal medications” in breadtfeeding, and they found very few instances of side effects in babies. A friend of mine has a baby who cannot tolerate even the lowest dose of an SSRI in mom’s milk. It’s a tough choice! But for the vast majority of families, antidepressants are much safer than people think during pregnancy and breadtfeeding.

  4. Ashley says

    Thank you so very much for this blog. I am 18 weeks and taking an sari and low dose of klonopin for severe depression and anxiety. I can’t tell you what your blog has done for me and knowing I am not alone… :-)

    • Angela says

      Me too! Exactly the same. I am on 0.5 mg clonazepam and just found out I’m 5 weeks along – big surprise as I am 37 and just went off birth control in August! I freaked out bc of the clonazepam and my OB wants me off of it, but my Psych doc says it’s OK and I should just relax. An anxiety attack would be more harmful at this point that a low dose of clonazepam. Thank you!!

      • says

        My philosophy, when I get conflicting advice, is to think about who has more specialized knowledge in the area. Your OB knows about pregnancy. Your psychiatrist knows about psychiatric medications. In your shoes, I’d ask for the reasons (and copies of the data) behind each recommendation from each doc, and then decide. When I was asking about breastfeeding and meds, I was concerned about my baby’s health and safety. So, a psychiatrist told me I couldn’t breastfeed safely on Klonopin, but a pediatrician and breastfeeding specialist told me that it was safe. I trusted the doctor whose specialty was the health of babies. Hugs! This is hard!

  5. Mary says

    I am 30 weeks pregnant and taking klonipin! So far so good! I also have a 5yr old daughter & took them while pregnant with her! No withdrawals! Very smart & is on her fall break. She’s asked today when can she go back to school. Very eager to learn & has only been the first real blessing in my life! Now can’t wait for blessing # 2! Always think positive & know God’s watching over us & our little ones! Stress is not good when pregnant!!! Pray & give it to God…

    • Mary says

      I have been on them more than half of my life so that’s another thing I wanted to fill everyone in on. I don’t want to scare anyone but it seems like I do continue to see lots of lawsuits on tv about taking antidepressants while pregnant! Your the best advocate for your child. Do your research & try not to listen to people who haven’t walked in your shoes… May God bless all you mommas & babies! *** Plz don’t take my experience & go with it! I’m not a doctor or nurse! However, you know your body & sometimes YOU are going to just know what to do!

      • says

        Mary, I created this space so that people could share stories freely and safely, not for advice. Doctors give too much advice. We do get to share information, when we come across it, but there is so little out there. I always say the same thing, by the way–not a doctor! I had a healthy pregnancy, gorgeously healthy baby. All I know is what I have experienced. May God bless ALL the mamas with great providers and healthy babies and, as you point out, faith in what our bodies and our hearts tell us.

  6. Mary says

    I was not trying to give advice! If it came across that way… I APOLOGIZE! I do believe I said that! Ive had a great experience with both of my pregnancys & that’s truely what I wanted mothers to be to know! This site helped me & relieved me as well. That was my main goal… to help not come across in a negative way!!! I’ve been totally honest with my doctor’s who have prescribed my medicine & that’s the best way to be! God Bless all of you :) Again… Im sorry if I said anything wrong.

  7. Mary says

    Another comment… I’m sorry! I would love to be able to help any mother in any way I could! I’d wrap my arms around any expecting mother having a hard time, hold there hand, talk & cry with them anytime they are having a hard time! I really am the nicest person & have such a huge heart! I believe in loving & being supportive. Compassion & understanding are all the great gifts Gods blessed us with! I wish I could do more… I always say to surround yourself with positive people & that’s what I need to do here! May you read this & know your not alone! God’s always there! Stay strong & remember that stress isn’t good for mother or baby…

  8. Patty says

    I do not have a baby yet, but I am on klonopin and Percocet for a few surgeries I recently had…. It’s so hard to get off klonopin and I am trying to keep a low dose so when I do decide to have a baby it won’t be so bad but I don’t think I will be able to come off do to the fact that the last time I did I became very depressed and suicidal, which I’m sure is horrible for a baby during pregnancy. This blog has helped so much and has calmed me down because I am so scared to come off of these meds. However I am 35 am I am also afraid I may be getting older and that will cause problems… I am not married, I’m from a abusive marriage of only 8 months but divorced and do have a boyfriend for a year. I guess at this point, day and age you don’t have to be married to have a baby but it really would be nice. If anyone has anything they can share about age and meds that would really help. And thank you all for all the great posts, they were all very helpful!

  9. Kristin Kossack says

    Thank you so very much for this. I was taking 4 mg/day of Klonopin as a standing dose when I discovered we were pregnant with Peanut-the-Third. I have been taking various SSRIs and anti-anxiety meds since I was 18. I am now 37. The Klonopin is relatively new to me but works wonders. When I found out I was pregnant I instantly flushed my medication. Impulsive and asinine. My symptoms rebounded with ferocity. As I am in between psychiatrists I consulted with my OB (after 10 of the LONGEST days ever spent), and we decided to try 3 mg/day PRN until I resume treatment at the end of the month with a new psychiatrist;; the goal being to find the lowest effective dose.

    I was unmedicated my first and second pregnancies; the second was very trying psychologically. My mother had passed, we were (and are) in financial trouble; I had lost a job. In short, CHANGES then and CHANGES now. Positive or negative, the constant flux of the past 4 years has worn me out. I want to be healthy in my soul, mind, and body. Taking this medication means my daughter doesn’t ask other people why Mommy walks around crying. It allows me to work. I can breathe. I can enjoy my children; my family; me.

    My husband has become progressively more supportive of my choice to use medication, and I couldn’t be more grateful. Of course I am terrified of any risk I may generate and am ashamed in a way that I can’t muster enough strength to see my way through without medication. I feel at times as though I should be able to pull myself up by the proverbial bootstraps and WILL myself calm. The Universe knows I’ve tried.

    I am grateful for others’ experiences, thoughts, and opinions. The support is sanity-sustaining. Please let this be a healthy pregnancy. My love and good thoughts to all who have these types of decisions to make. May you all have the love and support I’ve been blessed with. May our children be healthy.

    Thank you again!

    • Kristin says

      Also, and forgive me if you’ve mentioned this previously (I am new to your site), there is an AED Registry run thru Mass General collecting information on women using AEDs during pregnancy (you do not have to be using the medication for anti-epileptic reasons).
      The contact info is:
      http://www.aedpregnancyregistry.org/

      As I believe a great part of the Class C or D designation of these meds is due to lack of adequate research, please consider this Registry. You may help a future mother.

      Peace.

      • Mary says

        Hi! I had my baby & great news… The 1 mg I was taking the whole entire 40 weeks & 4 days didn’t cross over into my placenta! He weighed 7 pounds 9 oz…. THAT’S MY EXPERIENCE! I was very honest with all my doctors & Ob! Immediately after I had him I told the nurses… I’ve been taking klonipin & want to make sure baby doesn’t withdrawal! Worried a great deal & told all the nurses in nursery. I stressed out my whole pregnancy & so relieved I was honest with anyone who came in contact with my lil boy! I’m so greatful no problems with him. Happy & I know the nurses were sick of me telling them!!! I probably made them crazy! This is only my situation but a very positive one! I hope that I can give a little hope to someone out there… Ladies-the best advice I can give… be honest with your doctors PLZ PLZ PLZ!!! If your going through a pregnancy & taking klonipin or anything that can harm your baby let the doctor know! U will feel soooooo much better & if your newborn needs any kinda medicine they know how to help them! God Bless all of you! This is my second baby with great news! Now I’m so tired I will post later! Goodnight to all & don’t stress mommy’s! That’s just bad for you & baby!

        • says

          Hi Mary! I’m so glad you had a good experience. I completely agree that honesty is the way to go. The worst that can happen is a bad response, and that just says “switch providers!” or “tell a supervisor!” I do have to point out that telling anxious mothers, “don’t stress,” could be rephrased into more helpful advice… Shall we say, “take care of yourselves” instead? It always makes me anxious when I’m told to relax! LOL

  10. alison says

    i know this post is super old but i just wanted to say i was so relived to find something positive. I’ve been reading nothing but horror stories and i just cant handle it. with my hormones rages, my wait changed and having mental health issues, i was crying at least 4 times a day about the Clonazepam i am taking. Will it harm my baby? will i be okay without it? I go to the doctors on the 23rd and i plan on being 100% honest with all of them. I’m scared they will freak out and take me off immediately! but i need to bee honest and express how i feel….or how i will feel if im not on medication. I just want the baby… and myself…. to be okay! :) Praying hard!

    • says

      I have put a good amount of time into making sure that my posts show up when women like us Google phrases like “pregnancy and clonazepam” – I want to share my happy alternative to the fear mongering idiots posting nonsense! I am glad that it helped, in your case, and wish you all the best! Get in touch any time. I mean that!

  11. Rebecca says

    I was on Effexor, ativan and Seroquel (for anxiety & sleep, respectively) when I got pregnant for the first time (unplanned) with my daughter. I weaned off of them, and felt physically and mentally awful. But my daughter was born healthy and happy, aside from having the 100% correctable condition of bilateral clubfeet. I was hard on myself about that, and m\her dad’s mother blamed me for her condition. The fact is, almost all cases of clubfeet happen due to low fluid or shape of uterus. Now she is 3 years old and smart as a whip! And walking fine.
    The point of my comment is to lower the fears about medication-induced fetal abnormalities, as I really think my daughter may have simply had a bad position in the womb. I want to start trying for #2 later this year, but am still on 2mg of klonopin nightly for sleep. My psychiatrist fiance wants me off of all meds before trying to conceive but I am almost off of a 7 month long methadone taper. and that alone has been hard enough! Thank you all for your stories, they certainly calm my fears.

  12. Jen says

    Hi Anne-Marie, I just wanted to thank you for this website. I am newly pregnant and take Effexor for anxiety. The hormones in pregnancy unfortunately do not help my anxiety, they make it worse….and then the depression hits. I was ok at first but am currently struggling. I have taken klonopin in the past during this time of pregnancy (that preg did not work out sadly). I just took my first pill, .25 mg today as I hardly slept last night. I feel guilty for taking it…I was hoping I wouldn’t need to. But I can’t function like this. Just wanted to say I’m grateful I found this site and you inspire me!

  13. Anna Chapman says

    I am 18 weeks pregnant and suffered from severe anxiety/depression/insomnia/panic attacks. I have tried all the meds, and the only one that works for me is Klopin. All I take is 2mg at night. No more, no less ever. My doc is completely at ease with this now, throughout the remainder of the pregnancy and breastfeeding. I have 2 other children aged 7 and 4 and I did not take Klopin/clonazepam with them, with #1 I did not take anything but resorted to drinking when I couldn’t handle the stress, #2 took valium, did not drink but was extremely stressed the whole pregnancy and resultingly had a slightly low birth weight child (30mg shy of normal), and with the clonazepam/Klopin I feel fantastic. I am not stressed, not anxious, no panic, just normal. I like normal and my active and very healthy looking/sounding baby is too :) I am assured that the dose of clonazepam I am taking is extremely unlikely to cause any problems whatsoever, and already know there are no defects. Just my story, but if it helps anyone, good.

    • says

      It’s interesting, isn’t it, how rarely anyone mentions the side effects of stress from untreated anxiety and panic? Women are told not to stress, of course, but we are also faced with guilt trips from strangers if we need medication to reduce the stress our own brains produce.
      Thank you for sharing your story!

  14. Jen says

    Yes thank you! I am taking Effexor but don’t feel stressed about that. I am sitting here feeling very anxious right now, thinking about taking a klonopin pill, and beating myself up about it. I am just in such a bad place, feeling sick, scarred and stressed. It would be nice to feel normal again.

  15. Ashley says

    I have to tell you how relieved this blog has made me. I had a child four almost five years ago and did it by taking only Zyrtec D after my second trimester. Now, prior to that I had been a drinker and smoker, but I cut the drinking out cold turkey prior to finding out I was pregnant, and quit smoking the week I found out I was pregnant. With that being said, I went from 0 – insane within the first 6 weeks of my pregnancy. There was no gradual hormonal rage, it was just immediate insanity. I didn’t sleep the entire pregnancy, I was pissed off ALL the time, I was freaking out over everything. Little did I know what I had considered to just be “my personality” all my life was actually severe anxiety that I had let go untreated for 30 years. After I had my son I was thinking to myself, “wow, now I can get some sleep and calm down and get back to normal”.

    There is a condition that takes place with mothers after giving birth that OB’s are just now giving proper attention to. Most women are automatically considered “depressed” if they show any signs of “not being themselves” after having a child, when in fact, about 40% of the women they attempt to diagnose as depressed are actually dealing with postpartum anxiety. So, to my point. After a good two months of feeling like I was going completely insane, my doctor decided that I needed to be placed on an SSRI. Well, I took it begrudgingly (I always refused to take medication as a child and adult prior) and everything I feared about taking medication took place. I couldn’t sleep, I was wired, I couldn’t eat. My brain was just in a fog and I immediately flushed the pills down the toilet and told my doctor there was no way I was taking that route. I told her “Is there anything I can take that will just calm me down on an as needed basis? I am not depressed! I’m just having panic attacks and need to sleep!” Thus begin my trip down Klonopin lane. Best thing ever to happen to me besides the birth of my son. Seriously, I never knew life could be so pleasant! I didn’t know I could go through out the day without freaking out on someone or wanting to cuss someone out. I had done that my entire life! PLUS, added bonus I COULD SLEEP!!!!!

    Now, here’s where the guilt comes in. My husband and myself included very much so wanted a sibling for our son, but I just could not bring myself to bring a child into this world on medication, nor could I bring myself to go through that hell I went through for 9 months sans medication. No sleep for 9 months? Are you insane? I’ve just started to enjoy life!!! So about two years ago I attempted to wean myself off of Klonopin and Valium (yea don’t even get me started on the moron who thought I should take both). Doing this placed me in the hospital because I was convinced I was dying. I couldn’t function. God help me if I had to leave the house. I was puking and losing weight like crazy. I couldn’t even stand to be around my child because I didn’t want him to see mommy cry or crazy. Finally I hit my breaking point and told my husband it wasn’t worth it. I wanted to enjoy life and my child. So I went back on the klonopin. Things have been well, except for that guilt of not having another child. I have scoured the internet for years trying to find anything GOOD or positive about taking it while pregnant and didn’t find anything until your blog. I also got a new OB who is with the same practice I used prior, but isn’t as stuck up. He told me “women walk into my office everyday on medication that’s ten times worse than than what you take, I deliver healthy happy babies to them, so why on earth would I have you risk your own mental health to have a child?”. I couldn’t believe what he was telling me. He continued by saying “an entire generation, my generation, were born to mothers on “mommy’s little helper” which happens to be a benzo, and we all turned out just fine. So do I think you taking 2mg a day of Klonopin is going to put you or your child at risk? Yes, but it’s the same risk if you were to have a child and not be medicated as there are no controlled studies that state it raises the risk of deformities or anything else”. With that being said, and my novel being over, I’m happy to state that we are going to try to give our son a sibling now. Thank you for this site. Thank you for calming me down about my decision. Thank you for understanding.

    By the way, have any of you had any issues with continuing the drug in the last trimester and your child going through withdraw on a small dose?

    • says

      I’m glad my story could help! My baby had a few symptoms that were less than ideal, but the pediatrician and the nurses all told me that they had seen babies of unmedicated mothers with exactly the same things – muscle tension that was a bit higher than they would like, and “excessive” sleepiness. I strongly suspect that if I had had a home birth, no one would have noticed anything but the muscle tension, and that had disappeared in under 2 days. I hope that you have a baby as healthy and wonderful and easy to love as mine!

    • Mina says

      I was on clonazepam my entire pregnancy. My son had no withdrawal or other side effects after delivery. I also nursed him for a little over a year and he had no ill effects while I was weaning him. He is a very healthy baby :)

  16. caitlin says

    I wonder if anyone has had a home birth after having taken klonapin during the third trimester? A therapeutic dose? Thank you all for your stories.

  17. Erika says

    HI

    I just want to say THANK YOU
    You have no idea the GUILT i am currently living with
    I NEED my Clonazepam I tried going off of it i did cut to .25 from 2 mg a day but I need it to function
    Sometimes Ill take .5 I JUST NEED IT and i know how bad my stress my anxiety and panic attacks can be for my baby

    but i can help but think that i am making myself better but potentially hurting my baby
    I live in fear of losing it the dad doesnt know Im on this medication
    and im so worried all the time

    This did help a lot

    Thank you

  18. Renee says

    This site is a blessing. I’m on other “baby” sites and I’m terrified to talk to strangers about my psych meds for fear of being called selfish. I’ve suffered from panic attacks and severe anxiety since my early twenties. I’m now 34, pregnant with my first, and on fluoxetine, trazodone, and clonazepam- which I only take when necessary. My doctor said that because of the trazodone, she wants me to be followed by a perinatologist. They’ll be able to see any early signs of birth defects possibly caused by the medications. But like you all have said over and over, millions of women have taken medications and given birth to perfectly healthy, exceptional children. I pray every day for a healthy baby and a healthy pregnancy. Best wishes to all of you on your journies.

    • says

      As much as I wish perfect health for everyone, I worry deeply about a cultural trend towards seeking blame for every health problem. Babies get sick. It’s really sad, but sometimes it happens for no reason. The most closely watched fetus may end up becoming a baby born with a “defect” that nobody saw coming. We are strong; we can handle adversity. Sometimes, tragedy strikes with no warning, and sometimes, those who take risks see no adverse consequences. We can’t always find the reasons why, and that’s a really important lesson that I absorbed from my journey that has informed my parenting so much!

  19. Mina says

    I took 150mg of Wellbutrin XL and 1mg of clonazepam everyday with my last pregnancy. My first OBGYN was against the clonazepam and wouldn’t leave me alone about it, so I changed docs. The second one said he wouldn’t recommend it, but had other patients on it as well and they never had a problem. I had a healthy, happy baby at 37 weeks. He is 18 months old now and very smart, he has not missed a milestone and is even early on most! I am 9 weeks pregnant now and on the same medications. This pregnancy has been a lot different and I feel the need to take more than my 1mg of clonazepam. My husband and I have discussed it and decided that if I need that extra pill to keep me from having an anxiety attack then that’s what I have to do. My anxiety is severe, like I want to commit suicide/can’t function when not on my meds. We also have a 10 year old and a 7 year old, so I feel it is best for my entire family if I am mentally stable. I almost wish I could get a scientist to document my pregnancy so that they could put it towards research for making clonazepam safe for pregnancy. Good luck to all you moms out there that are dealing with mental health problems.

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