I'm suffering from depression and anxiety. Im pregnant of 5 months. Is it safe to take nexito. Psychiatrist suggested me .my first child is 5 years with cerebellar hypoplasia with features of autism. I'm worried if I take the medicine, will it affect the fetus. Will this depression and anxiety affect my baby if not treated.

Dr. Sushil Kumar SompurPsychiatrist20yrs exp

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I'm truly sorry to hear about the challenges you're facing. Managing depression and anxiety, especially during pregnancy, can be incredibly difficult. It's important to remember that i'm not a doctor, but I can provide some general information. Nexito, known generically as escitalopram, is an antidepressant medication typically used to treat depression and anxiety. The safety of using escitalopram during pregnancy isn't completely clear-cut. There's some evidence suggesting that taking ssris (selective serotonin reuptake inhibitors, the class of drugs nexito belongs to) during pregnancy might pose certain risks to the fetus, such as premature birth, low birth weight, or withdrawal symptoms in the newborn. However, untreated depression and anxiety during pregnancy can also have risks both for you and the developing fetus. Here are some key points to consider: risks of untreated depression and anxiety: untreated mental health conditions can lead to poor nutrition, inadequate prenatal care, increased substance use, and other risky behaviors. They can also negatively affect fetal development and lead to complications such as low birth weight or premature birth. Medication during pregnancy: the decision to use medication like nexito during pregnancy is complex. It involves weighing the potential risks of the medication to the fetus against the risks of untreated depression and anxiety to both the mother and the fetus. Consultation with health professionals: it's crucial to work closely with your psychiatrist and obstetrician. They can help balance these risks and provide guidance tailored to your specific situation. Your psychiatrist's suggestion to use nexito has likely taken into consideration your personal health history and current condition. Monitoring and support: regular monitoring during pregnancy is important when taking any medication. This can help manage any potential side effects and ensure the well-being of both you and your baby. Alternative treatments: besides medication, other treatments for depression and anxiety, such as therapy, relaxation techniques, and lifestyle changes, might be recommended. Discuss these options with your healthcare providers. Family history and genetics: your concern about the impact of medication on your baby, given your first child's condition, is understandable. Discuss this aspect with your healthcare provider for a more informed decision. Informed decision making: ultimately, the decision whether to take medication during pregnancy should be made collaboratively, taking into account your personal situation, the severity of your symptoms, and the potential risks and benefits. Please ensure that any decision you make is in close consultation with your healthcare providers. They are best equipped to provide advice that takes into account your full medical history and current health status.  

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Dr. Saurabh ShekharPsychiatrist10yrs exp

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Its tricky. Decison has to be yours in consultation with doctor. Stress and anxiety itself will impact your health as well as your fetus health and growth. Escitalopram is noirmally safe but again rare incidences are also reprted.  

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Dr. Sankalp DixitPsychiatristyrs exp

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All medications taken during pregnancy can have an effect on the developing baby inside the womb. However, if you have severe psychological symptoms, you can consult a psychiatrist and take medications under supervisionz.  

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