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Xanax, Tramadol, and Darvocet, and pregnancy

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I am currently taking 1mg of xanax xr 1-2 times a day for about the past yr for panic attacks and my ptsd, I have been on a couple different anti-depressants however the most recent is 150mg of effexor xr wjich i've only been taking for less than a month. My concern is that I just found out I am pregnant (told very early in prego) n am worried that the xanax will harm the fetus. I've had some doctors say its safe and others say its not. I then read that its a class D member and am now very worried I dont want my baby to be deformed. I've tried not taking any of my psych meds a couple months back but had serious mental disstress, increased depression and anxiety I was recently approved for my retirement due to the traumatic nature of my injuries but am worried what will happen to both the baby and I if I stop and if it may have already harmed the fetus. I am also prescribed darvocet and tramdol for severe neck and back pain as well as migraines can taking either of those be harmful?


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replied April 7th, 2008
Pregnancy Answer A3877
Xanax (alprazolam) belongs to pregnancy category-D which means that there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks. Children born of a mother who is receiving benzodiazepines (alprazolam is one of them) may be at risk of developing withdrawal symptoms from the drug during the postnatal period. Also, neonatal flaccidity and respiratory problems have been reported in children born of mothers who have been receiving benzodiazepines.


Tramadol (opiate analgesic) belongs to pregnancy category-C which means that teratogenic effect on animals is proven but there are no adequate and well-controlled studies in humans.


Darvocet (dextropropoxyphene) is also an opiate analgesic that belongs to pregnancy category-C and D (if used for prolonged periods of time).


You can try to abort all these medications because they have real potential to harm your fetus.
Your condition will probably get worse after going off these medications but your baby will be fine. That is because anxiety disorders are not inherited but acquired after delivery.


You may want to consult your psychiatrist about this.



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