Taking Wellbutrin/Bupropion or Zoloft While Pregnant?

Updated on July 17, 2009
C.D. asks from Macomb, MI
6 answers

Okay...

So recently I've been thinking about a myriad of things - financial issues, pregnancy concerns, my husband considering a job change, my firstborn entering "terrible twos", and other stuff. During my last OB appointment I talked with her about my depression coming back (which I haven't had to deal with since high school) and feelings of being detached from my husband and child, not wanting to take care of my family, not wanting to get out of bed, crying a lot, having mood swings, and generally just not being myself. She suggested I try taking Wellbutrin for the next couple of months to see if it helps. Upon doing some research, I found out that you're not supposed to take Wellbutrin during your third trimester (I'm currently 22 wks pregnant). When I asked her about this, she said she was planning on stopping me from taking Wellbutrin after a couple of months, depending on how I felt. If I was better, we'd try to finish the pregnancy drug-free. If I relapsed or developed post-partum depression, she would suggest Zoloft (since Zoloft is okay to take while breastfeeding).

I'm a bit concerned for a few reasons: I didn't take any meds for my depression in high school, I just toughed it out. This time around, since I'm pregnant I'm worried about what effects the Wellbutrin, or Zoloft for that matter, may have on my baby. But I don't want to risk neglecting my family by not taking the meds and therefore falling into a deeper depression because I must admit times got kinda tough in high school and I remember how I felt back then and I can only imagine it would be compounded now that I have so much more responsibility. I want to get better, but I'm afraid of what could happen if I take the meds, or what could happen if I don't take the meds.

So what do I do? Have any of you moms taken either Wellbutrin or Zoloft during/after pregnancy? What about Marinol (one of my friends suggested that)? Seeing a shrink is not really an option because my insurance would only cover so much and we can't afford the copay. I can't exercise as much anymore and with our financial concerns I can't really afford to get out and have some "alone time" right now. Church is my only real refuge (it keeps me from going completely crazy, I think). I feel so sorry for my husband because he doesn't know what to do and I've been so snappy with him lately and my poor little guy...Sometimes I wish he'd just go away and leave me alone. I hate feeling this way and I'm tearing up right now just thinking about how rotten I've been lately...

I'm sorry for the rambling. I really can't take the nasty remarks right now so I'd appreciate constructive comments only, please. Any advice or help would be appreciated. Thanks so much.

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So What Happened?

First, thanks to everyone who responded. Your responses were greatly appreciated.

I decided to go ahead and take the medication for these two months to see if it really has any effect. Remembering how tough it was to face depression w/o meds in high school made me realize that I needed to be all that I could be for my family. I feel that by taking the meds, I can help curb a problem that was affecting me, and hence affecting my family. During my third trimester, if I absolutely need it, I guess my only option is to try Zoloft, since that's the only antidepressant I know of that can be used while breastfeeding. I would prefer to not have to take meds at all, but I now realize how serious depression can be while pregnant, with a family, and I think neglecting to take the meds would just be downright selfish. I am confident in knowing that I can overcome this and prayerful that I won't have to take them during my third trimester or postpartum. Thank you all for your help.

More Answers

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J.N.

answers from Detroit on

I took Zoloft because that was the one my doc recommended due to the fact that i wanted to get pregnant and needed the medication too.

If you can afford it, I'd try to find a psychologist who is able to do a sliding scale - just being able to talk to someone is helpful and a lot of docs are willing to work with you, if you let them know that you have financial issues. Can you talk to your priest/pastor - "spiritual leader"? That might help too.

Also, it doesn't take a lot of money to get out once in awhile. Most the time when I go out I splurge and get a cup of tea or something small and journal....that helps a lot. Or just journal a bit while my little guy is napping. Sometimes, I'll just sit in the car at a park and just let my mind wander because I really don't want to do anything!

Just a few ideas that have worked for me. We don't have a lot of extra money so I can't always spend a lot, but just getting out and away from home does a lot for the soul.

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E.W.

answers from Detroit on

Sorry to hear that. It must be really hard on you. I'm not sure I'd be willing to try the drugs just yet, but sometimes, that is the only thing that will work...just use it as your last resort. Maybe try some meditation or aroma therapy first??? When I get really upset, sometimes even my favorite dance music helps change my mood. I know, it sounds kind of silly, but it can really work...music sooths the soul. For me, it's dance music cranked up loud...lol. Me and my kids will just start dancing around the house and singing together and I just forget about my problems for a little bit. Find your inner child and let it loose. Some times, we can get too wrapped up in being so responsible and trying to take care of everything that we forget to just be ourselves and have some fun and laugh like kids. Go watch cartoons with your son and giggle with him.

I know it's not easy with all the pregnancy hormones just taking over and you are feeling exhausted because your body is working so hard to build a baby, but you have to try to stay in control of your brain. Just take a deep breath and remind yourself that your are in control of you. Try to make yourself think positive everyday...find something positive and focus on it. Everyone has financial problems...you're not alone. Other people are getting divorced right now...you're not. Try to find the positives whenever you are feeling down about something. You are really not alone honey. We all get down now and then. I hope this helps in some way. Just keep thinking positive and try to get through it...and don't forget to have some fun and laugh. (((HUGS)))

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S.C.

answers from Detroit on

Hi Christina,

It's totally your decision whether you take the meds or not. With you asking for advice it seems as though things are a bit severe right now. I know the Wellbutrin works well for a lot of people but it isn't always right for everyone. I am currently taking it with a couple other things, too so I know the level of depression you are describing. You might want to consider going ahead and trying the Wellbutrin for the little bit of time you have before you get to your third trimester. It will give you an idea whether or not the meds will work and it will definitely ease the frustrations at home. If you really want to try it without then I suggest you pray everyday and find some music to help you through. I went through a nasty divorce while pregnant with my third child and had to quit my psych meds cold turkey. I left everything in God's hands and everything turned out alright. I didn't get frustrated or angry over anything because I had the peace that comes with knowing that someone else (God) is handling all the stressful stuff. I also listened to Creed's "Weathered" cd over and over for a good long time (skip the first two songs and really listen to the rest). That gave me strength and courage to face each day and make it the best I could. It helped me to count my blessings everyday, too. When I was done breastfeeding I went back on my meds and am still doing fine almost 8 years later. You are probably stronger than you think you are. Turn it over to God and pray. He will see you through!

Blessings - S.

S.S.

answers from Detroit on

I am currently 22 months pregnant. I began taking Zoloft at 14 weeks. It made me very nausious so I got it switched to Celexa. It has done wonders for me! And quick! They say it will take upto 6 weeks to kick in. But for me it only took about 1.5 weeks.

I have talked to the OB about the risks for the baby and they have to give you all the stats and sign a waiver saying you are aware of the risks. But they have also told me they personally have never seen these affects in their own practice.
I am soooooo glad I took it. Life has been so much better and enjoyable! Mind you it doesn't take away life issues but my attitude toward them is much better.

I'd be glad to talk if you want to discuss this further.

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A.W.

answers from Detroit on

I took zoloft and it worked wonders. I did the research and it really does not seem to effect the baby. I understand what you are talking about and I think that you are right that when you need it in order to take care of your family then you should do it! When people have not gone though it, they really don't understand. So, be careful when people who have never had it happen try to tell you how to "fix it". Pray about it and God will let you know what to do. He never fails! God uses all kinds of things to help us, even medicine! Hold on and God Bless!

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N.W.

answers from Detroit on

Christina,

I don't know much about the drugs during pregnacy. I would try not to take them...but your health is important too.

Really try to get some "alone" time. It doesn't have to cost money. Go to the libary and read magazines for an hour. Go to your room and do your nails or watch tv. Go for a walk, alone. Go to the grocery store alone. Go to the mall and window shop. Sometimes after just an hour of me time...I feel soooooo much better.

Best of luck to you.

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