WARNING: Withdrawal can often be more dangerous than continuing on a medication. Please read this before discontinuing or changing any prescription abruptly.
Happy

PAXIL: Postpartum: Mother Has Worsening Depression with 2nd Baby

PAXIL:   PostpartumMother Has
Worsening Depression with 2nd Baby After Taking Antidepressants:  Had

Postpartum with 1st Baby and Recovered With No Meds:
U.S.A.

Sentences three through seven read:  ” I went through postpartum depression with my first baby eight years ago but at
that time I didn’t have anxiety and I didn’t take any medication.
And I started getting better after 3½ months itself. But now it’s
been three months that I am going through this. I have been
taking medications (Paxil 20 mg, Buspar 10 mg) and getting counseling but
it’s not helping much. I still don’t feel myself and am having unwanted
thoughts.”

http://www.cnn.com/2009/HEALTH/expert.q.a/09/08/postpartum.depression.raison/

Expert Q&A

updated 10:03 a.m. EDT, Tue September 8,
2009

How long will my postpartum depression last?

Asked by Sheeza Ashraf, Fremont, California

I have a
4-month-old baby. I am going through postpartum depression with a lot of anxiety
and panic attacks. I went through postpartum depression with my first baby eight
years ago but at that time I didn’t have anxiety and I didn’t take any
medication. And I started getting better after 3½ months itself. But now it’s
been three months that I am going through this. I have been taking medications
(Paxil 20 mg, Buspar 10 mg) and getting counseling but it’s not helping much. I
still don’t feel myself and am having unwanted thoughts. How long does

postpartum depression last? Is this temporary? Will this anxiety and depression
ever go away? Should I stop the medications and try it on my own? Does exercise
help to get out of the depression? Will I ever be normal like I was
before?

Mental Health Expert Dr.
Charles Raison
Psychiatrist,
Emory University Medical School

Expert answer

Dear Sheeza,

I am sorry to hear of your difficulties —
you are far from alone in your struggles with postpartum depression. Indeed, up
to 20 percent of women become depressed in the six months following delivery,
but company doesn’t help much when it comes to depression — or at least the
company we typically provide in the U.S. Traditional cultures understood the
vulnerability of new mothers and would often surround them with family and
friends to help with the significant emotional and practical burdens of coping

with the newborn.

I am going to make some general recommendations about
what you might want to consider doing, based only on the information you have
provided above. As always, this should not be taken as specific advice for your
actual situation. That kind of advice can come only from a clinician who knows
you and is involved in your care.

First and most important, it is very
important to continue medication when one is still depressed, so given what you
describe, I would counsel against stopping the antidepressant. It is not clear
how long you have been on the Paxil (generic: paroxetine), but let’s assume
you’ve been on it for at least six weeks. You are on a low dose. A reasonable
first step would be to talk with your doctor about raising the dose to 40 mg a
day and trying this dose for at least several weeks.

If you see no
benefit, there are in general two paths your doctor might recommend (and I say
doctor in the generic sense, given that many folks nowadays see physician
assistants or nurse practitioners who often — in my experience — do a better
job diagnosing and treating depression than do MDs). First, your doctor might
add a second antidepressant or an atypical antipsychotic to your Paxil. Although
they are called “antipsychotics,” these agents (for example Seroquel, Abilify,
Zyprexa) are also widely used to help with severe depression and anxiety and are
often quite effective. Second, your doctor might switch you from the Paxil to
another antidepressant. Unfortunately, we have no scientific way of knowing
which agent you should switch to — our best data suggest that they are all
about equal. But one thing is clear: Many people who don’t do well with one
antidepressant will have a great response to a different one.

Anxiety and
panic are quite common when one has a bad depression, and they can be more
miserable to endure than the feeling of depression itself. It is unlikely that
the low dose of Buspar (generic: buspirone) you are taking is of much benefit.
You might want to discuss with your doctor raising the dose to at least 10 mg
three times a day or discontinuing it. The best immediate way to relieve
disabling anxiety is through the use of benzodiazepines (for example lorazepam
or clonazepam). These medications can be lifesavers, but if you take them for
more than three or four weeks your body will become dependent upon them, and
should you want to stop, you will have to reduce them slowly under the
supervision of a doctor.

Let me say a word about exercise. Yes, exercise

has been shown in many studies not only to raise a person’s mood immediately,
but also to work over time as an antidepressant. Therefore, I strongly recommend
adding regular exercise to your treatment regimen. Try to exercise in the
morning, especially when it is sunny. To get the best effect you will need to
work up a sweat. I find that it is even better if you can exercise in a place
with some natural beauty — as being in nature is itself quite comforting for
most of us.

I don’t have an answer to your question about how long the
depression will last and whether it will ever go away. Everyone is different. We
do know, however, that the longer one stays depressed and/or the more episodes
one has had, the harder it is to treat the condition. This is just the
frightening truth of the disease, and it really highlights how important it is
for you to really get aggressive about your treatment. My sincere hope is that
whatever specific treatment route you follow, you will start feeling like
yourself again as quickly as possible.

Finally, whenever I talk about
specific pharmacologic treatments I need to disclose that in addition to my
academic work I have given lectures for two pharmaceutical companies in the last
year: Lilly and Wyeth. I have also served on an advisory board for Lilly in the
last 12 months.
[]

(309)

Save a Life, Share!

Ann Blake-Tracy, Executive Director of the International Coalition for Drug Awareness (www.drugawareness.org) Author: Prozac: Panacea or Pandora? - Our Serotonin Nightmare Withdrawal CD: Help! I Can't Get Off My Antidepressant! She has specialized since 1990 in adverse reactions to serotonergic medications (such as Prozac, Sarafem, Zoloft, Paxil, Luvox, Celexa, Lexapro, Effexor, Serzone, Remeron, Anafranil, Fen-Phen, Redux and Meridia as well as the new atypical antipsychotics Zyprexa, Geodon, Seroquel and Abilify), as well as pain killers, and has testified before the FDA and congressional subcommittee members on antidepressants.

Leave a Reply

You must be logged in to post a comment.

ICFDA News


Free Drug Awareness News
with Ann Blake-Tracy [newsletter] Newsletter

The Power Hour Show!

Ann was on The Power Hour With Joyce Riley Show Wed the 23th. Listen online Now: Listen Now

Jeff Rense-show

Ann was on the Jeff Rense show Mon the 7th. Listen online Now: Listen Now
members book store youtube channel

Order Today

"Ann B Tracy has boldly gone where few dare to tread…"
PROZAC: PANACEA OR PANDORA? OUR SEROTONIN NIGHTMARE (Second Edition)

Order TodayEverything your doctor does not know & drug companies hope NO ONE ever learns about serotonin & serotonergic medications (all antidepressants, atypical anti-psychotics & some pain killers) Also contains information on safe & successful withdrawal.
Book Excerpts
1. The Aftermath
2. SSRI Babies
3. SSRIs and Alcohol

Click on the book to order
or call (801) 209-1800 (801) 901-0818

Help! I can’t get off my antidepressant! CD

Order Today Or the MP3

Order Today

BOOK TESTIMONIALS

"VERY BOLD AND INFORMATIVE"

"PRICELESS INFORMATION THAT IS GIVING ME BACK TO ME"

"THE ABSOLUTE BEST REFERENCE FOR ANTIDEPRESSANT DRUGS"

"WELL DOCUMENTED &;
SCIENTIFICALLY RESEARCHED"

"I was stunned at the amount of research Ann B. Tracy has done on this subject. Few researchers go to as much trouble agressively gathering information on the adverse reactions of Prozac, Zoloft and other SSRIs."
More Book Testimonials

Archives

Archives

Top Tags

Eli Lilly
Johnson & Johnson
GlaxoSmithKline
Merck
Pfizer