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Xanax while pregnant If you suffer from depression, insomnia, panic attacks or disorder, your doctor is likely to prescribe you Xanax (Alprazolam). This benzodiazepine copes with the above mentioned conditions faster and better than most other medications that boast similar effects. But can you administer Xanax while pregnant first trimester?

What Does Category D Drug Mean?

All FDA-approved medications fall into several categories depending on their uses and effects. Xanax is known as the remedy that belongs to the D category, which means that there’s clear evidence that the medication impacts the fetus in a negative way.

BUT, if a doctor is sure that risks are minimal or they are absent, he can prescribe the drug to its pregnant female patients. Again, cases differ from woman to woman. During the 1st trimester the fetus develops at a very fast pace. So, it is normally not suggested to consume Alprazolam during this time to escape birth defects. Does it mean that the medication can be administered later? Well, if consumed during the second or third trimester, the baby will show the signs and symptoms of withdrawal after birth.

Latest Researches

The researches of 2005 contradict the FDA statements, but only partly. In October 2005 it was reported that though in some cases there’s a positive connection between this benzodiazepine and oral thefts, Xanax doesn’t pose a really significant risk of birth defects.

Does it mean that taking Xanax during early pregnancy is safe? There are no proofs like that. In fact, researchers warn that the infants, whose mothers took Alprazolam during the 1st trimester, demonstrate:

  • Reluctance to suck;
  • Sedation;
  • Impaired metabolic response;
  • Hypertonia.

These are the so-called short-term effects. As to the long-term ones, they haven’t been reported or studied yet.

Taking Xanax While Conceiving

We’ve already mentioned that Xanax and pregnancy first trimester can’t go hand in hand safely. There are always minor or severe adverse body reactions to be experienced. But should you stop administering these pills, if you are trying to conceive? No. It is proven that you can still be on Alprazolam when trying to get pregnant. If you are too afraid of possible risks, talk to your healthcare provider before refusing from consumption. Any sudden stop makes a person experience withdrawal symptoms that may have a negative effect on pregnancy. A healthcare specialist will help to go through the withdrawal period safely.

We suggest turning to a specialist right after you find out you’re pregnant, because withdrawal takes time. It some cases it may last up to 2 months or even more, which is dangerous for the fetus. During the 1st trimester the risks are always very high due to the high chances of miscarriage.

Basic Precautions for Conceiving Females

You need to consider quitting Xanax right after you decide to conceive. We’ve mentioned that it’s not necessary and can be done after getting pregnant, yet as the withdrawal process will last for months, you should start doing that beforehand. Have a professional consultation: a doctor may prescribe medications that are safer and provide similar effects.

Don’t be so sure that you should quit taking the drug only during the first trimester. Most doctors are more concentrated on this period only because the first three months are very important and the risks of losing a baby during this time are higher. What about the second and third trimesters? Never take Xanax or any other psychotherapeutic medications during the latter phases of your pregnancy. This may put both you and your baby at risk.

Alprazolam Withdrawal Symptoms during Pregnancy

Xanax early pregnancy withdrawal is usually not that severe, if scheduled and organized by a medical professional. However, some symptoms remain and all a woman should do is to suffer through all of them.

Please, focus on the withdrawal symptoms and signs. Most of them do not affect the fetus, yet there are some that do:

  • Weight loss;
  • Insomnia;
  • Increased anxiety & sensory perceptions;
  • Heightened mental alertness;
  • Maniacal episodes.

A pregnant woman should never ignore the above-mentioned symptoms, because they all are specific to the brain activity. The mental state affects the health and well-being of a baby even more than the physical one.

And finally, Xanax and early pregnancy period can’t be combined, because this medication is associated with the increased frequency of cleft lip or palate. Children, whose moms took pills during pregnancy, often have mental, physical and behavioral problems that are hard to treat or change. If your baby’s health and well-being is your priority, forget about Xanax use for 9 months (the pregnancy period) as well as during the lactation term.

Dr. Andrew J. Olson

Author: Dr. Andrew J. Olson

Dr. Andrew J. Olson is a PHD in psychiatry. He is also a psychiatrist consultant at the Royal Berkshire NHS Foundation Trust. He also serves as a Clinical Director of the Department of Psychiatry, at Royal Marsden Hospital, in London, UK.


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If you suffer from depression, insomnia, panic attacks or disorder, your doctor is likely to prescribe you Xanax (Alprazolam). This benzodiazepine copes with the above mentioned conditions faster and better than most other medications that boast similar effects. But can you administer Xanax while pregnant first trimester? What Does Category D Drug Mean? All FDA-approved medications fall into several categories depending on their uses and effects. Xanax is known as the remedy that belongs to the D category, which means that there’s clear evidence that the medication impacts the fetus in a negative way. BUT, if a doctor is sure…
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