Toolbox: Psychotropic use in pregnancy and lactation
When designing treatment regimens for patients with psychiatric illness, recommendations for treatment of pregnant or breastfeeding women can be particularly complicated. Safe and appropriate medication use in this patient population may vary based on the patient's stage of pregnancy and whether or not she plans to breastfeed. The pharmacist is often asked to help guide these decisions and to recommend medications that will minimize toxicity to the fetus or newborn child while also ensuring efficacy and control of the patient's psychiatric symptoms. The appendices on the following pages were designed to help the psychiatric pharmacist quickly review the FDA's pregnancy categories as well as current data regarding the use of psychiatric medications in a pregnant or breastfeeding patient. The appendices include:
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Psychotropic use in pregnancy and lactation: pregnancy categories
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Psychotropic use in pregnancy and lactation: lactation categories