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MRCOG PART 2 SBAs and EMQs

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Drugs and pregnancy

Posted by AMRO R.

Answer (B)

Paroxetine should be avoided during pregnancy , it should only be used if the potential benefit outweigh the potential risk to the fetous (mainly cardiovascular malformation) taking into consederation the risk of untreated severe depresion. Abrupt discontinuation should be avoided.

Posted by Farrukh G.

Correct answer = C

 

PSYCHIATRIC DRUGS AND PREGNANCY – NICE GUIDANCE

Antidepressants

  • The risks of taking tricyclic antidepressants during pregnancy and when breastfeeding are better established than those of newer drugs, although the issues of tolerability and risk in overdose remain. Most antidepressants appear in some concentration in breast milk although the effects on the infant are not well understood.
  • If a woman taking paroxetine is planning a pregnancy or has an unplanned pregnancy, she should be advised to stop taking the drug.