By vgreene, 5 October, 2020 Refer to mental health specialist combine pharma co tx psychotherapy 1 Pregnant pts1 2 warrant special consideration If MDD hx prior to pregnancy response to antidepressant meds stable on pharma co tx Weigh risk benefit to both pt fetus in continuing to o
By vgreene, 5 October, 2020 If pregnant pt had MDD hx prior to pregnancy responded to antidepressant meds is currently stable on pharma co tx
By vgreene, 5 October, 2020 Initiate SNRIs at low dose to ensure tolerability then titrate to an effective dose1
By vgreene, 5 October, 2020 Fluoxetine has long half life may not be best in pregnancy women planning to breastfeed1
By vgreene, 5 October, 2020 Sertraline may be best choice for pregnant women most appropriate postpartum in women who intend to breastfeed1
By vgreene, 5 October, 2020 Weigh risk benefit to both mother fetus in continuing to offer pharmaco tx per VA1
By vgreene, 5 October, 2020 Assess recurrence relapse risk Consider as potentially high risk if either of these 1