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Trying to Conceive (TTC)
Reply to "Xanax during TWW?"
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[quote=Anonymous][quote=Anonymous]I just asked my doctor the same thing. Technically Xanax is a category D for pregnancy. Here's what Wikipedia says: "Benzodiazepines cross the placenta, enter into the fetus and are also excreted with breast milk. The use of benzodiazepines during pregnancy or lactation has potential risks. The use of alprazolam in pregnancy is believed to be associated with congenital abnormalities. Diazepam and chlordiazepoxide have a better safety profile in pregnancy than alprazolam. Women who are pregnant or are planning on becoming pregnant should avoid starting alprazolam.[26] Use in the last trimester may cause fetal drug dependence and withdrawal symptoms in the post-natal period[27] as well as neonatal flaccidity and respiratory problems.[28] However, in long-term users of benzodiazepines abrupt discontinuation due to concerns of teratogenesis has a high risk of causing extreme withdrawal symptoms and a severe rebound effect of the underlying mental health disorder. Spontaneous abortions may also result from abrupt withdrawal of psychotropic medications including benzodiazepines.[29] Benzodiazepines, including alprazolam, are known to be excreted in human milk.[30] Chronic administration of diazepam to nursing mothers has been reported to cause their infants to become lethargic and to lose weight." (https://en.wikipedia.org/wiki/Alprazolam) So, if you have some Valium (diazepam), think it might help, and are really worried about the possible risks, you could try that. My doctor said essentially "no" during pregnancy itself, but I think you're so early that it wouldn't make a difference. I'm not pregnant yet, so not sure what I would do, but here's what I think I might consider: * Get on the plane without taking Xanax. * Bring the Xanax with me. * If I get really nervous, take the smallest amount I can (half of a 0.5 if I can cut it in half). * If I'm still nervous, take a little more. * Try everything else I can think of to stay calm at a lower dosage than normal (deep breathing, relaxing music on an iPod, an engaging book to read, etc.) For me, I obviously don't want to hurt a baby, but I have to imagine that a full-blown panic attack is probably almost as bad as a little bit of Xanax. Obviously I'm not a doctor, though. My doctor did say that codeine was okay to take, and that she'd prescribe me a small amount for flying if/when I do get pregnant. But in general, I probably will just try not to fly once I know I'm pregnant - or only take easy flights where there isn't likely to be a lot of turbulence, etc. Hope that helps! Just my two cents! And good luck! A fear of flying is no fun![/quote] All of your advice applies when someone is pregnant or nursing, meaning that the woman is sharing bodily fluids (bloodstream or milk) with an embryo/fetus/baby. While I'm sure it is well-intentioned, the advice simply does not apply to OP and is likely to make her endure something stressful for no reason. In order for any Xanax or other medication to harm the embryo, the placenta must be functional so that mother and embryo can share a bloodstream. During the two week wait, that simply has not yet happened.[/quote]
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