Antidepressants in Pregnancy and Breastfeeding

Evidence checked 2026-09-04 · 1.8863636363636 min read

How this option is used

Medication decisions during pregnancy and breastfeeding balance untreated illness, prior response, medicine-specific evidence and family preference. Abrupt stopping can also carry risk.

• Look at the full pattern, not one isolated sign.
• Consider safety, functioning and alternative explanations.
• Use qualified assessment for diagnosis and treatment decisions.

Benefits, side effects and safety for Antidepressants in Pregnancy and Breastfeeding

Medication decisions consider expected benefit, common and serious adverse effects, interactions, overdose risk, physical health, age, pregnancy, past response and possible bipolar symptoms.

Starting, reviewing and stopping for Antidepressants in Pregnancy and Breastfeeding

Agree when response will be reviewed and who to contact if symptoms worsen. Dose changes and discontinuation should be planned with the prescriber rather than made abruptly.

When professional assessment helps

Seek qualified support when low mood, loss of pleasure, hopelessness, fatigue, sleep or appetite changes, or impaired concentration persist or disrupt daily life. New or concerning physical symptoms should be medically assessed rather than automatically attributed to depression.

Questions to ask a clinician or program

• What benefit is expected and how long might it take?
• Which side effects, interactions and warning signs matter?
• How and when will response be reviewed?
• What is the plan for dose changes or stopping safely?

Urgent and crisis support

If you may harm yourself or another person, cannot stay safe, or are in immediate danger, contact local emergency services now. In the United States and Canada, call or text 988. In the UK and Ireland, Samaritans can be reached on 116 123. Elsewhere, use the crisis or emergency service for your location.