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Published on: August 11, 2015
Pharmacologic Treatment of Perinatal Depression
Mary C Kimmel1, Elizabeth Cox1, Crystal Schiller1
1Department of Psychiatry, University of North Carolina-Chapel Hill, Campus Box 7160, Chapel Hill, NC 27599-7160, USA.
Abstract:
This review provides information about medications used to treat perinatal depression, including guidance around when to use certain medications and when to consult a mental health provider. For each group of medications, including selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, mirtazapine, bupropion, lithium, atypical antipsychotics, and lamotrigine, the risks and benefits of treatment during pregnancy and lactation are reviewed, and unique qualities of each medication. A treatment algorithm is included and a description of the Food and Drug Administration's approach to providing information about medications. The article also discusses hormone therapies and future directions for new pharmacologic treatments.
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