I've recently been diagnosed with narcolepsy, which means I will soon be on a cocktail of medications. I'm going to get my symptoms under control before trying to get pregnant, but ideally I would pick medications now that I could stay on through a pregnancy (and through breastfeeding if at all possible). Can you tell me which of these would be better choices for pregnancy and breastfeeding? Or which are not permitted at all?
Thanks in advance. My doctors seem to want me to either be entirely unmedicated (not possible), or not have a child.
The categories are:
1. A tricyclic antidepressant to initiate sleep. A small dose (12.5 -25 mg) of Amitriptyline is what I'm on now, but a similarly small dose of Trazadone is sometimes used.
2. An SSRI or SNRI to suppress REM sleep. The recommended ones are Effexor, Zoloft, Prozac, or Cymbalta. I've used Cymbalta in the past and would prefer that one, but it seems there might be less info available on its use during pregnancy?
3. A stimulant to keep me awake during the day. Ideally Provigil or Nuvigil, but Ritalin or Adderoll are sometimes used, too. I have not yet tried any of them and so don't have any preferences yet.
4. A "serious" sleep medication: Xyrem. I know xyrem was category B and then was recently changed to category C but I can't find any more information on the medication in pregnancy (or breastfeeding).
Thanks in advance.
Thanks in advance. My doctors seem to want me to either be entirely unmedicated (not possible), or not have a child.
The categories are:
1. A tricyclic antidepressant to initiate sleep. A small dose (12.5 -25 mg) of Amitriptyline is what I'm on now, but a similarly small dose of Trazadone is sometimes used.
2. An SSRI or SNRI to suppress REM sleep. The recommended ones are Effexor, Zoloft, Prozac, or Cymbalta. I've used Cymbalta in the past and would prefer that one, but it seems there might be less info available on its use during pregnancy?
3. A stimulant to keep me awake during the day. Ideally Provigil or Nuvigil, but Ritalin or Adderoll are sometimes used, too. I have not yet tried any of them and so don't have any preferences yet.
4. A "serious" sleep medication: Xyrem. I know xyrem was category B and then was recently changed to category C but I can't find any more information on the medication in pregnancy (or breastfeeding).
Thanks in advance.
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