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Suicidality and SSRI’s: An Update

November 1, 2003

Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.

Just when we thought we could finally dismiss the notion that SSRIs cause suicidal ideation, along came the Brits!

Breast-feeding and Antidepressants: An Update

May 1, 2003

Daniel Carlat, MD

Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.

There’s nothing like a close friend suffering psychiatric difficulties to motivate a psychiatrist to do some serious reading. Recently, your humble editor encountered this situation.

SSRIs in Pregnancy: Third Trimester Concerns

May 1, 2003

Daniel Carlat, MD

Daniel Carlat, MD Dr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.

You may not know it, but this year marks a milestone in the world of SSRI teratology research. Ten years ago, JAMA published the first controlled study of Prozac exposure in pregnancy (1). The results? Neither Prozac nor tricyclics caused more birth defects than controls, but both antidepressants caused more neonatal complications.

Dr. Victoria Hendrick on Using Meds in Pregnancy

May 1, 2003

Victoria Hendrick, MD

Victoria Hendrick, M.D. Director of Pregnancy and Postpartum Mood Disorders Program Assistant Professor of Psychiatry and Biobehavioral Sciences University of California, Los Angeles

Dr. Hendrick, there has been a lot of confusing and seemingly contradictory data about the safety of SSRIs during pregnancy. What’s your take?

An OB/GYN Perspective

May 1, 2003

Roseann Gumina, M.D., is an obstetrician/gynecologist in private practice in Milwaukee, Wisconsin. Like most OB/GYNs, Dr. Gumina sees more pregnant women on antidepressants in a given year than most psychiatrists are likely to see in a lifetime, and her perspective is informative.