Is It Safe for My Baby? - Anti-Anxiety Medications

(previously known as tranquillizers, e.g., benzodiazepines such as lorazepam (Ativan®), diazepam (Valium®), clonazepam (Rivotril®)

Risks During Pregnancy

Although the risk is small, some benzodiazepines have been associated with birth defects if used in the first trimester (first three months of pregnancy).
If used regularly close to the delivery date, the baby may be drowsy when it is born or may suffer from withdrawal symptoms, such as restlessness and feeding problems. But there are many ways to minimize and/or manage theshort-term symptoms that may occur. The baby should be watched closely.

Recommendations During Pregnancy

Because stopping benzodiazepines can increase the risk of the mother having a seizure, do NOT suddenly stop use without consulting your doctor.
If you and your doctor decide you are going to stop using anti-anxiety medications, get help to slowly reduce (taper) the medication.
If you and your doctor have decided that you should continue using anti-anxiety medications, be sure to tell the health care providers involved with the delivery of your baby so that they can monitor your baby and watch carefully for signs of withdrawal at birth.
Ask about relaxation techniques, counselling and other ways to help you deal with anxiety and problems sleeping without medications. It is important to sleep well when you are pregnant.

Risks During Breastfeeding

These medications may cause mild drowsiness in the baby. The risk of drowsiness increases with higher doses.

Recommendations During Breastfeeding

Because stopping these medications increases the risk of you or your baby having a seizure, do NOT suddenly stop taking them without consulting your doctor.
If you and your doctor decide you are going to stop using anti-anxiety medications, get help to slowly reduce (taper) the medication.
It may not be a possibility, but ask your doctor if you can time your dose with breastfeeding times.
Ask about relaxation techniques, counselling and other ways to help you deal with anxiety and sleep better without medications. Remember that getting enough sleep is extremely important in the post-partum period.