To the Editor: In their prospective naturalistic investigation, Dr Cohen and colleagues1 showed that among women who maintained their antidepressant use throughout the pregnancy, 26% had a relapse of major depression, compared with 68% of those who discontinued taking their antidepressants. They also found that women who increased or decreased their antidepressant use had a rate of relapse between those who maintained and those who discontinued their antidepressants (45% and 35%, respectively). The authors concluded that women with histories of depression who are euthymic while receiving antidepressant therapy should be aware of the association of depressive relapse during pregnancy with antidepressant discontinuation. These findings are very similar to those of lithium treatment for bipolar disorder during pregnancy.
Terao T. Antidepressant Treatment and Relapse of Depression During Pregnancy. JAMA. 2006;296(2):165–167. doi:10.1001/jama.296.2.165-a
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