Change Of Ssri Before

my wife had sever panic attaches and anxiety depresion .pschitrist prescribe citlopram .sertraline .venlofloxine one by one but thy did not works .at the end seroxate i.e.paraxatine works well .but now it is said that paroxatine is not safe in pregnancy.when we try to stop or decrease dosage of proxatine depresion become worse.plz help us how manage this situation.


MBBS,FCPS | Karachi

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detailed history is required, like current medicine and dosage, past medicine and their duration, and duration of depression and anxiety, if your wife is pregnant then choice of drug is sertraline and the 2nd choice is fluoxitine.