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have you taken zolpidem whilst pregnant???

7 replies

clarabell79 · 12/03/2010 11:28

Hallo there,

I am currently five weeks pregnant. I had to stop taking zolpidem as there is no research which has tested its safety in pregnancy. However, my sleep is now non-existent is this is triggered the return of depression symptoms (i take citalopram 20mg). I am desperate to sleep and wondered if anyone else has used it occasionally with adverse effects.

Please help.

OP posts:
GetDownYouWillFall · 12/03/2010 15:06

I am so sorry you are going through this. Insomnia is truly terrible. I know because I have been through this myself and got caught in the zopiclone trap. Unfotunately zopiclone (same as zolpidem) is not your answer. It just sucks you in, gets you dependent and then you are no better off than when you started.

I'm sorry to say this as I don't want to worry you more than you already are, but zopiclone really is bad news in pregnancy. It can cause breathing difficulties in the newborn. Really the best, most effective and by far the safest option for you is CBT.

Have you looked into CBT? You can have sessions specifically designed to combat insomnia.

How often were you taking the zopiclone? If you took it regularly you may be physically dependent in which case it may be best to go back on a low dose and slowly wean yourself off. If you only took it occasionally it is unlikely you are dependent in which case I would strongly recommend you steer clear of it for the rest of your pregnancy.

Definitely worth a good honest chat with the GP and find out if he / she can refer you to any urgent CBT.

Best wishes to youx

fluffyguineapigs · 12/03/2010 15:45

Hi Clara I have bipolar and had zopiclone (same thing) during pregnancy as pg hormones caused a manic episode. I didn't want to take anything but the insomnia was so bad that I couldn't function without. I was prescribed one course of zopiclone (28 tabs) to last throughout pregnancy, and told to avoid wherever possible but take when absolutely needed. I was also told that it is ok to take halve a tablet.

I was actually dependant on zopiclone prior to the pregnancy (unexpected) and really did not think I could cut down, but v slowly reducing the dose worked, cutting tablets to 1/2 and then missing doses, knowing that I might not be able to sleep the night not taking the tablet but allowing myself one for the next night if I hadn't slept.

I took the zopiclone in the first four months. I believe there are some very, very slight risks to the fetus (cleft palate was mentioned), but that the risks are so low that they are only just above baseline figures.

Incidently I had a very loooong labour (8 days) and ended up going in and out of our maternity unit. Several times I was prescribed sleeping tablets to take while in hospital as although the drugs would cross over to the placenta, they were more concerned that I had some rest in order to be able to cope.

Another thing, if you absolutely feel that you cannot cope at the moment and it is causing your depression to return - if you are at work, could you ask your GP to be signed off for a time? When I was early pg like you, and feeling as if things were getting out of control I was told by my GP that I should not be working and was told to just take it very easy and was signed off for 8 days. This made a huge difference to me and I was able to re-establish some natural sleep patterns.

Also, do you have a perinatal mental health team in your area? They are a specialist team dealing with mental health problems in pregnancy and beyond the birth. They are far more informed than adult mental health teams and GP's about medications taken in pregnancy, and there may well be alternatives such as mood stabilisers that you could take. When you have your booking in appt the mw usually refers, but if you are having problems now, I believe you can self refer - it may be an idea to ring your gp urgently and ask them if they can either ring on your behalf or give you a number.

The suggestion about cbt is good too - and the perinatal team or your local adult mental health team will be able to help with this.

And finally congratulations on your pregnancy! You will feel better soon

clarabell79 · 13/03/2010 01:18

Thanks so much for your prompt responses!

I have been taking zolpidem for about 18 months every night before the pregnancy, and this at the recommendation of my doctor!! I have been off them for 11 nights. I have tried CBT and all the sleep advice and exercise. The doctor seemed not to be concerned about occasional use as long as I wasn't taking them all the time as the baby will suffer withdrawal.

I also see a wonderful therapist weekly for 2 years. It's just so frustrating to feel like all the hard work I've done these past years can be so quickly shaken by lack of sleep. . Do you think occasional use would be safe for my baby?

OP posts:
BeckyBendyLegs · 13/03/2010 10:33

You may have heard all this before too but...have you tried homeopathy or hypnotherapy? I started having sleep problems after Christmas as part of PND (and took zophiclone or whatever they are called for three weeks) and it has taken two months to sort it out to the level it is at now with firstly taking herbal tablets, then a homeopathic treatment and hypnotherapy sessions and Paul McKenna on my ipod. I wouldn't have believed it would work but it has. Touch wood!!!! I don't use anything now, not even the ipod. I don't sleep brilliantly but it is getting better each week.

clarabell79 · 13/03/2010 22:32

yes, I am seriously thinking about hypnotherapy and I plan to keep trying to stay off zolpidem. I will let you all know how I get on. Thanks so much for all your comments!!
c

OP posts:
fluffyguineapigs · 13/03/2010 23:45

I was told that occasional use of zopiclone would be fine, just they advise not the final trimister because they can make the baby sleepier at birth and may cause withdrawal symptoms.

However v occasional use should be fine - was given them by mw while in labour anyway.

Lorena2014 · 14/03/2020 14:56

Sertaline is safe while pregnant

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