Anti depressants reduced and feeling awful! 11 weeks pregnant

[N0va]

Hi! I'm a first time poster!

I am almost 12 weeks pregnant, I am a first time Mum. I have been on medication for mental health since I was 11 (so about 11 years) and was doing well on 150mg Sertraline and 50mg Mirtazipine. I found out I was pregnant so my GP wanted to review this, I was keen to do this to as I want to keep baby safe! However, despite a bit of protest from me, I was reduced down to just 50mg Sertraline.
I have had a really hard time with pregnancy in general, excessive sickness (now on tablets which do ease it a bit), all the usual pregnancy symptoms but I just can't get out of bed, I work from home so have been working from my bed and just feeling horrible! My mood is so low and I can't sleep, I'm unsure if it's just pregnancy or if it's linked to the significant medication reduction.

Does anyone have a similar experience or any advice? Having worked within LA children's services, I'm very conscious of my mental health being made to seem unmanageable, it is likely due to my childhood involvement with services and subsequent issues with a particular (not me!) ex family member including accusations, that they will be notified anyway.

I dont no why you are now only on 50mg sertraline because its the safest antidepressant while pregnant. There was a thread on here the other week about antidepressants and a couple people said they have had multiple children with no problems and been on 200mg sertraline during the pregnancy.. go back to your doctor and tell them you need more. Or speak to your midwife x

That’s so weird OP, I took 100mg all through pregnancy and no problems from GP or for baby. Go back to GP I suggest

Go back to the GP and tell them that the current medication plan isn't working for you. You don't have to suffer like this just because you are pregnant

Thanks so much everyone for responding, I thought that too from my own research prior to seeing gp but he was quite insistent that more than 50mg would be a risk. I will be getting in touch on Monday, failing that I will speak with my midwife!

Another one here saying go back to your GP - perhaps try a different one? I was in citalopram (I think I managed to reduce to 20mg but can't remember) throughout both my pregnancies. DH & I weighed up the risks and decided the risk to my mental health was much greater than the babies. Both DD's are perfectly fine.

Are u under the mental health perinatal team? I have been having 30mg mirtazipine and under them and when I have voiced my concerns they advised me that it doesn’t make a huge difference on the dosage and that their isn’t much affect on baby so I would speak to them if you can, in my experience the doctors don’t like to do much because they aren’t the most experienced when it comes to medication in pregnancy hence being under perinatal team. xXx
I hope you manage to get thing sorted as I know how difficult it is on a daily basis when your on too low a dose