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It should be noted that the diagnosis of PMDD does exist during pregnancyFluoxetine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetusAll pregnancies have a background risk of birth defectslossor other adverse outcome regardless of drug exposure.

Antidepressant medications are used to treat a variety of conditionsincluding depression and other mental/mood disordersThese medications can help prevent suicidal thoughts/attempts and provide other important benefitsHoweverstudies have shown that a small number of peopleespecially people younger than 25who take antidepressants for any condition may experience worsening depressionother mental/mood symptomsor suicidal thoughts/attemptsThereforeit is very important to talk with the doctor about the risks and benefits of antidepressant medicationespecially for people younger than 25even if treatment is not for a mental/mood condition.

During pregnancythis medication should be used only when clearly neededIt may harm an unborn babyAlsobabies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficultiesseizuresmuscle stiffnessor constant cryingIf you notice any of these symptoms in your newborntell the doctor promptly.

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the recommended dose of sarafem for the treatment of pmdd is 20 mg day given continuously every day of the menstrual cycle or intermittently defined as starting a daily dose 14 days prior to the anticipated onset of menstruation through the first full day of menses and repeating with each new cycle .

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