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Depression during pregnancy and postpartum54–56 Prescribing in pregnancy and breastfeeding CHAPTER 7 Depression during pregnancy and postpartum54–56 Approximately 10% of pregnant women develop or have a pre-­existing depressive illness. Around a third of cases...

Bipolar illness during pregnancy and postpartum 722 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 7 association between mirtazapine use and major congenital malformations, spontaneous abortion, stillbirth or neonatal death.134 ■ ■First-­trimester ...

Anxiety and insomnia during pregnancy and postpartum 726 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 7 Anxiety and insomnia during pregnancy and postpartum Anxiety disorders and insomnia are commonly seen in pregnancy.196 Preferred treatments ar...

Attention deficit hyperactivity disorder (ADHD) in pregnancy

References Prescribing in pregnancy and breastfeeding CHAPTER 7 ■ ■Hypnotic benzodiazepine receptor agonists (Z drugs) are probably not associated with an increased risk of congenital malformations,211,212 but an increased risk of premature birth, low birth we...

Drug choice in breastfeeding

Infant exposure

General principles of prescribing psychotropics in breastfeeding 734 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 7 Drug choice in breastfeeding The long-­term benefits of breastfeeding on a child’s physical health and cognitive development are w...

Antidepressants in breastfeeding Prescribing in pregnancy and breastfeeding CHAPTER 7 ■ ■Where a mother has taken a particular psychotropic during pregnancy and until delivery, continuation with the drug while breastfeeding will usually be appropriate (but see...

Antipsychotics in breastfeeding

Mood stabilisers in breastfeeding

Hypnotics in breastfeeding 736 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 7 Antipsychotics in breast­feeding Table 7.3 provides information on individual drugs in breastfeeding based on available published data in mid-­2024. Manufacturers’ form...

Stimulants in breastfeeding

References Prescribing in pregnancy and breastfeeding CHAPTER 7 Stimulants in breastfeeding Table 7.6 provides information on individual drugs in breastfeeding based on available published data in mid-2024. Manufacturers’ formal advice on drugs in breastfeedin...

Hepatic impairment

General principles of prescribing in hepatic impairment The Maudsley® Prescribing Guidelines in Psychiatry, Fifteenth Edition. David M. Taylor, Thomas R. E. Barnes and Allan H. Young. © 2025 David M. Taylor. Published 2025 by John Wiley & Sons Ltd. Chapter 8 H...

Antipsychotics in hepatic impairment2 754 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 8 ­antipsychotics may have increased free plasma levels, at least initially. This will not be reflected in measured (total) plasma levels. Use lower doses of d...

Antidepressants in hepatic impairment2 Prescribing in hepatic and renal impairment CHAPTER 8 Antidepressants in hepatic impairment2 Of those treated with antidepressants, 0.5–3% develop asymptomatic mild elevation of hepatic transaminases.46 Onset is normally ...