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Q: Xanax during pregnancy: risk to fetus?
asked by: DoctorQuestion on March 29th, 2007
I just found out today that I am approximately 3 weeks pregnant. I am very excited about this news, however, I am very concerned because I took one Xanax somewhere between weeks 2 & weeks 3 of my pregnancy. What permanent risks are there to the fetus? What should I be asking my doctor? Are there tests to determine the health of my baby? I want to enjoy this pregnancy, but am so overwhelmed by the idea that I may have hurt my baby...please help!


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Dr. Nikola Gjuzelov , MD
replied on April 16th, 2007
Pregnancy Answer A2558
It doesn't seem likely that you are 3 weeks pregnant. Pregnancy is counted from the first day of your last menstruation, not from the day of conception. According to your last menstruation on the 22nd February, it seems that you are 5 weeks and 1 day pregnant at the moment you are asking this question (the 29th of March).


Xanax (alprazolam) is a benzodiazepine used for short term treatment of anxiety. Pregnant women should avoid Xanax because it can cause muscle weakness and respiratory problems in the newborn. Xanax (alprazolam) belongs to "Pregnancy Group D", which means it can cause congenital anomalies if used in the first trimester of pregnancy. I don’t believe that one pill of Xanax can damage your baby but you must tell your gynecologist about this. There are no specific tests that can tell us if your fetus was damaged, or not, at this stage of pregnancy. You can only perform the scheduled ultrasound scans. Your gynecologist may ask for more information, if necessary.








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