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Pregnancy: Escitalopram use later in the pregnancy may result in an increased risk for neonatal complications, including persistent pulmonary hypertension of the newborn, which may require prolonged hospitalization, respiratory support, and tube feeding. Weigh the potential benefits of drug treatment against potential risks before prescribing this drug during pregnancy.
Administer escitalopram during pregnancy only if the potential maternal benefit outweighs the potential fetal risk. The decision to treat a pregnant woman with escitalopram should be made on a case by case basis.
Lactation: Evidence and/or expert consensus has demonstrated harmful infant effects when used during breastfeeding. An alternative to this drug should be prescribed or patients should be advised to discontinue breastfeeding.
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