Pregnancy
Some studies show that there is a slight increased change of physical birth defects when pregabalin is taken in early pregnancy, but more researched is needed to understand this. You are advised to use effective contraception while you are taking pregabalin.
If you become pregnant while you are on pregabalin, you should carry on taking it and make an appointment to see your doctor as soon as possible They can discuss the benefits and risks of continuing pregabalin and help you to make a decision that is best for you and your baby.
They may refer you to a specialist perinatal mental health team to support you with this decision.
You can find out more information about taking pregabalin during pregnancy at Bumps (Best Use of Medicines in Pregnancy).
Untreated anxiety can also be harmful to you and your developing baby, so decisions about stopping or avoiding medication when you are pregnant need to be discussed carefully with your doctor. If you and your doctor agree that it is best for you to continue taking pregabalin while pregnant, tell your midwife. If you are planning to get pregnant, it is recommended that you take folic acid while you are trying for a baby and during pregnancy. It is safe to take this together with pregabalin.
Post-natal
Some newborn babies whose mothers take pregabalin during pregnancy can get symptoms at birth and soon after, like restlessness or feeding difficulties.
Tell your midwife if you are taking pregabalin, so that they can help if the baby has any symptoms at birth.
Breastfeeding
Pregabalin is passed to the baby in breastmilk in small amounts.
If your baby was born early, then breastfeeding while you are taking pregabalin may not be recommended. Talk to your midwife and doctor about feeding options.
If you do breastfeed while taking pregabalin, seek urgent medical advice if your baby becomes restless, very sleepy or develops feeding problems.