Conversation: The conversation between human and AI assistant.
[|Human|] I m on 4mg of klonopin a day and I just found out I m pregnant. I suffer from severe panic attacks and I m also on bupropion 150mg and and 100mg of sertraline for to help with both depression and anxiety. I have cut down on the klonopin to 2mg but I m scared it will harm the baby. I m only about three weeks along. Is there any options to look at as far as replacing the klonopin to something safer? Thank you do much!!! Ivy
[|AI|]  Hello, thanks for the query. I admit that your concerns about the baby are indeed well-informed. Clonazepam (Klonopin) is a benzodiazepine which is known to cause conditions like cleft palate in baby. Similarly, though very low, but sertraline can also cause some problems in baby like pulmonary hypertension. Though data on bupropion is not definite; but all in all its safe to avoid all of these 3 Chat Doctor.  Also, bupropion exacerbates anxiety symptom & may not be a good option for your problem. Hence, you can switch to less risky options like Escitalopram which are relatively safer for your baby & you can consult a Psychologist to learn antigenic relaxation exercises, cognitive behavior therapy (CBT), exposure & response prevention rituals (ERP), deep breathing exercises which are tad slow but proven to improve anxiety & panic attacks. Lastly, do try yoga, Panama & 30 minute daily physical exercise in addition to all these. You can revert to me for further help. Good luck