This is an important question to discuss with your OBGYN. Xanax (alprazolam) is a pregnancy category D medication. Pregnancy category D means that there have been studies done on the medication in pregnancy and have found adverse (negative) effects on the fetus. This means that in general, most physicians would not recommend you use that medication. Most physicians would therefore not write the scrip while you are pregnant. My practice is to not prescribe category D medications while someone is pregnant unless the health of the mother is in danger. So the question is whether or not your treating physicians feel that your anxiety
and panic attacks are so severe that the risks of adverse effects on the fetus outweigh the benefits.
The best physician for you to discuss this with is your OBGYN who has the most experience (likely much more than your psychiatrist
) in pregnant women and what medications are the most risky. One alternative would be to switch from Xanax to another medication such as an SSRI. SSRIs are category C and therefore not really recommended either, but are in general safer in pregnancy than category D medications. SSRIs work better than Xanax for anxiety and panic attacks and this is why I never prescribe Xanax over an SSRI under any circumstance. In the end, you and your doctors
will have to make a decision weighing both the risks to your health and that of your baby's. Good luck.