You and your doctor must decide if you should take milnacipran if you are pregnant or become pregnant. There are no studies of pregnant women to determine whether this drug could harm an unborn baby. Studies have shown that babies born to lab animals given high doses of this drug are at increased risk for birth defects.
The U.S. Food and Drug Administration has determined that a risk to an unborn baby of a pregnant woman who takes this drug cannot be ruled out. However, the benefits of milnacipran may outweigh those risks.
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