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Discussion Starter · #1 ·
I have type 1 Bi-polar for which I take lamictal and klonopin. Both of these drugs are class C -- very incompatable with pregnancy. We want to TTC in about 18-24 months. I would go off my meds. before TTC. Has anyone done this? How did it go? I'm really hoping to not have a severe relapse in symptoms.

Thanks for sharing.
 

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Well...it totally depends. I would work closely with a psychiatrist to make this decision; could be you could take something safer, at least while TTC, that you could taper off of early on, after you become pg. Or maybe there's something you could continue to take during pregnancy. Or maybe you'd be fine coming off meds altogether. I agree that the ideal is to take nothing at all during pg, but that's not always going to work.

If you shop around, maybe you could find a psychiatrist who would really work with you to explore options?

Good luck. I've been there and it's no easy thing to decide.
 

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Discussion Starter · #3 ·
Thanks for the reply. I do have a really good psychiatrist. I'll ask him to help me explore my options the next time I'm in. Do you know of any safer meds for type1 (manic) BP?
 

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Sorry, I don't. My diagnoses are major depression and ADD, so I know very little about what works for mania. Not much help, am I? Hopefully there is something that will work.

Sorry I don't know more!
 

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Discussion Starter · #5 ·
Quote:

Originally Posted by uptownzoo View Post
Sorry, I don't. My diagnoses are major depression and ADD, so I know very little about what works for mania. Not much help, am I? Hopefully there is something that will work.

Sorry I don't know more!
No problem
Thanks anyway!

I did find a site that said Haldol is safe during pg in high-risk patients. Due to the severity of my bi-polar, I'd like to be on something if its relatively safe.
 

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Quote:

Originally Posted by Camellia View Post
Due to the severity of my bi-polar, I'd like to be on something if its relatively safe.
Oh, yeah. It's all a question of balancing your needs and the baby's safety. And you have lots of other kids to care for! No way you can take 9 months "off" of mothering them because you get too sick to do so.

That's good news about haldol, and I'm so glad to hear that you have a good psychiatrist. I've had good ones, and I've had lousy ones, and a lousy psychiatrist is way worse than a lousy regular doctor.
 

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i am also bipolar I and am currently ttc.

i have a fantastic psychiatrist who is working very closely with me. i have taken a high dose of lithium for over a decade. i very much wanted to go off my meds as we began ttc despite the fact that i researched like mad and found that lithium is the safest drug (though, of course, not without its risks) to take while pregnant.

i brought this up with my doctor and after careful consideration of my particular experience with bipolar, he STRONGLY advised me not to discontinue my lithium. he explained to me in depth the effects of mania and depression on an unborn child and the risks of relapse postpartum if indeed i became ill during pregnancy. these risks are potentially greater than the risks of lithium exposure in the first trimester.

it is incredibly important that you honestly and clearly discuss this with you psychiatrist. while many women do incredibly well without medication during pregnancy, there are others who definitely do not. while ultimately the decision is solely your own, it is important that you give your doctor the chance to tell you things you may not want to hear. i most certainly did not want to hear what mine had to say, but after some time, i came to agree with him. i made the choice to continue with my medication at the lowest effective dose.

i continue to read every single article and study and if at any point i believe that the risk of lithium exposure is greater than the risk of relapse during/after pregnancy, i will gladly change my course!

this is an INCREDIBLE wealth of information that you should definitely check out as you continue your decision making process. be sure to print out any information you find interesting or confusing and take it to your doctor. sometimes we stumble across things long before our doctors do! i keep a huge binder of articles, etc. and every time i add to it, i make a copy for my psychiatrist. while i depend on his expertise, i know that my mental health is ultimately my responsibility! and besides, it's always good to know we're on the same page (literally!).
 

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I just wanted to say that I have a friend who stayed on Lithium throughout her pregnancy and now has a happy, healthy, bright, spirited, nursing (while mom takes lithium) daughter. She did have a bit of respiratory distress within a week of birth, but it just meant that they took her into the hospital (a few days after a homebirth) for observation.

Just wanted to throw a middle ground out there: rather than going off completely while ttc (which could take a while and is stressful, right?), one could just POAS, which you will be doing anyway, and go off when you get a BFP. No explosure until implantation, and then you'll know, right?
 

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It is wonderful that you have a good relationship with your doctor. A friend of mine is bipolar and did not want to go on meds while pregnent. She and her doctor worked together with a nutritionist and used amino acid therapy to help with the weaning off the drugs. HOWEVER she did monitor her symptoms with her doctor and the nutritionist very closely ( I guess a team approch). She found this worked for her and continued through the breastfeeding with it. Talk to your Dr. about other options that they recommend too.

Good luck.
 

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I'd recommend trying to find someone who is familiar with bi-polar medications and pg women. In my area, there is a hospital with psychiatrists who are specialists in the care of pregnant women on psychotropic medication, and they work closely with the OBS to ensure the health and safety of both mother and child. Perhaps your current psychiatrist would be willing to work with an OB to come up with the best plan for treating your illiness and having a healthy pg?

Good luck!
 

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Discussion Starter · #12 ·
Thanks for all the thoughtful comments everyone. The more I think about it, the more I think I'm done having kids. I need to get dh into have a vasectomy before I change my mind. I really think it would be poor judgement to have any more kids. Dang that poor judgement...it comes with having bi-polar
 
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