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Discussion Starter · #1 ·
I know I need my meds now. I've been sick for a long time, and fighting to keep my head above water. The expletive hit the fan a few weeks ago, and I decided I needed to go back on my lamotrigine, which I stopped taking once I found out I was pregnant (I thought I'd be okay during pregnancy and breastfeeding, which was the case with my ds; unfortunately the "cocoon" effect wore off early with dd). At first I thought I'd just continue to b/f and watch dd for any signs of reaction. It's an L3, and she is almost 1, so her system should tolerate it better than a really little baby.<br><br>
But then my doctor tells me I should wean. That the drug is relatively new, and we have no real information about the long term effects of it on children. The plasma levels in b/f kids are relatively high. And I keep thinking, dd is already predisposed to having mental illness due to her genetics on both sides. Do I really want to expose her to a drug that messes with brain chemistry before she's even 1? I trust my doctor. He's actually very holistic, never pushes drugs, selectively vaxes his own son, recommends alternative therapies, etc., etc.<br><br>
But I'm so sad. I know it'll be a grieving process, but it's that much harder because she just started saying "nurse", and she LOVES nursing. Seriously, this kid still nurses 13 times a day. I don't even know how to begin the weaning process. I b/f my ds until he was 2.5 and it was such a natural, slow thing. We were both ready to stop. And with dd, right now, neither of us is ready. It's going to be hard no matter how gentle I try to make it. And I'm a single parent, so it will actually be harder for me in many ways to mother her, both during and after weaning.<br><br>
I resent this illness so much. I'm so angry and feel so helpless right now. If I don't take the meds, I'm putting my own life at risk and setting my children up for trauma. If I continuing b/fing, I put my daughter's health at risk in unknown ways. That could sound benign, but people once thought lead was benign, kwim?<br><br>
Thanks for listening. I'm not sure that I need advice. Just a place to vent, I guess.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Please know that many moms do continue to BF on lamotrigine but it is a personal choice.
 

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ok, you got me wondering since I do take it and my pdoc says its fine. I went to Hales website and he says its fine to BF on even at doses up to 800mg/day. There are multiple posts on the drug under Anticonvulsant Medications <a href="http://neonatal.ttuhsc.edu/lact/medicationforumspage.html" target="_blank">http://neonatal.ttuhsc.edu/lact/medi...orumspage.html</a> perhaps reading the forums might put your mind at ease?<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Here's some more info. I love Hale's site but I always double check it with lactmed also.<br><br><a href="http://toxnet.nlm.nih.gov/cgi-bin/sis/search/f?./temp/~pT1XBi:1" target="_blank">http://toxnet.nlm.nih.gov/cgi-bin/si...temp/~pT1XBi:1</a><br><br>
FTR, of course only you must do what you feel is best but as great as we think our doctors may be they will almost always veer on the side of weaning when it comes to meds. They have to think of liabilities.
 

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I REALLY wish I'd know this when our last DD was still nursing. I too am most stable on Lamictal (or the generic) but was told years ago that it wasn't safe for pregnancy or breastfeeding, so I waited 4 years to get back on it (2 pregnancies, 2 babies that nursed until 18 and 22 months). I was SO unstable during that time, I did a lot of emotional damage, hopefully that will not be permanent to anyone, but while I still struggle, I am doing a LOT better back on medication.<br><br>
As everyone said, it has to be a personal choice but do read the articles and give it some good thought. I know the thought of weaning is a very hard, sad one. (((hugs)))
 

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Discussion Starter · #7 ·
Thanks, everyone. I'd seen the Hale site, but not the toxnet one, which listed some studies I hadn't seen before.<br><br>
The more I read, the more it seems that it wouldn't hurt to at least go really gradually with weaning. That takes the pressure off for the moment, which is good. I'm in a place right now where I'm finding it hard to stand up, let alone figure out how to wean my dd. And she has a cold and is teething right now, poor thing. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
One thing I'm uncomfortable with over the long term, though, is Hale's reference to the fact that anticonvulsants are known to cause cognitive delays. Then a study listed on the toxnet site says they found no difference in cognitive function between b/f and ff groups. But there should be a difference! Bf kids are supposed to have a 10 point advantage, IQ-wise. And I doubt that many of those infants were b/f for longer than six months to a year. So, is there a cumulative deficit created over time? Of course, no one knows.<br><br>
Such a tough decision. Thanks for all the input.
 

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<div>Originally Posted by <strong>vocalise</strong> <a href="/community/forum/post/14732556"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thanks, everyone. I'd seen the Hale site, but not the toxnet one, which listed some studies I hadn't seen before.<br><br>
The more I read, the more it seems that it wouldn't hurt to at least go really gradually with weaning. That takes the pressure off for the moment, which is good. I'm in a place right now where I'm finding it hard to stand up, let alone figure out how to wean my dd. And she has a cold and is teething right now, poor thing. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
One thing I'm uncomfortable with over the long term, though, is Hale's reference to the fact that anticonvulsants are known to cause cognitive delays. Then a study listed on the toxnet site says they found no difference in cognitive function between b/f and ff groups. But there should be a difference! Bf kids are supposed to have a 10 point advantage, IQ-wise. And I doubt that many of those infants were b/f for longer than six months to a year. So, is there a cumulative deficit created over time? Of course, no one knows.<br><br>
Such a tough decision. Thanks for all the input.</div>
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The majority of babies are not even BF for 3 months (current stats for the US is only about 1/3 that started BFing are still bfing at 3 month) so that's why you don't see the difference especially when your looking at a population who is not likely to BF for health reasons whether its physical or mental. Most babies are only BF for a couple of weeks at most. As for the BF giving 10 IQ points you have it backwards, formula feeding causes a 10 point IQ drop. BFing is what babies are designed to be fed therefor the scores for totally BF infants is normal and not the formula fed kids which we usually think of as normal. Yes I know there are moms who have to use formula and no I don't need input from them on how smart there kids are, I'm speaking in general across wide populations, single cases don't make good arguments.
 

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I just posted on the bi-polar thread about this, I did homemade formula and my son is healthier than his bf/no drugs sister by far. If you are interested, I can pm you the recipe. I fed it to him until he was 3. It's definitely work, but in the long run I'm really happy I did it on the health end. I'm with you though, I wish I had known that Lamictal was sort of safe in nursing so I could have nursed him a little longer.
 
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