The gyn said I was fine on lamictal and that i am at low risk. gave me prenatal vitamins with .8mg folic acid. I was on 200mg lamictal. I trust this gyn because she has at least 40 years experience. She bound to have dealt with special cases before right? She took good care of me and said go ahead your ready!
then my tdoc said well lets talk to the pdoc just to in case.
this tdoc was like oh no cleft palate and prenatal vitamins are not going to prevent cleft palalte from the baby. You need to see s reproductive specialist here go to this adress and tell them I referred you to such in such doctor.
She lowered my lamictal to 100mg and gave me abilify 5mg. Saying that abilify is safe for pregnancy.
I went to the place she told me to go and they had me talk to a social worker, they up my tdoc to ask a few questions about me, and then sent me on my way home. The place was very far away from my house. it was practically a waste of time. nothing got done and i still got no answers.
so i am under the impression that its my call on what i want to do. I say then take me off lamictal completely and put me on abilify. thats it. I am going to propose this idea since no one can help me apparently.
Quote:
Originally Posted by Mari
Hi,
Do you have a gyn? Some gyn's specialize in high risk pregnancies -- for example women who have bipolar and are pregnant. The doctor can work with you to provide appropriate care. Taking medications during pregnancy is a personal decision that you make based on the advice of those doctors, your own history, and how you feel about being pregnant. Who has been giving you non-helpful advice??
Most of the advice is to taper down before getting pregnant with a pdoc's help. Then the pdoc might help you titrate back up at a certain point in the pregnancy.
Everything has some degree of risk, including pregnancy with no bipolar and no need for meds at all.
What matters is how you feel about the amount of risk.
http://www.safefetus.com/fda_category.asp
Drugs for pregnancy are classified into categories of
A (very safe as far as researchers know)
B (Safety unknown, seems to have no bad evidence),
C (Drugs should be given only if the potential benefit justifies the potential risk to the baby),
D (There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk -- e.g., if the drug is needed in a life-threatening situation or for a serious disease for which safer drugs cannot be used or are ineffective).
X ( Studies show no go. The drug is contraindicated in women who are or who may become pregnant.)
http://www.mcmanweb.com/mood-stabilizers.html Lithium = category C
Depakote = category D
Tegratol and Trileptal = category D
Lamictal = category C
Lithium = category C
http://www.mcmanweb.com/antipsychotics.html
The a nti-psychochotics are usually in Category C or D.
The benzos fall into Category D or X
http://www.bcnc.org.uk/BZ_pregnancy.pdf
Who in real life is available for you to talk to?
M |