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SilverSprings
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Confused May 20, 2019 at 05:24 AM
  #1
Hi all, after doing our first round of IVF, we are pregnant! I had intended to go off all meds which I had gotten down to a pretty low dose of Lamictal & Lexapro around the time I found out since it was planned.
However things have started degrading. I don’t know what to do and need some hard data since I am debating going back on a low dose of Lamictal. I’m almost in my 2nd trimester. I heard initially pregnancy was “protective” but it has been a roller coaster so far for me. First off I’m 38, high risk and my type of mood issue seems triggered by stress, fatigue, unmet expectations etc. pregnancy has amplified it. The first trimester I was taking Progesterone which I think helped me in some ways sleep but I stopped taking it which is the norm at week 10. I have had to leave my stressful job, am now working @ home and the struggle is not a lot of social interactions. I’m trying, I do yoga, walking, but it’s hard. I also had OHSS my ovaries were overstimulated from the meds, so that was very painful at times. I had a few arguments in recent weeks with my SO which we hadn’t had these kinds in awhile. One yesterday on our anniversary of all days 😒 I’m in therapy, I’m trying to remember my DBt skills, but I’m tired and I want to go back on meds but I’m so scared of side affects & hurting my baby. So my questions:

Is cleft pallet something that would happen only in 1st trimester? Am I out if the woods there? (I’m almost 11 weeks)

What about the rash? Bc I was on it once without it I’m scared to go back on and if I got that during pregnancy it seems really bad.

Is a low dose even going to help me?
Will baby suffer withdrawl?
Any other issues I need to consider?

Are there any other alternatives?

TIA

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Default May 20, 2019 at 06:24 AM
  #2
I don't know anything about medication while pregnant. If I was to have a child while being Dx'd I would attempt to be in an intensive outpatient program. That way you have extra support and the min. amount of medication because it can be adjusted faster and reduced faster.

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Default May 20, 2019 at 06:52 AM
  #3
Congratulations on your pregnancy, SilverSprings! Is this for a first child?

I can certainly understand your anxiety relating to medications. Is your psychiatrist experienced treating pregnant women with bipolar disorder? If not, is it possible to seek a more experienced psychiatrist in these matters, at least as a special consult (not necessary a permanent change)?
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Default May 26, 2019 at 11:44 AM
  #4
Hi there, my psych RN is somewhat experienced but I am way paranoid to take meds during pregnancy for fear of baby withdrawals. Yes it’s my 1st child. This is a whole new scary world for me.
I am worried, I’ve been so easy to trigger lately. This is the 2nd weekend in a row I really lost control over my emotions. Last weekend it was on our anniversary and this weekend today we had some friends who were supposed to come by not work out. My husband who surprised me with lots of mocktails & wanted to enjoy the day together regardless got s bitter, crazy, emotionally unstable person to deal with. :/

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Dx:
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Rx:
Lamictal 100mg


“There are no mistakes. The events we bring upon ourselves, no matter how unpleasant, are necessary in order to learn what we need to learn; whatever steps we take, they're necessary to reach the places we've chosen to go.”
― Richard Bach

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Default May 26, 2019 at 03:36 PM
  #5
It’s always best to have your Pdoc and OB work together to get you and your baby through it.

There are some psych meds that poise less risk than others

Be your own advocate, they both might need some prodding to get on the same page.

Congratulations

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