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Old 05-20-2019, 05:24 AM #1
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Confused Pregnant with BP2

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 donít know what to do and need some hard data since I am debating going back on a low dose of Lamictal. Iím almost in my 2nd trimester. I heard initially pregnancy was ďprotectiveĒ but it has been a roller coaster so far for me. First off Iím 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. Iím trying, I do yoga, walking, but itís 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 hadnít had these kinds in awhile. One yesterday on our anniversary of all days 😒 Iím in therapy, Iím trying to remember my DBt skills, but Iím tired and I want to go back on meds but Iím 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? (Iím almost 11 weeks)

What about the rash? Bc I was on it once without it Iím 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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Dx:
BP 2, PTSD, BPD traits
Rx:
Lamictal 200mg
Lexapro 10mg
Seroquel 25mg

ďThere 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.Ē
― Richard Bach

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Old 05-20-2019, 06:24 AM #2
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Default Re: Pregnant with BP2

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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Old 05-20-2019, 06:52 AM #3
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Default Re: Pregnant with BP2

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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I have Bipolar type 1

Tegretol XR generic (1200 mg)
Lamictal generic (100 mg)
Seroquel XR generic (600 mg)
Latuda (20 mg)
Klonopin generic (0.5 mg)

PRNs - Seroquel IR generic (25 to 100 mg in a day), Ativan (1 mg, up to 3 mg/day)

Others: Propranolol (40 mg), Synthroid (150 mcg), OTC multi-vitamin, OTC iron supplement (during periods), Biotin supplement (for my otherwise thin fingernails)
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