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Re: Trileptal and Menstrual Problems

Posted by Bowtie Bob on August 31, 2005, at 15:33:52

In reply to Re: Trileptal and Menstrual Problems » starbaby, posted by Glydin on August 31, 2005, at 10:56:37

> > Do you know where there is something documented on
> > this? This is the first time I've heard of such a thing. My daughter isn't sexually active, but when the time comes that we need to talk about contraception, I'd like the gynocologist to be aware of it, if she isn't already.
> >
> > Thanks,
> >
> > *starbaby*
>
>
> Hi starbaby,
>
> Below is a list of patient warnings and precautions from an RX site. I know it was a BIG warning from my daughter's neurologist aand her GYN. They basically told her that oral or patch contraception could not be counted on and a backup method was required. I guess the key words is "can decrease" but they basically told her not to expect contraception from the methods I've named while she was on Trilep.
>
> The other deal is she has blood chems done about every 6 months as it can also decrease sodium levels in some individuals. My daughter has done well on it and we were fortunate to be given excellent info on it's use and such...
>
> Best to you,
> Glydin
>
> The list:
>
> Avoid long exposure to the sun and use a sunscreen and protective clothing.
>
> Do NOT abruptly stop this medicine without talking to your doctor.
>
> Be cautious when driving or performing other hazardous activities. This medicine can impair judgment.
>
> This medicine can cause dizziness or drowsiness.
>
> Diabetics should be aware that this class of drugs may alter blood glucose levels.
>
> Carry an identification card with your to let doctors and emergency personal that you are taking this medication.
>
> Use caution in hot weather. Drink plenty of fluids and avoid getting overheated.
>
> *****This medicine may decrease the effects of birth control pills. Use a backup form of contraception while taking this medicine.*****
>

The sodium issue is important with Trileptal. Apparently, if it is not seen during the first 6-7 weeks, the chance of it happening is very low, unless other meds are changed. In fact, some SSRIs can cause decreased sodium. I wonder how many Psychs will check sodium on a regular basis like they do liver function while on Depakote. As far as the birth control goes, can the doc simply RX a higher dose of the estrogen...?


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poster:Bowtie Bob thread:545894
URL: http://www.dr-bob.org/babble/20050827/msgs/549257.html