Psycho-Babble Medication Thread 101427

Shown: posts 1 to 4 of 4. This is the beginning of the thread.

 

Kramer - Lamictal and pregnancy?

Posted by Cindy Lou on April 2, 2002, at 6:55:48

Hi Dr.Kramer,
Thanks for the time you are spending with us! It is very valuable ...

I am currently taking 80 mg of Lamictal -- I am very med sensitive and need to take small doses of meds, although I am trying to increase it. I also take a small amount of Klonapin at night (1/4 to 1/2 of a .25 mg tablet), and about 2.5 mg of Prozac every few days -- sounds crazy, I know, but I can't tolerate any more than that!

My main question is, can I still take these meds while pregnant? My husband and I hope to have another baby ... I had very bad post-partum depression/anxiety after my first. I also have long-term chronic depression (and have recently been re-diagnosed as BPII). I am doing just okay .. but keeping my head above water.

I have tried every med out there except for MAOIs and other mood stabilizers.

I had a miscarriage while on Zoloft + Wellbutrin, and I am scared to stay on meds, but also scared to get off of them.

Thanks in advance for your help!

cindy

 

Re: Kramer - one more ? - SAM-e?

Posted by Cindy Lou on April 2, 2002, at 7:34:02

In reply to Kramer - Lamictal and pregnancy?, posted by Cindy Lou on April 2, 2002, at 6:55:48

Hi again,
I forgot to ask you about SAM-e -- I've been reading about it on this board.

I was wondering --

1. Is it worth a shot to try it with my current combo?

2. Is there any reason I should NOT try it?

3. Seeing as I am very med-sensitive, are there certain side effects of SAM-e?

4. Can it help with fatigue?

5. Is it safe during pregnancy?

Thanks again,
cindy

> Hi Dr.Kramer,
> Thanks for the time you are spending with us! It is very valuable ...
>
> I am currently taking 80 mg of Lamictal -- I am very med sensitive and need to take small doses of meds, although I am trying to increase it. I also take a small amount of Klonapin at night (1/4 to 1/2 of a .25 mg tablet), and about 2.5 mg of Prozac every few days -- sounds crazy, I know, but I can't tolerate any more than that!
>
> My main question is, can I still take these meds while pregnant? My husband and I hope to have another baby ... I had very bad post-partum depression/anxiety after my first. I also have long-term chronic depression (and have recently been re-diagnosed as BPII). I am doing just okay .. but keeping my head above water.
>
> I have tried every med out there except for MAOIs and other mood stabilizers.
>
> I had a miscarriage while on Zoloft + Wellbutrin, and I am scared to stay on meds, but also scared to get off of them.
>
> Thanks in advance for your help!
>
> cindy

 

Re: Kramer - Lamictal and pregnancy?

Posted by Dr. Kramer on April 2, 2002, at 12:21:52

In reply to Kramer - Lamictal and pregnancy?, posted by Cindy Lou on April 2, 2002, at 6:55:48

> Hi Dr.Kramer,
> Thanks for the time you are spending with us! It is very valuable ...
>
> I am currently taking 80 mg of Lamictal -- I am very med sensitive and need to take small doses of meds, although I am trying to increase it. I also take a small amount of Klonapin at night (1/4 to 1/2 of a .25 mg tablet), and about 2.5 mg of Prozac every few days -- sounds crazy, I know, but I can't tolerate any more than that!
>
> My main question is, can I still take these meds while pregnant? My husband and I hope to have another baby ... I had very bad post-partum depression/anxiety after my first. I also have long-term chronic depression (and have recently been re-diagnosed as BPII). I am doing just okay .. but keeping my head above water.
>
> I have tried every med out there except for MAOIs and other mood stabilizers.
>
> I had a miscarriage while on Zoloft + Wellbutrin, and I am scared to stay on meds, but also scared to get off of them.
>
> Thanks in advance for your help!
>
> cindy

Some women find pregnancy protective for their mood disorders, others get depressed. The general rule is to take as little medication as possible. You need to get with your doc and plan carefully before trying.

As far as Lamictal goes, it's Category C -

Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Klonopin is worse than Prozac for pregnancy. You get the idea.

 

Re: Kramer - one more ? - SAM-e?

Posted by Dr. Kramer on April 2, 2002, at 12:35:37

In reply to Re: Kramer - one more ? - SAM-e?, posted by Cindy Lou on April 2, 2002, at 7:34:02

If you are Bipolar II, I'd stay away from SAM-e. I've seen it make a few folks hypomanic, and although it might help with fatigue, it might be a little too helpful, and make you agitated and jittery. It's probably okay during pregnancy. but nobody really knows. (Do you want to volunteer you and you baby for that study? No? I didn't think so. See why it's hard to know pregnancy risks for meds?)


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