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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by stresser on August 23, 2005, at 22:05:27
Does anyone know if Trileptal can mess up your menstrual cycle? My daughter has not been regular since she started taking .75mg of Trileptal. She added that to the other meds, but had no problem before that. -L
Posted by starbaby on August 27, 2005, at 10:30:54
In reply to Trileptal and Menstrual Problems, posted by stresser on August 23, 2005, at 22:05:27
> Does anyone know if Trileptal can mess up your menstrual cycle?
I'd be interested in responses to this as well, as my daughter's menstrual cycle became very irregular and heavy when she started Trileptal.
Posted by stresser on August 27, 2005, at 20:35:49
In reply to Re: Trileptal and Menstrual Problems, posted by starbaby on August 27, 2005, at 10:30:54
How old is your daughter, and what dosage is she taking? ( I hope you don't mind my asking) Trileptal has been great, along with Topomax, and I don't want her to have to change medication. Having an irregular cycle is no fun for a 17 yr.old, and I know she has quite a bit of cramping as well.
Why is your daughter taking Trileptal? -L
Posted by starbaby on August 27, 2005, at 22:06:27
In reply to Re: Trileptal and Menstrual Problems, posted by stresser on August 27, 2005, at 20:35:49
She's 15, and taking 450 mg (1.5 tabs of 300 mg) of Trileptal twice a day.
*starbaby*
> How old is your daughter, and what dosage is she taking? ( I hope you don't mind my asking)
Posted by stresser on August 28, 2005, at 21:41:33
In reply to Re: Trileptal and Menstrual Problems » stresser, posted by starbaby on August 27, 2005, at 22:06:27
Thanks for your reply! I am hoping someone will answer our question, while I am researching Trileptal when I have the time. Keep me posted. -L
Posted by Glydin on August 30, 2005, at 22:12:02
In reply to Re: Trileptal and Menstrual Problems, posted by stresser on August 28, 2005, at 21:41:33
My daughter is 23 and is on 300mgs twice per day. She had cycle difficulties prior to starting it, but the problems have worsened since taking it. Her problem is mainly spotting from mid cycle until the "beginning". (She would love I'm telling all her business - smile)
Trilep also renders BCPs ineffective and there are some GYN's who feel patch contraception is also rendered useless by the meds effects. I'm unsure how it effects Depo. I'm just passing that on because that's just a good thing to know, too.
Posted by starbaby on August 31, 2005, at 10:15:35
In reply to Re: Trileptal and Menstrual Problems » stresser, posted by Glydin on August 30, 2005, at 22:12:02
>
> Trilep also renders BCPs ineffective and there >are some GYN's who feel patch contraception is >also rendered useless by the meds effects. I'm >unsure how it effects Depo. I'm just passing >that on because that's just a good thing to >know, too.
----------------------------------------------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*
Posted by Glydin on August 31, 2005, at 10:56:37
In reply to Re: Trileptal and Menstrual Problems » Glydin, posted by starbaby on August 31, 2005, at 10:15:35
> 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,
GlydinThe 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.*****
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...?
Posted by Glydin on August 31, 2005, at 15:48:07
In reply to Re: Trileptal and Menstrual Problems, posted by Bowtie Bob on August 31, 2005, at 15:33:52
> As far as the birth control goes, can the doc simply RX a higher dose of the estrogen...?
~~~I think maybe that could an option and some may choose to "try" that. One would have to take into account the risks versus benefits of that option, I would think it may be an experiment that could bring you a surprise months down the road.
This is the end of the thread.
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