A member asked:

I would like to get pregnant in about a year from now. i have bipolar disorder, have been stable 8 yrs take depakote, geodon, (ziprasidone) benzotropine and atiwan.

4 doctors weighed in across 2 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

Pregnancy ; Bipolar: This is a complicated situation, and i'm so glad you're thinking ahead. Navigating this requires extensive conversations between you, your psychiatrist, and your high-risk OB physician. These meds may be helping keep your bipolar disorder stable, but they're also associated with risks in pregnancy. There would also be risks to you off the medication. Good luck with your discussions ; plans.

Answered 4/28/2016

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Weigh risks/benefit: Being stable 8 years shows a lot of effort on your part. The medicines you're taking do have risks in pregnancy. Depakote especially has risk of abnormal spinal cord development in the infant. Geodon's risk is unclear. Ativan (lorazepam) is possibly related to cleft palate. You need to work with a perinatal psychiatrist ; a high risk ob-gyn to understand the risks ; explore options to deal with them.

Answered 4/23/2016

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