You could continue taking lithium as long as possible during your pregnancy. This is to lower your risk of postpartum psychosis. If you’ve decided to stop lithium treatment during your pregnancy, you could start taking lithium again a few days after giving birth.
What bipolar medications are safe during pregnancy?
Data for lamotrigine (LTG) appears to be more favorable than other antiepileptics. During lactation, use of valproate and LTG is reported to be safe. Use of typical and/atypical antipsychotic is a good option during pregnancy in women with bipolar disorder.
Can lithium cause birth defects?
New York—The largest-ever study of birth defects in babies exposed to lithium found an elevated risk of major congenital malformations in fetuses after first-trimester exposure to the mental health drug.
Why is lithium bad during pregnancy?
However, lithium has also been associated with risks during pregnancy for both the mother and the unborn child. Recent large studies have confirmed the association between first trimester lithium exposure and an increased risk of congenital malformations.
When should I stop taking lithium before getting pregnant?
If a woman taking lithium becomes pregnant, consider stopping the medicine gradually over 4 weeks if she is well. Explain to her that: stopping medication may not remove the risk of fetal heart malformations. there is a risk of relapse, particularly in the postnatal period, if she has bipolar disorder.
Can pregnancy make bipolar worse?
Bipolar disorder, however, can worsen during pregnancy. Pregnant women or new mothers with bipolar disorder have seven times the risk of hospital admissions compared to pregnant women who do not have bipolar disorder.
Can you become bipolar during pregnancy?
For some women though, giving birth will trigger their first bipolar episode. A person with bipolar disorder will experience extreme highs (mania) and lows (depression), which can continue for weeks and, in some cases, months. It is an uncommon disorder and there is usually a family history.
Can lithium cause a miscarriage?
The rate of miscarriage was 16.4% in lithium-exposed pregnancies, versus 8.3% in the bipolar disorder comparison group, and 5.7% in nonteratogenic-exposed pregnancies.
Which is the safest mood stabilizer during pregnancy?
Lamotrigine has been recognized as the overall safest mood stabilizer when both maternal and fetal complications are reviewed.
Does lithium cross the placenta?
Lithium crosses the human placenta freely  and affects vasculature formation in the fetus . Because the majority of vasculature forms during the first trimester, lithium affects the development of the fetus most in the first trimester .
What pregnancy category is Lithium?
Safety of Psychiatric Medications During Pregnancy and Lactation
|Drug||FDA pregnancy category*|
|Valproic acid (Depakene)||D|
Do babies withdraw from lithium?
Furthermore, the lack of continued sleep during puerperium might also increase the risk of maternal relapse. Lithium is excreted into breast milk and the elimination rate in infants is lower than in adults, which may cause higher exposure levels in infants.
Can you take antidepressants while pregnant?
Generally, these antidepressants are an option during pregnancy: Certain selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally considered an option during pregnancy, including citalopram (Celexa) and sertraline (Zoloft). Potential complications include maternal weight changes and premature birth.
Does lithium make it harder to get pregnant?
No. Lithium does not affect fertility in women1 and so taking Lithium should not make it more difficult to get pregnant.
How do you deal with bipolar during pregnancy?
Treating bipolar disorder during pregnancy is difficult due to many factors, the primary one being an absence of risk-free options. Bipolar disorder is often treated with polytherapy, but doctors should strive to maintain monotherapy by eliminating those medications that are either highly teratogenic or not essential.