Hi,

Thanks for the question.

First of all, congratulations for your marriage and wish both of you a happy married life.

Paliris contains paliperidone, a derivative of risperidone which is known to raise prolactin level. The prolactin level usually returns to normal after a few weeks to a couple of months after stopping the drug.

Depakote contains Valproate. This does not cause prolactin elevation. But this should be tapered slowly over few weeks to 2 months (depending upon your diagnosis, you did not mention the exact diagnosis, though you mentioned anxiety and mood disorder) and then stopped because valproate is known to cause neural tube defects in baby.

In addition, as your age is 39 years and you are on valproate, it is better to take folic acid (a vitamin that prevents neural tube defects in baby). Folic acid should be taken for 3 months before planning pregnancy.

I would also suggest consulting a gynecologist before pregnancy to discuss all these issues and then go ahead.

Hope this information would help you to take decision. Let me know if I have missed out any concerns, I will be glad to discuss further during the follow ups.

Good luck!!

---