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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Bipolar Disorder?

Dear sir, i am the patient of bipolar disorder. i used valprol 500mg six months back. doctor prescribed me cause i was facing bipolar disorder. as my disorder was improving so doctor advice me to use valprol 300 after 2 months and again after 2 months doctor prescribed me valprol 200. as i need another baby so doctor advice me not to use valprol as it may cause danger to baby. last month doctor advice me to use another medicine instead of valprol but it didn t work. so without consulting doctor i started to use valprol 200. so is there any solution for me. i want baby without using valprol. but by eating valprol is there any alternative medicine instead of valprol which may help in my disorder and cause no effect to baby. waiting for your quick reply. regards kabita
Wed, 17 Sep 2014
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Psychiatrist 's  Response
Hi dear.

I understand your concern.

I agree with your doctor that valprol will affect you baby and it will lead to neural tube defect.

In 1st 3 month of pregnancy the safer drug is lithium nut though it has also teratogenic effect but it will give if you have symptoms only.

Usually bipolar disorder can be treated in pregnancy with atypical anti psychotic which has mood stabilizer effect like olanzapine , quitiapine etc.

It is all about side effect and benefit ratio.

Best will judge by your treating psychiatrist.

Tell him an about all other options.

But avoid valprol if you are pregnant.

Thank you.



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What Is The Treatment For Bipolar Disorder?

Hi dear. I understand your concern. I agree with your doctor that valprol will affect you baby and it will lead to neural tube defect. In 1st 3 month of pregnancy the safer drug is lithium nut though it has also teratogenic effect but it will give if you have symptoms only. Usually bipolar disorder can be treated in pregnancy with atypical anti psychotic which has mood stabilizer effect like olanzapine , quitiapine etc. It is all about side effect and benefit ratio. Best will judge by your treating psychiatrist. Tell him an about all other options. But avoid valprol if you are pregnant. Thank you.