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Effect of LITHIUM, SEROQUEL with BIPOLAR DISORDER on pregnancy.

Resolved Question:

I have bipolar disorder. I took Lithium 400mg and seraquel 25mg everyday.

I been diagnose since 2009 and I have regularly meet my doctor.

Everything seem fine but I forgot to ask my doctor whether is good for me to have more kids.

I have 3 children and the third child born in 2003. So I have my children before I had my bipolar disorder in 2008.

Is it good for me to have more kids and what's the side effect for my future child if I still insist to have one more?

Thank you

Category: Psychiatrist

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Category: Sexologist
Dr. Srikanth Reddy is online now

Expert:  Dr. Srikanth Reddy replied 4 Days.

Thanks for using DoctorSpring.com for posting your query.

I have gone through your question in detail and I can understand what you are going through.
Firstly I would like to congratulate you for your stable illness of bipolar mood disorder and the credit goes to your proper medicine compliance.
Regarding the fourth child, I would like to discuss the pros and cons. For having a pregnancy, you will have to discontinue Lithium (ideally). There may be a risk of relapse in this case. Moreover, if you continue the pregnancy with Lithium, there is a risk of congenital anomaly to the child (Ebsteins anomaly). The risk is low but if this happens then the burden is big.
What I personally feel is, you may go ahead with the fourth pregnancy, but I would suggest that you gradually go off lithium before pregnancy. As I said there is a risk of relapse but if it occurs then the medicines can be restarted and the risk can be accepted.

Hope this helps.

If you have any further query, I would like to help you further.

Kind regards,
Dr. Srikanth Reddy MD

Dr. Srikanth Reddy
Category: Sexologist
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
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