The risks to your baby with taking lithium while pregnant or breastfeeding are: Heart defects. Taking lithium in early pregnancy can increase the risk that your baby’s heart might not develop properly. Your doctor or midwife should monitor your baby’s heart using ultrasound scans.
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.
Can lithium affect baby?
Lithium exposure is associated with increased risk of neonatal complications. Newport et al. found an association between high infant lithium concentrations and lower 1-min Apgar scores, higher rate of central nervous system and neuromuscular complications and longer duration of hospital stays (Newport et al. 2005).
Can taking lithium cause a miscarriage?
Miscarriages occurred in 20.8% of the lithium-exposed pregnancies (16/77), compared with 10.9% of the unexposed pregnancies (40/366) (OR = 2.14; 95% CI: 1.13–4.06). The adjusted odds ratio of miscarriage after lithium use during pregnancy was 2.94 (95% CI: 1.39–6.22).
When should I stop taking lithium during pregnancy?
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 a bipolar woman have a baby?
Most women with bipolar disorder have a healthy pregnancy and baby, but there are some risks to be aware of. You may become unwell during your pregnancy, but the risk is higher after you give birth.
What mood stabilizer is safe in pregnancy?
For many women with bipolar disorder, lamotrigine (Lamictal) is an effective mood stabilizer. Given its relatively favorable reproductive safety profile, lamotrigine is a reasonable option for women who require treatment with a mood stabilizer during pregnancy.
What can I take instead of lithium during pregnancy?
“Over the past couple of decades, lamotrigine has increasingly been used during pregnancy as an alternative treatment option to lithium, due to its more favorable reproductive profile,” wrote the current authors.
Can you take birth control with lithium?
Effects of pharmacotherapy on oral contraceptives
While no drug-drug interactions with OC have been reported to date with valproate, lithium, or the atypical antipsychotics, further study is required in women with bipolar disorder.
What pregnancy category is lithium?
Safety of Psychiatric Medications During Pregnancy and Lactation
|Drug||FDA pregnancy category*|
|Valproic acid (Depakene)||D|
Can bipolar medication affect fertility?
Though bipolar disorder does not interfere with your fertility, there are a few things you will want to keep in mind.
Is lithium Orotate safe in pregnancy?
Treatment typically involves administration of the element lithium, which has been classified as a class D drug (legal to use during pregnancy, but may cause birth defects) and is one of only thirty known teratogenic drugs.
Does bipolar medication affect sperm?
They work by blocking dopamine receptors in your brain. But that, in turn, raises your level of prolactin, a hormone that controls sexual functions such as menstrual periods and sperm production. The result can dampen your libido or make it harder for you to get aroused or reach orgasm.
Can you take bipolar medication while pregnant?
Bipolar Medications During Pregnancy. Some women continue taking bipolar medications and have healthy babies. But a few bipolar medications have an increased risk of birth defects in the first trimester.
How long does it take for lithium to get out of your system?
Lithium can stay in your body for a long time. It typically takes about 18 to 36 hours for the body to clear half of the medication. However, lithium may take over a week to be fully cleared out of most people’s systems.
Can mood stabilizers cause miscarriage?
June 2, 2010 — A Canadian study of more than 5,000 women shows an association between taking antidepressants, particularly the selective serotonin reuptake inhibitors (SSRIs) such as Paxil, Prozac, and Zoloft, and an increased risk for miscarriage.