Gyneac and Psychological

I have been suffering from bipolar disorder since 15 years. I am taking arip MT 10 mg and folic acid cap. My doctor said i can also take zapiz 0.25 if needed.My last episode was 1.5 years ago. I am trying to concieve since last 3 months but without any success. I wanted to know whether its safe to get pregnant with this med and how to get pregnant fast?
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Dr. Devjani Das (Ganguly)
Gynecologist 16 yrs exp Kolkata
There is very sparse data on the effects of antispychotic and mood stabilising medication, on the fetus. It is generally advised to avoid Aripiprazole and clonazepam in pregnancy and while breastfeeding. There are no human studies to show whether they cause abnormalities in the baby, but animal studies have shown some concern regarding this. Moreover, if used in the last three months of pregnancy, they may cause the baby to be born sleepy, with need for intensive care, respiratory support etc, during the first few days of birth, till the effect of the medications wear off. Please continue the Folic acid (5mg) daily and see your psychiatrist regarding the possibility of changing your medication to the more traditional and conventional mood stabilisers and antipsychotics. Psychotherapy, avoiding stress triggers and life style modification such as adequate sleep etc may also help to prevent relapse. If it is not possible to change or stop the medications, and you have to conceive on them, there is still a reasonable chance that your baby will be normal, but you have to bear in mind that there is a risk of problems occurring from these medications.
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