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Bipolar and pregnant. off meds, don't know if i can make it

I just found out that I am 7 weeks pregnant. The news came as a complete shock. I have been married for nearly 8 years and we tried and tried to get pregnant but it never happened. So I gave up and just never started taking birth control. I figured I didn't need it anyway so why risk the side effects. I have Bipolar disorder and ocd. I take 40mg of paxil and 600mg of Trileptal(oxcarbazepine)a day. I have been on this regamend for about 3 years. I am dependent on these pills. I spiral out of control when I am off them. I went to the ER because of bad cramps and a 10 day period and that's when I found out I was pregnant. The ER doc told me to stop taking ALL medication, including the paxil and trileptal right away. But I feel horrible. I can't sleep, i'm so lightheaed and dizzy, the electric shocks from withdraw are near constant and I can't stop crying. I am so numb and just discombobulated. I need my meds but the risk to the fetus? I don't know if its worth it. But I don't know if I will mentally be able to make it through the next 7 months with no meds. I am so depressed. I tried so long for a baby but I feel so out of whack now.... What should I do? Should I start taking them again? What are the risks to the fetus if I do take the meds, and if I don't. Is the stress on my body worse for the fetus? Please someone help. I don't have insurance to go see an OB yet. I have to wait for my medicad application to be approved before I can even make an appointment. Any advise please. Help.
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replied June 23rd, 2014
Hi,
Welcome to ehealthforum,
If you have recently detected to be pregnant, consider visiting your doctor/healthcare provider for further evaluation and request change of medications to safer ones that will not harm the fetus. You may also consider visiting your gynecologist for further evaluation, clarification and assistance.
Take care.



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replied June 23rd, 2014
I agree with Dr. Madhumita. It seems you've stopped taking your medication on the basis of what the ER doctor told you.

Your psychiatrist knows what is best for your mental health. And you definitely need to see a gynecologist about both, you and your baby's health. Your gynecologist needs to be kept in the loop about your mental health conditions and exactly what medications your psychiatrist decides to put you on or if the psychiatrist decides not have you take medications.

I know it can be extremely stressful to have to stop your medications so abruptly. But with the help of a mental health specialist, you will find it easier to deal with this.

You can make it through this. Just please see your psychiatrist as soon as possible and update him or her about your situation. And you definitely need to see a doctor about your pregnancy.

You said you are going to wait for your application to be approved so that you can visit an OB-GYN, don't wait to see the psychiatrist until then if you don't have to.
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