Complete management. Is there a guideline for treatment in pregnant women with psyquiatric disorders?
I have read several studies on using Omega III fish oil for bipolar. I started using it for my daughter and I see a large difference in her up's and down's
I agree, in the last year many of my women's health patients are reporting improvements in their mood swings after taking omega 3 , 6 and 9.
I have taken care of many pacients with bipolar disorder while pregnant and I feel safe using quetiapine. Some recents studies have shown greater benefit despite quetiapine is risk C, supporting better result when there is no answer with most known drugs like litium and valproic acid. Be careful with hypotension and consider omega 6 as colleagues said earlier.
follow this link and see more about it:
http://www.greenjournal.org/content/vol110/issue5
It depends on a number of factors. In fact, for some women lithium may be safer than the risk of untreated illness with a risk of relapse, risk-taking, alcohol and drug use... Generally it is preferable to stay away from anticonvulsants.
Yes, Martin Aida. But the art is to make it her and her partner/ family's decision.
https://www.researchgate.net/post/How_are_you_going_to_make_a_decision_to_continue_discontinue_lithium_in_a_woman_wanting_to_get_pregnant
Insist that she walk for 2 hours per day. Have weekly prenatal visits to gain her trust and deliver her at home, where she feels most secure.
Victor Frankl 's book MANS SEARCH FOR MEANING (1984) will answer your question.
It depends on the stage of Bipolar illness and occurrence of episode interval. If I assume the episodes are rare and the lady is in remission then even a drug free interval can be tried especially for 1st trimester. If the chances for episode occurrence after drug discontinuation si high, it's better to select the least teratogenic among the drugs which she has responded well in the past
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