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. Increased risk of serious side effects and overdose.
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.
Why is lithium bad during pregnancy?
However, lithium has also been associated with risks during pregnancy for both the mother and the unborn child. Recent large studies have confirmed the association between first trimester lithium exposure and an increased risk of congenital malformations.
How long should you be off lithium before getting pregnant?
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.
Do babies withdraw from lithium?
Furthermore, the lack of continued sleep during puerperium might also increase the risk of maternal relapse. Lithium is excreted into breast milk and the elimination rate in infants is lower than in adults, which may cause higher exposure levels in infants.
What bipolar medications are safe during pregnancy?
Data for lamotrigine (LTG) appears to be more favorable than other antiepileptics. During lactation, use of valproate and LTG is reported to be safe. Use of typical and/atypical antipsychotic is a good option during pregnancy in women with bipolar disorder.
Which is the safest mood stabilizer during pregnancy?
Lamotrigine has been recognized as the overall safest mood stabilizer when both maternal and fetal complications are reviewed.
What pregnancy category is Lithium?
Safety of Psychiatric Medications During Pregnancy and Lactation
|Drug||FDA pregnancy category*|
|Valproic acid (Depakene)||D|
|Tricyclics and heterocyclics|
Does lithium cross the placenta?
Lithium crosses the human placenta freely  and affects vasculature formation in the fetus . Because the majority of vasculature forms during the first trimester, lithium affects the development of the fetus most in the first trimester .
Can you breastfeed on Lithium?
Lithium passes easily into babies’ circulation through breastmilk, giving the baby a high level of Lithium in their blood. The National Institute for Health and Care Excellence (2) and the British Association of Psychopharmacology (1) recommend not to breastfeed whilst taking Lithium.
Does lithium make you happy?
Lithium is a type of medicine known as a mood stabiliser. It’s used to treat mood disorders such as: mania (feeling highly excited, overactive or distracted)
Should a bipolar woman have a baby?
Many women with bipolar disorder have healthy pregnancies and babies, but there are some risks around having a baby with the condition. If you have bipolar disorder you are at risk of: developing postpartum psychosis, particularly if other women in your family have had postpartum psychosis.
Can pregnancy make you bipolar?
For some women though, giving birth will trigger their first bipolar episode. A person with bipolar disorder will experience extreme highs (mania) and lows (depression), which can continue for weeks and, in some cases, months. It is an uncommon disorder and there is usually a family history.
Can you take antidepressants while pregnant?
Generally, these antidepressants are an option during pregnancy: Certain selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally considered an option during pregnancy, including citalopram (Celexa) and sertraline (Zoloft). Potential complications include maternal weight changes and premature birth.
Which medications are considered front line treatment for bipolar disorder?
First-line treatments for bipolar depressive episodes include lithium or lamotrigine monotherapy. For more severe cases, can add second mood stabilizer (e.g., lamotrigine combined with lithium or divalproex).
Can you take lithium orotate while pregnant?
Avoid use. Information regarding use of the orotate salt form of lithium in pregnancy and lactation is lacking. Adverse effects have been observed with use of lithium carbonate or citrate. Lithium is excreted in breast milk; adverse events have been reported in breastfeeding infants.