If you are taking or want to take contraceptives, always make sure the doctor who prescribes your bipolar medications knows about it, and that the doctor prescribing the contraceptive knows about your bipolar medications. There are several different ways in which mood stabilizers can interact with hormonal methods of birth control such as birth control pills. Mood stabilizers are one of the most important medications for treating bipolar disorder, and they will likely be prescribed to you. Despite this, research on the topic of birth control and depression hasn’t been able to produce much in the way of detailed findings on why many women feel depressed after starting hormonal contraception. Davis AR, Westhoff CL, Stanczyk FZ. MOOD STABILIZERS? Looking to try birth control but don't want the in-person office visit? You can rest assured that your daughter is not too young to start birth control pills to help regulate her periods. Joined : Mar 2012. 2011;52(2):243-247. doi:10.1111/j.1528-1167.2010.02917.x, Reddy DS. And truly, we haven't done enough studies to understand why one woman has issues, while another is just fine. How to Take Lamictal If You Have Bipolar Disorder, How Benzodiazepines Can Help People With Anxiety Problems, What to Do If Your Antidepressant Stops Working. So many questions. While birth control is safe to take with most medications, it is known to interact with some medicines. Decreased effectiveness of birth control pills related to the mood stabilizer 2. Is there any mood stabilizers that do NOT affect birth control? Mood stabilizers like valproate and lamotrigine do not affect oral contraceptives, but lamotrigine clearance is increased with oral contraceptives that contain estrogen, thereby reducing the effectiveness of the medication. Anticonvulsant mood stabilizers may be affected by several medications, as well. St. John’s wort does have the potential for serious interactions with a wide variety of prescription drugs, including birth control pills, antidepressants, HIV medications, and blood thinners. Epilepsy Drugs/Mood Stabilizers Drugs such as Tegretol, Phenytoin, Primidone, Topamax and Lamotrigine can all reduce the effectiveness of birth control. Expert Opin Drug Saf. To determine if you have bipolar disorder, your evaluation may include: 1. I'm on lamictal and mirtazapine and I know lamictal makes birth control less effective. Decreased effectiveness of the mood stabilizer among those who take birth control pills 3. Anyone have experience with this? By using Verywell Mind, you accept our, The Benefits and Risks of Mood Stabilizers for BPD, How to Maintain a Sex Life With Bipolar Disorder, How Mania Varies Between the Bipolar Types. Unfortunately, these negative interactions are a two-way street, meaning they weaken the effects of birth control and birth control weakens their effects too. Signs that the amount of lithium in the body is higher than it should be include severe nausea, vomiting and diarrhea, shaking and twitching, loss of balance, slurred speech, double vision and weakness. Tegretol (carbamazepine) is especially known for causing contraceptive failures among those using birth control pills (oral contraceptives). In addition, for those who do become pregnant while taking Tegretol there is an increased risk of birth defects in the fetus. 0 0. These hormones are processed by the P450 enzyme system in our livers, so medicines that speed up or slow down this enzyme system will cause the body to metabolize birth control differently. doi:/10.1016/j.ajog.2012.07.008, Maher RL, Hanlon J, Hajjar ER. Read our, Medically reviewed by Daniel B. Many women say birth control affects their mood. My gyno said that I should not take birth control for contraception alone due to interactions, but I am mostly in need of hormonal regulation. The anti-seizure drug Trileptal has also been advocated as a treatment for bipolar by a … I know that some of the birth control pills can be used to treat PMS, one of those being yaz, but it would be best to talk to your doctor. Does Lamictal (Lamotrigine) Cause or Treat Anxiety? Mood stabilizers. There are several different ways in which mood stabilizers can interact with hormonal methods of birth control such as birth control pills. Anticonvulsants (antiepileptic) drugs are commonly used for people with bipolar disorder and are one of several classes of medications considered to be mood stabilizers (along with lithium and certain antipsychotics). Best of all? Mood stabilizers... is there one that is "safe?" Lithium and other mood stabilisers. I am on Trileptal and Wellbutrin SR. Because of Trileptal, I am no longer using oral or hormonal birth control. If you take valproate while you are pregnant, there is a higher risk of your child being born with birth defects and learning disabilities. Women who are prescribed Tegretol should be instructed to use secondary methods of birth control such as condoms. If you’re prone to nausea and vomiting, talk to your doctor about your birth control options, as the pill might not be your best choice. Here’s what researchers know about the link between hormonal birth control and your emotions. Pharmacists frequently find interactions, but you can not assume this will occur. It has no drug interactions with birth control pills. Trileptal (oxcarbazepine) may also interfere with contraceptives. Different medications work in different ways, so it’s important to consult your doctor if you plan to use hormonal birth control while on anti-seizure medications or any type of mood-stabilizers. I was depressed all the time and I had terrible mood swings. What are you waiting for? Here’s a comprehensive list of those medications. “All mood stabilizers in charge of balancing your mood can cause harm to the baby.” 2. In any case, if you are on a mood stabilizer or anticonvulsant and want to prevent pregnancy, talk to your doctor about your options. Thus for almost all patients, carbamazepine is a distant second choice relative to lithium and valproate. A 2016 study found that while many physicians are aware that there can be drug interactions between anticonvulsants and birth control, they were less familiar with the adverse effects and interactions related to specific drugs. The mood stabilizers which is safe with birth control pills is LITHIUM. The way birth control tanks your mood is multifactorial. This makes it necessary for women of child-bearing age to use other forms of birth control when taking certain mood stabilizers. I was diagnosed as bipolar II or mood disorder-NOS this summer after years of only having been treated for depression. Complete online medical consultation. Keep in mind that over-the-counter medications and nutritional supplements may also interact with some drugs and your doctors should be aware of any herbal treatments or vitamin supplements you are taking. Hope this helps. Make sure that all of your providers are aware of all of the medications you are using, not just the drugs they are prescribing. Anyone on hormonal birth control AND mood stabilizers??? Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. [14] 2012;207(5):405.e1-7. Objective: To determine the comparative safety of mood stabilizers with respect to risk of preeclampsia, placental abruption, growth restriction, and preterm birth. 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