HomeAnswersPsychiatrybipolar disorderAfter stopping Arip, I suffer from insomnia during pregnancy. What to do?

I stopped taking Arip and suffering from insomnia. Please help.

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I stopped taking Arip and suffering from insomnia. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 3, 2017
Reviewed AtAugust 10, 2023

Patient's Query

Hi doctor,

Initially, I was diagnosed to have bipolar disorder before 10 years and was cured with Lithium. Then, it relapsed before five years. So, I started to have Arip 20 mg and by last month it was tapered to 5 mg. Now, I am 8 weeks pregnant. When I got to know that I am pregnant, I was advised by the doctor to stop Arip completely. But, I am unable to sleep since then. My doctor recommended Macugold Plus 3 mg, but that did not help my insomnia. Please help.

Hi,

Welcome to icliniq.com.

Pregnancy is a high-risk period. Hence, the risk of relapse is more during pregnancy. It is advisable to take a small dose of medications throughout the pregnancy to prevent relapse. I suggest tablet Serenace 1.5 mg (Haloperidol) at night along with tablet Pacitane (Trihexyphenidyl) 2 mg once daily for two weeks. Consult your specialist doctor, discuss with him or her and take treatment with consent. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Padmapriya Chandran
Dr. Padmapriya Chandran

Psychiatry

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