Is low-dose birth control harmful for bipolar disorder?

Question

Hello doctor,

I am a 30-year-old female, weighing 160 pounds and 5 feet 10 inches tall. I have been sick lately and it has rendered my medicine ineffective. I take Pristiq and Depakote for bipolar II. I was wondering if I should take some of the 1.5 Vraylar samples I have on top of that to help balance me back out because I have been feeling paranoid, angry, depressed, constantly crying, and having intrusive thoughts. I was also wondering if low-dose birth control is bad for bipolar disorder.

Thank you.

Answer 1

Hello

Welcome to icliniq.com.

I understand your concern.

Yes, you can take Vraylar (Cariprazine) 1.5 mg for bipolar depression. First, please tell me if you are currently continuing Pristiq (Desvenlafaxine) and Depakote (Divalproex sodium) or not. If you are taking these medicines, then in what dose? Did the relapse occur after stopping the medication or despite taking it? The symptoms you mentioned are of bipolar depression or schizoaffective disorder (a mental health condition that includes symptoms of both schizophrenia (such as delusions and hallucinations) and mood disorder).

A detailed history and mental status examination are needed to confirm the diagnosis.

Since Cariprazine 1.5 mg is effective in both conditions, it is the best choice for you. Low-dose birth control pills do not pose a problem with bipolar disorder and treatment, but certain drug dosages need to be adjusted if you are taking low-dose contraceptive pills.

Engage in regular exercise and avoid smoking and drinking. In bipolar disorder, sleep is very important, so you need to ensure you get proper rest. Continue the medicine for a longer period if it is your second or third episode. Do not stop the medication without consulting your doctor.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.