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My wife is using Vilano 40 and Risdone Plus for bipolar anxiety disorder. We are planning a pregnancy; what are the side effects?

Asked by Female, 40 ยท 2 months ago

Risdone Plus (risperidone) and Vilano 40 (probably a mood stabilizer) may cause birth abnormalities, low birth weight, or withdrawal symptoms in the newborn. Certain drugs might be safer substitutes during pregnancy, but discontinuing them suddenly can lead to relapse. Before attempting to conceive, she should speak with her obstetrician and psychiatrist to safely modify her medication.
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  1. Overview of Medications and Pregnancy Risks

    • Vilano 40 (Vilazodone): Used for depression and anxiety. Limited data on pregnancy safety; consult a doctor.
    • Risdone Plus (Risperidone + Trihexyphenidyl): Used for schizophrenia and mood disorders. Not recommended during pregnancy without medical advice.
  2. Potential Side Effects of Vilazodone During Pregnancy

    • Possible risks include birth defects and neonatal adaptation syndrome. Data is limited; medical supervision is crucial.
  3. Potential Side Effects of Risperidone and Trihexyphenidyl During Pregnancy

    • Risks include extrapyramidal symptoms and withdrawal in newborns. Trihexyphenidyl's safety in pregnancy is not well-established.
  4. Considerations for Women Aged 40 Using These Medications

    • Increased age-related pregnancy risks necessitate close monitoring and consultation with healthcare providers.
  5. Recommendations and Next Steps

    • Consult the treating psychiatrist and obstetrician before continuing or adjusting medications. Explore alternative treatments or monitoring strategies.
  6. Importance of Multidisciplinary Care

    • Ensure coordinated care between mental health and obstetric specialists to safeguard mother and baby health.

Answered 2 months ago