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Your psychiatrist and obstetrician need to put their heads together for you. Older mood stabilizers, lithium, valproate, and carbamazepine CAN be used, but they would have to be carefully managed and monitored. Are you getting plenty of folate, BTW? From what I read, carbamazepine may be your best choice but it needs to be supplemented with Vitamin K. Talk more with both docs about these options. We just don't know enough about the newer drugs such as Topamax and we have lots of data on these older ones. Keep in touch, Michelle!
Love and hugs,
Eddie
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