Our expert says:
Her psychiatrist should know best, from depth of experience of managing your wife's medications. The question is quite complex - the meds vary in how rapidly they leave the system, amd as you correctly ask, the issue is not when is there no trace of a med left, but when is the level so low as to be likely to have no ill-effects on a growing foetus. And there's another issue - the effects of different meds are different at different stages of a pregnancy, less worrying at some times than at others. And one wants to weight the potential risk to a foetus from different meds( fortunately not very high ) against the risk to the foetus of a major depressive or manuc episode in a person withou medication. Fortunately, unless the illness has been typically highly unstable, with very sudden swings into depressions of manic spells that were very difficult to get under control, even should such an episode start to emerge during pregnancy, the shrink could start treatment with a medication least likely to cause problems, if and when such a situation arose.
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