Can You Donate Blood While Taking Medication for Bipolar Disorder?

Can individuals taking medication for bipolar disorder donate blood?

Hello, I am a nurse.
Due to a long period of not communicating with my husband and having no common ground, I have developed thoughts of wanting a divorce and have already considered my path after the divorce.
However, when I brought up the idea of divorce to my husband, he instead thought that I was ill and took me to see a psychiatrist.
During this time, my sleep decreased significantly, and after my first visit to the hospital, I was sent home.
It was only after a second consultation that I was admitted.
The doctor diagnosed me with bipolar disorder, but I don’t feel that I am ill at all! After being discharged, I have been taking one APO-Divalproex 250mg tablet for over a year now.
I have discussed this with my doctor, but he still recommends that I take it for life.
For me, the idea of taking one medication for life is a bit hard to accept, especially since I was more emotionally agitated when I brought up the divorce, which is a natural reaction (as I usually have a gentle personality).
Also, does taking this medication mean that I am prohibited from donating blood?

Miss Lin, 40~49 year old female. Ask Date: 2023/03/08

Dr. Tang Jiahong reply Psychiatry

Hello, it is currently difficult to determine a diagnosis.
In my personal opinion, medication can be considered a tool; if it is effective and has no side effects, why not use it? Regarding blood donation, although the "Taiwan Blood Services Foundation > Medication Guidelines for Deferring Blood Donation" does not list this medication, due to its teratogenic potential, it may still be prudent to space out the medication and the blood donation time.
Thank you.

Reply Date: 2023/03/08

More Info

When it comes to donating blood while taking medication for bipolar disorder, such as APO-Divalproex (also known as Divalproex Sodium), there are several important considerations to keep in mind. First and foremost, it is essential to understand the guidelines set by blood donation organizations, which often vary by country and region.

In general, the primary concern regarding blood donation while on medication for bipolar disorder revolves around the potential effects of the medication on the donor's health and the safety of the blood being donated. Divalproex is a mood stabilizer commonly used to treat bipolar disorder and epilepsy. While it is not explicitly listed as a disqualifying medication for blood donation in many guidelines, there are some factors to consider.

1. Medication Effects: Divalproex can have side effects, including drowsiness, dizziness, and gastrointestinal issues. If these side effects are significant, they may affect your ability to donate blood safely. Blood donation centers typically assess the donor's overall health and well-being at the time of donation.

2. Mental Health Considerations: Blood donation organizations often consider the mental health status of potential donors. If you are currently experiencing significant mood instability or other symptoms related to bipolar disorder, it may be advisable to wait until your condition is more stable before donating blood.

3. Consultation with Healthcare Providers: It is crucial to consult with your healthcare provider or the prescribing physician regarding your specific situation. They can provide personalized advice based on your health status, the stability of your bipolar disorder, and the potential risks associated with donating blood while on medication.

4. Blood Donation Guidelines: Each blood donation center has its own set of guidelines regarding eligibility. It is recommended to contact the blood donation center directly to inquire about their policies related to medication use, particularly for those taking psychiatric medications. They may require you to provide information about your medication and health status during the screening process.

5. Long-term Medication Use: You mentioned concerns about being on medication for an extended period. It is important to have open discussions with your healthcare provider about your treatment plan, including the necessity of long-term medication use and any potential alternatives. Your mental health is paramount, and finding a balance between effective treatment and your personal preferences is essential.

6. Emotional Well-being: Given the emotional challenges you have faced, particularly regarding your relationship and the diagnosis of bipolar disorder, it is vital to prioritize your mental health. Engaging in supportive therapy or counseling can be beneficial in navigating these feelings and making informed decisions about your health and well-being.

In conclusion, while there may not be a blanket prohibition against donating blood while taking Divalproex, individual circumstances vary widely. It is essential to assess your overall health, consult with your healthcare provider, and adhere to the guidelines of your local blood donation center. Your mental health and safety should always come first, and ensuring that you are in a stable condition before considering blood donation is crucial.

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