WE HAVE BEEN TRYING TO GET PREGNANT FOR 31/2 MONTHS NOW WITH NO AVAIL.  MY OVULATION IS NORMAL AND I AM CURRENTLY ON 200 MGS OF TOPAMAX, 200MGS LUVOX, 800MCG FOLIC ACID AND A PRENATAL TABLET PER DAY. I HAVE BEEN ON THE LUVOX AND TOPAMAX FOR 3 YEARS.  ANY IDEAS FOR ME?

Dear Ms N' -- 
Luvox is in the class with Prozac, which is coming to be thought of as safe in pregnancy, especially if one takes into account the  risk of untreated symptoms it may help control.  Whether Luvox itself should be regarded as safe, because of it's relatively close relationship to Prozac, remains an open question.  

Topomax is to my knowledge even less known in this respect.  For example, check out this thread from Dr. Bob, an astute psychiatrist.  One of the recommendations that emerges is to talk with a genetic counselor (you might be able to find one, if your doctor doesn't know of one, by calling your local hospital and asking there; often these are "pediatric" or OB-GYN related specialists). 

Dr. Phelps