Question

A 30-year-old woman with known epilepsy, well-controlled on sodium valproate, is planning pregnancy. What is the most crucial pre-conception advice regarding her medication?

Accepted Answer

Switch to lamotrigine or levetiracetam

Answer

Stop sodium valproate immediately

Answer

Continue sodium valproate but add high-dose folic acid (5mg)

Answer

Continue sodium valproate at the lowest effective dose with high-dose folic acid (5mg)

Answer

Switch to carbamazepine

Practice question

A 30-year-old woman with known epilepsy, well-controlled on sodium valproate, is planning pregnancy. What is the most crucial pre-conception advice regarding her medication?