A 28-year-old woman is planning a pregnancy. She has a history of focal epilepsy which is well controlled on Sodium Valproate 500mg BD. What is the mo...

Question

A 28-year-old woman is planning a pregnancy. She has a history of focal epilepsy which is well controlled on Sodium Valproate 500mg BD. What is the most important advice regarding her medication?

Accepted Answer

Switch to Lamotrigine or Levetiracetam before conception

Answer

Continue Valproate at the lowest effective dose and start Folic Acid 5mg OD

Answer

Switch to Carbamazepine before conception

Answer

Stop all anti-epileptic medication during the first trimester

Answer

Continue Valproate and arrange detailed fetal anomaly scanning

ukmla MCQ (SBA): Epilepsy in Pregnancy (Valproate)

A 28-year-old woman is planning a pregnancy. She has a history of focal epilepsy which is well controlled on Sodium Valproate 500mg BD. What is the most important advice regarding her medication?