Question

A 26-year-old woman with generalised tonic-clonic epilepsy is planning pregnancy. Which medication change is most important to avoid teratogenic risk?

Accepted Answer

Switch from valproate to safer alternative before conception

Answer

Continue sodium valproate with folic acid 400 micrograms

Answer

Stop all antiepileptics immediately

Answer

Start warfarin prophylaxis

Answer

Add carbamazepine

Practice question

A 26-year-old woman with generalised tonic-clonic epilepsy is planning pregnancy. Which medication change is most important to avoid teratogenic risk?