A 29-year-old woman planning pregnancy has epilepsy treated with sodium valproate. Best preconception advice?...

Question

A 29-year-old woman planning pregnancy has epilepsy treated with sodium valproate. Best preconception advice?

Accepted Answer

Switch to lamotrigine if possible and take folic acid 5 mg daily

Answer

Continue valproate and start folic acid 400 micrograms

Answer

Stop all AEDs immediately

Answer

Start folic acid 800 micrograms and continue valproate

Answer

Delay pregnancy for 12 months

ukmla MCQ (SBA): Preconception Epilepsy Management