A 27-year-old woman with epilepsy is planning pregnancy. She currently takes Sodium Valproate with good seizure control. What is the most appropriate ...

Question

A 27-year-old woman with epilepsy is planning pregnancy. She currently takes Sodium Valproate with good seizure control. What is the most appropriate advice regarding her antiepileptic medication?

Accepted Answer

Switch from Sodium Valproate to an alternative such as Lamotrigine before conception if possible

Answer

Continue Sodium Valproate throughout pregnancy without change

Answer

Stop all antiepileptic drugs immediately

Answer

Add a second antiepileptic drug to maximise seizure control

Answer

Advise termination of pregnancy if she conceives on Valproate

uk-plab-1 MCQ (SBA): Epilepsy and pregnancy – Valproate risk

A 27-year-old woman with epilepsy is planning pregnancy. She currently takes Sodium Valproate with good seizure control. What is the most appropriate advice regarding her antiepileptic medication?