A 23-year-old woman with epilepsy collects sodium valproate and says she is not using contraception. She is not planning pregnancy but might want

Question

A 23-year-old woman with epilepsy collects sodium valproate and says she is not using contraception. She is not planning pregnancy but might want children later. What is the most appropriate action?

Accepted Answer

Refer to the prescriber urgently and discuss pregnancy prevention requirements

Answer

Advise stopping valproate today and using levetiracetam from tomorrow

Answer

Recommend emergency hormonal contraception each month

Answer

Suggest folic acid makes valproate safe in pregnancy

Answer

Supply without discussion because epilepsy treatment takes priority

Valproate risk management — GPhC CRA MCQ

A 23-year-old woman with epilepsy collects sodium valproate and says she is not using contraception. She is not planning pregnancy but might want children later. What is the most appropriate action?