Epileptic medication considerations in women


  • Teratogenicity – avoid sodium valproate, use lamotrigine instead
  • Abnormalities to the fetus – 5% risk so requires pre-conception counselling
  • Milk from breast can contain anti-epileptic medication (except carbamazepine and valproate)
  • Pill (oral contraceptive pill) rendered inactive by liver enzyme-inducing drugs (see post) including carbamazepine, phenytoin and barbituates

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