A woman with generalised epilepsy (aged 28) attends for pre-conception counselling while taking sodium valproate 600 mg bd. What is the most important...

Question

A woman with generalised epilepsy (aged 28) attends for pre-conception counselling while taking sodium valproate 600 mg bd. What is the most important immediate action?

Accepted Answer

Discuss Pregnancy Prevention Programme and consider alternative therapy

Answer

Switch to carbamazepine

Answer

Switch to lamotrigine

Answer

No change; continue valproate

Answer

Add high-dose folic acid only

mrcgp akt MCQ (SBA): Teratogenic anticonvulsant use

A woman with generalised epilepsy (aged 28) attends for pre-conception counselling while taking sodium valproate 600 mg bd. What is the most important immediate action?