Question

A patient with epilepsy, well-controlled on sodium valproate, is planning pregnancy. What is the most important pre-conception advice regarding her epilepsy medication?

Accepted Answer

Switch to lamotrigine or levetiracetam if possible

Answer

Stop sodium valproate immediately

Answer

Continue sodium valproate but add folic acid 5mg

Answer

Continue sodium valproate at the lowest effective dose with folic acid 5mg

Answer

Double the dose of folic acid

Practice question

A patient with epilepsy, well-controlled on sodium valproate, is planning pregnancy. What is the most important pre-conception advice regarding her epilepsy medication?