Question

A 35-year-old pregnant woman (12 weeks) with a history of epilepsy is well-controlled on lamotrigine. Which statement best reflects safe management in pregnancy?

Accepted Answer

Continue lamotrigine and monitor levels as clearance increases in pregnancy

Answer

Switch to valproate due to superior efficacy

Answer

Stop antiepileptic drugs to minimise teratogenic risk

Answer

Add carbamazepine for prophylaxis of seizures in labour

Answer

Switch to topiramate in the third trimester

Practice question

A 35-year-old pregnant woman (12 weeks) with a history of epilepsy is well-controlled on lamotrigine. Which statement best reflects safe management in pregnancy?