Question

A 29 year old woman with focal epilepsy controlled on lamotrigine plans pregnancy. Which of the following is the most appropriate management regarding her antiepileptic therapy?

Accepted Answer

Continue lamotrigine at the lowest effective dose and supplement folate

Answer

Stop lamotrigine before conception

Answer

Switch to valproate for better seizure control

Answer

Add a second antiepileptic to ensure no seizures occur

Answer

No need to discuss antiepileptic risks

Practice question

A 29 year old woman with focal epilepsy controlled on lamotrigine plans pregnancy. Which of the following is the most appropriate management regarding her antiepileptic therapy?