Guidelines for the care of women with epilepsy.

Abstract:

:Antiepileptic drug (AED) selection in women of reproductive age should consider efficacy, tolerability, interactions with contraceptive medications, and teratogenicity. Women planning a pregnancy should be counseled regarding the need for compliance with therapy and the risk for birth defects. All women with epilepsy who are of childbearing potential should receive folate supplementation. Vitamin K supplementation is recommended during the final month of pregnancy. Withdrawal of AED therapy in seizure-free women can be considered before conception. Women who require AED therapy should receive AED monotherapy rather than polytherapy when at all possible. Medication changes post conception do not significantly reduce the risk for major fetal malformations and may compromise seizure control. Breastfeeding is generally safe for women taking AEDs. Menstrual disorders, reproductive endocrine disorders, ovulatory dysfunction, and infertility appear to be relatively common in women with epilepsy.

journal_name

Neurology

journal_title

Neurology

authors

Morrell MJ

doi

10.1212/wnl.51.5_suppl_4.s21

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

S21-7

issue

5 Suppl 4

eissn

0028-3878

issn

1526-632X

journal_volume

51

pub_type

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