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Doctor insights on: Pregnancy And Epilepsy Medication

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Which bipolar and anti-anxiety medications are safe during pregnancy?

Which bipolar and anti-anxiety medications are safe during pregnancy?

Talk to doctor: This is an ongoing difficult area in Psychiatry and Obstetrics. Research is ethically prohibited, so we only have anecdotal evidence. All medicines for bipolar disorder, and all benzodiazepines have risks during pregnancy. A few antidepressants are very safe for depression and anxiety during pregnancy. Please consult with your Psychiatrist and OB. ...Read more

Dr. Abraham Jaskiel
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Could quietiapine and lithium medication affect pregnancy?

Could quietiapine and lithium medication affect pregnancy?

Please tell your: doctors know asap if you are pregnant. Lithium is FDA pregnancy category D & has been associated w cardiac defects. Lamictal is pregnancy category C. ...Read more

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Epileptic female on tegretol and arrange for pregnancy so we still on tegretol or change to other antiepileptic?

Epileptic female on tegretol and arrange for pregnancy so we still on tegretol or change to other antiepileptic?

MFM: Little is known about the long term or pregnancy-related effects of most anticonvulsants, especially for the newer ones (e.g. Keppra) which do seem to be safer as compared to older ones, but not always as effective. Tegretol is a class d, meaning potential for harm to the fetus. This can be minimized by folic acid. Prenatal neurology consultation is advised. More than 90% chance baby will be ok. ...Read more

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Can I take anti-anxiety medication to stem jitteriness during pregancy?

Can I take anti-anxiety medication to stem jitteriness during pregancy?

Caution required: Typical anxiety medications such as xanax, (alprazolam) Ativan etc. Are contraindicated in pregnancy because of a high risk of toxicity. Check with your ob/gyn and consider cognitive/behavioral therapy to help reduce your anxiety. ...Read more

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Prescribed pain meds for migraines, are these safe to take during pregnancy?

Prescribed pain meds for migraines, are these safe to take during pregnancy?

Need more info.: Medications all have a rating on how safe or unsafe it is to take during pregnancy. Without a specific name of the medication(s), it will be impossible to tell if it is safe or not. ...Read more

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Are hormone/birth control pills(ex:Sprintec) able to control petit mal seizures especially for someone that has increased seizures during menses?

Are hormone/birth control pills(ex:Sprintec) able to control petit mal seizures especially for someone that has increased seizures during menses?

Work with Neuro: Birth control pills do not control petit mal seizures. Anti epileptic drugs control seizures. (AED) All women taking AEDs of childbearing years should be taking Folic acid. AED medications can induce hepatic enzymes that increase the metabolism of oral contraceptives. I advise your friend to go back to the Neurologist and work on a treatment plan tailored for her particular case. It is dangerous for seizures to remain untreated. ...Read more

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Which anti-anxiety medications are safe for use during pregnancy?

Which anti-anxiety medications are safe for use during pregnancy?

None: There are really no anti-anxiety medications which have been proven to be safe in pregnancy. It is best to avoid any and all medications while pregnant. I am sure your obstetrician would agree. ...Read more

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Expert opinions? Which biploar and anti-anxiety medications are safe during pregnancy?

Expert opinions? Which biploar and anti-anxiety medications are safe during pregnancy?

Coordinate Drs.: If indeed you are having such symptoms, at least a visit to urgent care is recommended and if you feel you are at risk of harm to self or others a call to emergency services needs to happen. In general, there are psychotropics that are relatively safe staring in the second trimester forward. If time allows, discuss with ob/gyn or primary care physician first if need to see psychiatrist. Take care ...Read more

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Why keppra (levetiracetam) or valporic acid prescribed by doctor to a non epileptic myoclonus patient? Trembling of hands, migraine are side effects of valporic acid?

Why keppra (levetiracetam) or valporic acid prescribed by doctor to a non epileptic myoclonus patient? Trembling of hands, migraine are side effects of valporic acid?

Valproic acid: Causes tremors of the hands very frequently. It is uncommon for it to cause migraines; in fact, it it's widely used to prevent migraines ...Read more

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Best birth control if lamotrigine for seizures?

Best birth control if lamotrigine for seizures?

See below: The ideal bith control for your situation would probably be a non-hormonal iud because it's effective, it does not contain hormones, an you don't have to remembr it. ...Read more

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Are there any over-the-counter medications MS vitamins that help with alcohol withdrawal and seizure prevention ?

Are there any over-the-counter medications MS vitamins that help with alcohol withdrawal and seizure prevention ?

Under Supervision: Withdrawal from alcohol should be taken quite seriously. If one has been drinking sufficient quantities of alcohol, there is a risk of severe withdrawal symptoms including seizures and even death. In such situations, there are no vitamins or over-the-counter supplements that can prevent such symptoms. Withdrawal alcohol, only under the supervision of a physician who understands the dangers. ...Read more

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What are safe depression medications in pregnancy?

What are safe depression medications in pregnancy?

Depends: The food and drug administration assigns risk category ratings for drugs in pregnancy. Category c drugs have been suggested to cause problems in the fetus and should be used with caution in pregnancy if absolutely needed. Category d medications have been proven to cause serious harm to fetus and should be avoided. All the current antidepressants are either category c or d. ...Read more

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Can epilepsy medication have adverse effects on the baby?

Can epilepsy medication have adverse effects on the baby?

All have risk.: During pregnancy your blood level of seizure medication causes a blood level in the baby. All aeds have risk for malformation and development problems. Just having epilepsy also increases risks. However, having seizures while pregnant is even worse. Take your usual med, take folate, (folic acid) and get frequent checkups. ...Read more

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Can Zoloft (sertraline) be taken during pregnancy for depression without harming the baby? What medications can be taken for depression while pregnant?

Can Zoloft (sertraline) be taken during pregnancy for depression without harming the baby? What medications can be taken for depression while pregnant?

Zoloft (sertraline) most studied: Risks include: spontaneous abortion, preecplampsia, congential cardiac septal defects, endocrine disturbance in the newborn, poor neurodevel outcomes, resp distress in newborn, preterm delivery, low birth weight, small for gestational age. Risk of failure to treat : spontan abort, preterm delivery, low birth weight, suicide, dev delay, behav problems, poor maternal health. Zoloft (sertraline) most oft used. ...Read more

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What is the procedure for weaning off anti epileptic drugs, specifically keppra (levetiracetam)?

What is the procedure for weaning off anti epileptic drugs, specifically keppra (levetiracetam)?

With Your Doctor: Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. It would be tapered down, much the same as it is generally started. Because of complications, it should only be done under your doctor's supervision. It is not something to try on your own at home. ...Read more

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Are some antiepileptic medications known to cause birth defects or autism in a 22 week pregnancy?

Are some antiepileptic medications known to cause birth defects or autism in a 22 week pregnancy?

Antiepileptic: Yes, this is something you need to discuss with your ob. Monitoring can be done, to help determine if there are any anomalies.. Do not just stop the medication though, because seizures can cause a bigger problem for the fetus. ...Read more

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What medication can a person with petit mal epilepsy if they take Latuda (lurasidone) for their paranoid schizophrenia and autism?

Oooh, good question: The two most commonly prescribed meds for absence (petit mal) epilepsy are ethosuximide and valproate. Both interact with Latuda (lurasidone) by an additive effect of psychomotor retardation (dullness) and risk of depression. This can be managed by slow ramp-up of drugs, clear information of what to look for, and input from famiily/friends about overall function. With dose adjustments both may be managed. ...Read more

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Hi, what medication would be accepted during first trimester for migranes.I have horrible headaches and used to take sumatriptan 50mg. Tyleno not work?

Hi, what medication would be accepted during first trimester for migranes.I have horrible headaches and used to take sumatriptan 50mg. Tyleno not work?

See OB/GYN: There are seven medications (e.g. triptans) that are better for treating migraine in pregnancy. However, no drug, including over-the-counter medication, should ever be prescribed without consulting your obstetrician. See OB/GYN for migraine management. Good luck! ...Read more

Dr. Andrew Reeves
543 doctors shared insights

Epileptic Seizures (Definition)

Epileptic seizures. Per Mayo Clinic "Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of ...Read more


Dr. Andrew Reeves
698 doctors shared insights

Epilepsy (Definition)

A neurological disorder where nerve cells of the brain are injured, epilepsy results in seizures that range from nearly undetectable to extremely vigorous. Causes of epilepsy include genetics, head trauma, prenatal ...Read more