Mental health

Management of epilepsy in women of child bearing age

[2012]

Recommendation(s)

Women with epilepsy should have seizures controlled as well as possible with the minimum dose of antiepileptic drug taken in monotherapy, wherever possible. Antiepileptic drug polytherapy should be avoided. Valproic acid should be avoided if possible.
Strength of recommendation: STRONG
Quality of evidence: LOW

Folic acid should routinely be taken by women with epilepsy of child bearing age who are on antiepileptic drugs.
Strength of recommendation: STRONG
Quality of evidence: VERY LOW

Standard breast feeding recommendations remain appropriate for women with epilepsy on the antiepileptic drugs included in this review (phenobarbital, phenytoin, carbamazepine and valproic acid).
Strength of recommendation: STRONG
Quality of evidence: LOW

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