What Seizure Medication Is Safe During Pregnancy?

Can you take seizure medication while pregnant?

Fact: You can. In fact, neurologists usually recommend continuing epilepsy medications throughout pregnancy. However, it comes down to the type of medication. You may need to adjust your dosage or switch to a new drug, but you probably won’t need to stop medication altogether.

Is it safe to take Keppra while pregnant?

Recent studies carried out by the Commission on Human Medicines (CHM), looking at the risks associated with commonly prescribed AEDs shows that lamotrigine (Lamictal) and levetiracetam (Keppra) are safer to use during pregnancy than other AEDs, having low rates of physical birth abnormalities, in line with the

What epilepsy medications are not safe during pregnancy?

Valproate (sodium valproate, brand name Epilim) Medicines containing valproate (sodium valproate and valproic acid) can seriously harm the unborn baby if taken during pregnancy. If 100 women take valproate medicines during their pregnancy, about 10 of the babies will be born with physical birth defects.

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Do antiepileptics cause birth defects?

However, previous studies consistently have found that babies born to women who take certain antiepileptic medications during pregnancy have an increased risk for birth defects. Studies have shown that valproic acid presents the most risk to the developing baby.

Can seizure meds cause miscarriage?

Overall the data is reassuring. This large, registry based study suggests that women treated for epilepsy with antiepileptic drugs during pregnancy may not be at increased risk of spontaneous abortion.

Can your baby have seizures in the womb?

Can babies have seizures in the womb? It is thought that foetal seizures, or seizures in the womb, are very rare. They can have many causes and may also be associated with a poor outcome. It is reasonable to assume that a baby who has seizures in the womb will have neurological complications after birth.

What category is Keppra in pregnancy?

US FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

How are seizures treated during pregnancy?

Of the new anti-seizure medications, lamotrigine and levetiracetam are the most widely used due to their known safety during pregnancy. Clearance of lamotrigine and levetiracetam doubles during pregnancy compared to before pregnancy.

What can cause a seizure during pregnancy?

Eclampsia is a severe complication of preeclampsia. It’s a rare but serious condition where high blood pressure results in seizures during pregnancy. Seizures are periods of disturbed brain activity that can cause episodes of staring, decreased alertness, and convulsions (violent shaking).

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Is epilepsy high risk pregnancy?

In women with epilepsy, the risk is doubled to about 4% to 6%, but overall remains low. Risks to the developing baby may be greater when more than one type of medication is used and with a higher dose of medication.

How can you tell if your baby has a seizure in the womb?

Symptoms of neonatal seizures include repetitive facial movements, staring, unusual bicycling of the legs, muscle tightening or rhythmic jerking. Because many of these movements occur in healthy newborns, an EEG may be needed to confirm if a seizure is responsible.

Can babies withdrawal from Keppra?

Withdrawal symptoms at birth (neonatal withdrawal) Levetiracetam works in a similar way to other medicines that are known to cause neonatal withdrawal and close monitoring of your baby for a few days after birth may therefore be advised if you have taken levetiracetam regularly in the weeks before delivery.

How can I prevent seizures during pregnancy?

Folic acid helps prevent neural tube defects, serious abnormalities of the brain and spinal cord. Because some seizure drugs affect the way the body uses folic acid, your health care provider will recommend a high-dose folic acid supplement — ideally starting three months before conception.

Can preeclampsia cause seizures?

Eclampsia is pregnancy-related seizure activity that is caused by severe preeclampsia. Less than 1% of women who have preeclampsia experience seizures. Eclampsia is life-threatening for both a mother and her fetus. During a seizure, the oxygen supply to the fetus is drastically reduced.

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