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Antiepileptics
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> All except barbiturates are OK in breast feeding Folic Acid 5mg for all epilpetic pregnant women for NTD prevention Preventing fits is of first importance monitoring drug levels is unnecessary aim for monotherapy valproate - NTD, phenytoin - cleft palate, give vit K from 36/40 to prevent newborn clotting disorders carbamazepine - least teratogenic of old drugs lamotrigine - low risk, dose may need increasing
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