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afya Antiepileptics

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20160425222419 Ben  
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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