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Query about genetic Epilepsy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Epilepsy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3584 Questions
User :   Hi...I'm from ... 30yrs. old and 17weeks preg.I want to know what effect will it have on my baby since I'm Epileptic since childhood and I'm taking Tegretal 300mg daily.my father in law was also epileptic for good 15-20ys. though my husband is free of it.
Doctor :   hi
Doctor :   Ok
Doctor :   Tegretal has some evidence of effect on baby
User :   like what?
Doctor :   Most birth defects associated with Tegretol usage occur in patients who took the drug during the first trimester of their pregnancies, up to a gestational age of 14 weeks.
Doctor :   The risk to the fetus falls with gestational age. It increases when more than one antiepileptic or anticonvlusant medication is taken at once.
Doctor :   These birth defects include abnormally close-set eyes, spina bifida, absent organs, missing or inadequate fontanel (back of the skull), abnormally small head circumference, cleft lip or palate, mental retardation and malformations of the nose.
Doctor :   Learning disabilities and cardiovascular diseases have also been noted in children born to mothers who take or took Tegretol
User :   wht kind of defects?I got my quad test and TIFAscan done at 16 weeks and the report says normal
Doctor :   In general, however, the risk of teratogency is relatively low, as the majority of women who take Tegretol go on to have healthy babies.
Doctor :   Many physician continue the drug
Doctor :   what kind of defects?
Doctor :   These birth defects include abnormally close-set eyes, spina bifida, absent organs, missing or inadequate fontanel (back of the skull), abnormally small head circumference, cleft lip or palate, mental retardation and malformations of the nose.
Doctor :   did u get it
Doctor :   eyes are close to each other
Doctor :   the back bone might be open
Doctor :   small head size
User :   the scan TIFFA ans Quad test hv cme normal
User :   what next
User :   iwant t know what are the chaces of passing Epilepsy to my baby
Doctor :   i am not sure about that
User :   wht kind of medication can I take sinceI hv develoed severe cold and throat infection
Doctor :   when the scan is negative ..
Doctor :   Didi I clear the Q regarding tegretol before moving to next
Doctor :   are you there?
User :   yes
Doctor :   where are you from?
User :   y
Doctor :   where are you from?
Doctor :   I need to write the names of med
User :   which med
Doctor :   for cold
User :   howdes it relate with whr I'm from
Doctor :  
paracetamol, benadryl, pesophedrin are ok
User :   duing prenancy alongwith tegrital?
Doctor :   you are becoming defensive
Doctor :   different counties have different cough and cold medicines
Doctor :   That is why I asked u
Doctor :   if u do not want to tell that is fine
User :   bossread my very 1st question
User :   i clearly specified INDIA
Doctor :   i am chatting with many patients
Doctor :   You are chatting alone
Doctor :   some info needs confirmation
User :   then I better go
Doctor :   Do u have any other Questions
User :   thanks u told me all that is mentioned o net
Doctor :   i did not get u
User :   wht I ased abt chance of passing epilepsy u r not sure
Doctor :   wait i will search
Doctor :   There is a family history of Epilepsy
User :   no thanks I can search as well after pyig a amoun to chat with live docs
Doctor :   So there is a possibility of getting to your kids
User :   bad experince closeur business
Doctor :   Hope you got all answers
Doctor :   Sorry for any inconvenience in letting u wait for few sex
Doctor :   *sec
Doctor :   I have to close the window as you are not responding
Doctor :   you can log and chat with other doctors
Doctor :   we are open 24hours
Doctor :   Bye
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