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Is It Safe To Take 5mg Folic Acid For A Woman Trying To Conceive?

Posted on Tue, 28 Apr 2015

Question: my daughter is pregnant now 3 months. She is taking LAVERA FOR febrile seizure.
she is taking folic acid 5 mg daily one. Is the folic acid dose is ok or not.pl find the previous XXXXXXX correspondence also.
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Dr. XXXXXXX
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Gender: Female
Age: 22
Visited a Doctor: No
Medications Tried: N/A
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my daughter is taking enchorate chrono daily for febrile seizure. She is married and would like to conceive and pl tell me any problem to conceive and in pregnancy. She is quite healthy and good in education and still studieng and 22 age now.
Asked by Me , Tue, 28 Oct 2014
Doctor's reply to your question above...
Brief Answer:
It is contraindicated during pregnancy.

Detailed Answer:
Hi,

Thanks for writing to us about it.

I can understand your concern, though.

If your daughter in indent to planning pregnancy, she should not take enchorate it may cause birth defect in her baby and it is contraindicated during pregnancy.

Hence she should consult her treating physician and switch over to other antiepileptic drugs or combination therapy which is safer during pregnancy.

Hope it is useful, feel free to ask more question.

Good luck.
Regards
Dr XXXXXXX
Replied by Dr. XXXXXXX , Tue, 28 Oct 2014
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
IS IT OK BY SUBSTITUTING BY LEVERA OR LAMITOR
Asked by Me , Tue, 28 Oct 2014
Doctor's reply to your question above...
Brief Answer:
Yes, she can use it.

Detailed Answer:
Hi,

Nice to find out from you all again.

Commencement of all it is very important to know that no anticonvulsant drug is 100% safe, but as such use of Levera is quite safe (fetal risk as such not documented).

But close monitoring is constantly required.

Please start folic acid 5 mg daily along with anti convulsant drug so the chances of neurological deficit are less.

She should always under close observation of her treating physician during her pregnancy to avoid any future consequences.

Hope it's been helpful.

Best of luck to her in the future!
Regards
Dr XXXXXXX
Replied by Dr. XXXXXXX , Tue, 28 Oct 2014
Di

Answered by Dr. Richa Agarwal (35 minutes later)

Brief Answer:
Yes folic acid dosage are fine.

Detailed Answer:
Hello, ma'am,

Thanks for believing me again about your daughter's health care.

Congratulations on her pregnancy.

I have worked through our previous discussion also.

Yes, in my opinion folic acid 5 milligram
daily dose is appropriate in her case and it should be continued at the end of the first trimester.

Folic acid is very useful for neurological development of foetus and prevent neural tube defects in foetus.

Make her a healthy and balanced diet, she should do some yoga and meditation and make her happy and feel comfortable and enjoy her motherhood.

Hope it is useful, feel free to ask more.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (2 hours later)

thank you doctor,
She is taking lavera 500 , 2 nos daily and pregnant , that is why we got doubt about the dosage of folic acid.
Kindly let us know doctor about the special treatment any is require for the child after her delivery, as she had taken and will be continue to take the lavera.
Please let us know Doctor.
And also any special care has to be taken for her delivery .
pl see the result of scan on 12th week.
1-there is a single live intrauterine gestation
2- CRL-6.22 cm --correspond t0 12 weeks and 6 days
3-EDD-11-10-2015
4-FETEL HEART PULSATION SEEN-HEART RATE-152 BEATS PER MIN
5-NTM-1.3MM, NASAL BONE IS VISUALISED.NORMAL SPECTRAL PATTERN, NO reversal of (a)wave.--no evidence of regurgitation in the tricuspid valve
Forming placenta noted on anterior wall
intracranial translucency measures 1.8 mm
RIGHT UTERINE ARTERY Pl-1.51 and left uterine artery Pl -1.57,mean Pl -1.54
no evidence of subchorionic hemorrhage
cervical length is adequate and Os is closed
TAS 1.3CM(Isthmic), 3.8 cm (intra-cervical)
TVS 1.3CM(Isthmic), 3.3 cm (intra-cervical)
Risk of Down,s syndrome. 1in 1455(age related). 1 in 8559 (age+NT)

Answered by Dr. Richa Agarwal (8 hours later)

Brief Answer:
Scan seems to be normal.

Detailed Answer:
Hello, ma'am,
Regretful for the long delay in my response.
I have gone through her ultrasound scan reports and everything seems to be normal means her baby is not affected by her disease and medication.
Yes, folic acid is very important in epileptic patients for their foetal neural development.
Special precautions during pregnancy and childbirth required in her case.
She should keep her pregnancy under observation of gynaecologist, neurologist, perinatologist and paediatrician.
During gestation and childbirth special care should be taken so chances of seizure may reduce. Continuous monitoring of antiepileptic drug is needed throughout pregnancy and childbirth.
Vitamin k should not be given after delivery.
Labour should not be extended.
Seizures should be warded off with appropriate dosage of antiepileptic drugs.
Delivery should be performed in well equipped hospital with facilities of NICU.
After delivery baby should be held back in continuous monitoring.
Hope it is useful, feel free to discuss.
Again sorry for delay in my response.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar