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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Epilepsy During Pregnancy

Hi, My wife is currently 7 months 2 weeks pregnant. She is epileptic and had seizures 3 or 4 times before. The last she had a seizure was in Oct 2008. She had very mild seizures yesterday night and today morning that lasted about 30 seconds each. She didnt hurt herself or fall on the ground or anything like that. She is using Carbamazepine 200 mg + 200 mg currently. The local doctor suggested to increase the dosage to 600 mg per day citing the reason of increased weight. Is there anything I need to be worried about? I am very tensed. Please help me.                                                               
Fri, 19 Feb 2016
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OBGYN 's  Response
Hi there,
Welcome to HCM,

Epilepsy attack during pregnancy cannot be ignored and should be a indication to meet a neurologist immediately. Epilepsy can affect the mother and baby.

The mother can have repeated attacks and her epileptic medication need to be increased also rather than increasing the dosage addition of another anti epileptic drug may also be considered by the neurologist. But this would depend on her disease status.

Epileptic attacks need to be controlled as they can hamper the growth of baby. Also these attacks are common during labour and proper precaution against them need to be taken during delivery.

The baby needs to be evaluated for malformations such as neural tube defects and heart problems more so as she was on anitiepileptic medications as these also are known to cause defects in upto 2% of patients.

Get a detailed ultrasound and fetal Echo .

Also change of epileptic medication under advise of a neurologist to be done immediately .

Hope this helps.
Regards.
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Suggest Remedy For Epilepsy During Pregnancy

Hi there, Welcome to HCM, Epilepsy attack during pregnancy cannot be ignored and should be a indication to meet a neurologist immediately. Epilepsy can affect the mother and baby. The mother can have repeated attacks and her epileptic medication need to be increased also rather than increasing the dosage addition of another anti epileptic drug may also be considered by the neurologist. But this would depend on her disease status. Epileptic attacks need to be controlled as they can hamper the growth of baby. Also these attacks are common during labour and proper precaution against them need to be taken during delivery. The baby needs to be evaluated for malformations such as neural tube defects and heart problems more so as she was on anitiepileptic medications as these also are known to cause defects in upto 2% of patients. Get a detailed ultrasound and fetal Echo . Also change of epileptic medication under advise of a neurologist to be done immediately . Hope this helps. Regards.