Should antiepileptic drugs be adjusted during pregnancy?

Patient's question:

Should the medication for antiepileptic drugs be adjusted during pregnancy? My wife is now three months pregnant and has epilepsy, so she needs to take medication every day. Will this affect the child, and can she still take this medication in the future? What kind of help do you need: Should the medication for antiepileptic drugs be adjusted during pregnancy?

Doctor's answer:

Focusing on antiepileptic drug treatment: Except for a very small number of patients who have not had a recurrence for over ten years since stopping treatment before planning pregnancy and have normal test results, most patients should focus on antiepileptic drug treatment during pregnancy and delivery. This is because recurrence during pregnancy, especially tonic seizures, may cause maternal injury, leading to miscarriage or other damage to the fetus.

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