A 35 year old woman presents with a history of severe epilepsy for which she is currently taking sodium valproate. She and her partner are considering pregnancy in the near future. After advising her of the risk to her infant from sodium valproate, which of the following is the most appropriate step in management?

Question

A 35 year old woman presents with a history of severe epilepsy for which she is currently taking sodium valproate. She and her partner are considering pregnancy in the near future.  After advising her of the risk to her infant from sodium valproate, which of the following is the most appropriate step in management?

Accepted Answer

Cease sodium valproate and start an alternative medication and commence 4mg folic acid three months before becoming pregnant.

Answer

Cease sodium valproate and commence 400mcg folic acid three months before becoming pregnant.

Answer

Cease sodium valproate and start an alternative medication and commence 400mcg folic acid three months before becoming pregnant.

Answer

Continue sodium valproate throughout pregnancy and commence 400mcg folic acid three months before becoming pregnant.

Answer

Cease sodium valproate and commence 4mg folic acid three months before becoming pregnant.

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A 35 year old woman presents with a history of severe epilepsy for which she is ...

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