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Question
Posted by: preggie | 2010/12/20

want to get pregnant but on anti epiletics

Hi
i need some serious advice, i desperately want to start trying for a baby, i am on 200mg tegretol x twice a daily and i need to kno0w if this is ok to take while pregnent and what the effects will be on the baby. One doctor told me that i will have a deformed baby and am freaked out now, Hubby also wont hear anything about it now because he is freaked out.
is there anything else i can do, i havent had any serious sezures for over a year now.

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Our expert says:
Expert ImageGynaeDoc

Tegretol is the anti-epileptic of choice in pregnancy.In fact, a large majority of women who use Tegretol during pregnancy have normal, healthy babies. Certain types of defects are increased (especially if Tegretol is taken during the first 3 months of pregnancy) but they are still relatively uncommon.

All women who are capable of becoming pregnant should take at least 0.4 mg (400 mcg) of the vitamin called folic acid every day because it helps to prevent one type of birth defect. (The most well-known of these is spina bifida, in which the spinal cord is not completely enclosed.) These defects are more common in the babies of women who take Tegretol during the first 4 to 6 weeks of pregnancy. If the doctor thinks a woman is at especially high risk, a much larger dose of folic acid-4 mg (4000 mcg) per day-may be recommended.

About 20% to 35% of women have seizures more often during pregnancy because of changes in hormones or changes in how their seizure medicine is handled by the body. It is helpful for the doctor to check the levels of medicine in the blood regularly during pregnancy so that the dosage can be adjusted if necessary.
Best wishes

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Our users say:
Posted by: gynaedoc | 2010/12/23

Tegretol is the anti-epileptic of choice in pregnancy.In fact, a large majority of women who use Tegretol during pregnancy have normal, healthy babies. Certain types of defects are increased (especially if Tegretol is taken during the first 3 months of pregnancy) but they are still relatively uncommon.

All women who are capable of becoming pregnant should take at least 0.4 mg (400 mcg) of the vitamin called folic acid every day because it helps to prevent one type of birth defect. (The most well-known of these is spina bifida, in which the spinal cord is not completely enclosed.) These defects are more common in the babies of women who take Tegretol during the first 4 to 6 weeks of pregnancy. If the doctor thinks a woman is at especially high risk, a much larger dose of folic acid-4 mg (4000 mcg) per day-may be recommended.

About 20% to 35% of women have seizures more often during pregnancy because of changes in hormones or changes in how their seizure medicine is handled by the body. It is helpful for the doctor to check the levels of medicine in the blood regularly during pregnancy so that the dosage can be adjusted if necessary.
Best wishes

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