A lady suffering from GTCS is on phenytoin. She becomes pregnant. What advice u will give to the patient:
Ans. D. Continue phenytoin and add folic acid in last 2 weeks of pregnancy along with vitamin kThough phenytoin is teratogenic drug, but if patient becomes pregnant during the course of the treatment, discontinuation of therapy can precipitate status epilepticus. So we should continue the drug along with folic acid supplementation and vitamin K in 2 and 3 trimesters.
Stop phenytoin, start phenobarbitone
Stop phenytoin, start lamotrigine
Stop phenytoin, start magnesium infusion
Continue phenytoin and add folic acid in last 2 weeks of pregnancy along with vitamin k
C.N.S