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- Title
Pharmakologische Epilepsietherapie bei Kinderwunsch und in der Schwangerschaft.
- Authors
Müffelmann, B.; Bien, C.
- Abstract
In the vast majority of women with epilepsy, no complications occur during pregnancy. Important for that is early, preconceptional counseling and close surveillance during pregnancy. The aim should be to maintain the best possible seizure control without occurrence of generalized tonic-clonic seizures while using antiepileptic drugs and with the lowest possible risk of malformations. The warnings for the prescription of valproic acid in women of reproductive age were tightened because of the dose-dependent increase in the malformation rate and other risks, especially regarding adverse effects on childhood cognitive development. The pharmacokinetics of antiepileptic drugs in pregnancy require monitoring of serum drug levels and an early dose adjustment. Breastfeeding should be encouraged in women with epilepsy taking antiepileptic drugs as long as infants are closely monitored with respect to possible sedation and poor drinking.
- Publication
Der Nervenarzt, 2016, Vol 87, Issue 10, p1115
- ISSN
0028-2804
- Publication type
Article
- DOI
10.1007/s00115-016-0210-1