Medicine

Epileptic mother on lamotrigine , she didn't have a seizure attack since 6 months, didn't have baby with NTD…

Epileptic mother on lamotrigine , she didn't have a seizure attack since 6 months, didn't have baby with NTD , but her cousin had baby with spina bifida

  1. A 5mg folic acid during pregnancy
  2. B 5 mg folic 3-6 months before pregnancy
  3. C Give aspirin
  4. D Folic acid of 400 micrograms with multivitamins الإجابة الصحيحة

الشرح

Core Concept: Women with epilepsy on antiepileptic drugs (AEDs) have a higher baseline risk of having offspring with neural tube defects (NTDs). High-dose folic acid (4-5 mg) is strictly indicated for women with a *personal* history of an NTD-affected pregnancy or those on specific high-risk AEDs like valproate.

Clinical Presentation:

  • Preconception counseling for a woman on lamotrigine with a distant family history (cousin) of spina bifida.

Diagnosis:

  • N/A (Preventive Obstetrics).

Management:

  • Acute/Long-term: A cousin's history does not elevate the patient to the high-risk category requiring 5 mg of folic acid. Therefore, the standard recommendation for women on most AEDs without a personal history of NTDs is a prenatal multivitamin containing at least 400 mcg (0.4 mg) to 1 mg of folic acid, started preconceptionally to reduce the risk of NTDs.

40 سؤالاً مجاناً مع حساب

الأسئلة المنشورة هنا عيّنة ثابتة. أنشئ حساباً مجانياً لتتدرب على بنك الأسئلة الكامل، مع تحليل أدائك حسب التخصص وصفحة لمراجعة أخطائك.

إنشاء حساب مجاني

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