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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are There Any Problems For Taking Epileptic Medicines During Pregnancy?

Hi, Im epileptic and pregnant and currently taking keppra and clobazam to control my epilepsy. Im 4 months pregnant started on keppra ever since i found out i was pregnant (pre preg i was taking epilim) I went through the withdrawel from epilim (not taking it at all now) and whilst the keppra was being used to take epilims place ive aways suffered from awful anxiety. My anxiety is so bad its triggering me to have a seizure so my preg consultant has told me i need to take beta blockers (propranolol) to abstain the anxiety which was causing seizures. Im so worried about take propranolol, I am waiting to see my neurologist next week and consult with her before i take them. Im worried they will higher risk of any birth defects or causing any harm to the baby especially taken in conjunction with all the anti seizure meds im taking. Is there anyone online that can tell me if they know of any harm or risks to the baby and also is it definitely safe whilst taking keppra and clobazam ( & levothyroxine - ive an overactive thyroid) Please help jade
Wed, 26 Nov 2014
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OBGYN 's  Response
Hello,
Propranolol, Clobazam and Leviteracetam belong to category C drugs in pregnancy. Thus animal studies have shown developmental anomalies and hence, use in pregnancy should be done when benefits outweigh risks to the fetus. Levothyroxine is safely taken during pregnancy and the dosage may need to be adjusted time to time as advancing pregnancy makes the requirement rise. Please follow the instructions of your neurologist and discuss further with your attending obstetrician. Wish you safe motherhood.
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Are There Any Problems For Taking Epileptic Medicines During Pregnancy?

Hello, Propranolol, Clobazam and Leviteracetam belong to category C drugs in pregnancy. Thus animal studies have shown developmental anomalies and hence, use in pregnancy should be done when benefits outweigh risks to the fetus. Levothyroxine is safely taken during pregnancy and the dosage may need to be adjusted time to time as advancing pregnancy makes the requirement rise. Please follow the instructions of your neurologist and discuss further with your attending obstetrician. Wish you safe motherhood.