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Medicine C.N.S 0021ca99

A 4 month pregnant lady on treatment with valproate regularly asked for your advice regarding taking the drug during pregnancy. What is the best course of action

A
Immediately tape off valproate and sta lamotrigine
B
Change to carbamazepine
C
Continue valproate and monitor blood levels
D
Slowly tape dose of valproate
High-Yield Explanation
K.D Tripathy essentials of medical pharmacology 7th edition . *Valproate used during pregnancy produced spina bifida and other neural tube defects in off spring:should be avoided *Incidence of minor foetal malformation repoed with carbamazepine *

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