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General Medicine General f49e89f6

29-year old, pregnant primigravida in 4th month, has a history of Juvenile myoclonic epilepsy. She has been regularly taking sodium valproate and is now seeking an opinion for her anti-epileptic regimen. What would you suggest her?

A
Immediately taper Valproate and sta Lamotrigine
B
Continue Valproate with monitoring of drug level
C
Switch to Carbamazepine
D
Add Lamotrigine

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