MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
You should not take any medicine without doctor's advice. It may be harmful and can lead to other complications. We have to look into the details of the problem. Let's have a detailed discussion to Ensure proper treatment.
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
You need to consult Neurologist before planning pregnancy, as treatment for epilepsy during pregnancy period needs to be planned in advance. Remember Pregnancy can occur only one day of cycle that is ovulation day so unprotected sex around that day only important. As only one day in month nature should be given 12-24 trials (12 to 24 months) before couple need any active management by Gynaecologist or infertility specialist.
Dear lybrate-user don't worry these medicines are very safe from pregnancy point of you but because you have frequent seizures ,you need to continue this medicines for a very long period. It's better to increase dose from 500to 750teice a day if your seizures are not controlled
wish you all the best you can contact for any issues.
Tab levera (leveteracetum) is safest antiepileptic in pregnancy ,every antiepileptic drug has some degree of teratogenicity ,but leveras is the lowest and teratogenicity of valporate is highest.
Antiepileptics should be taken during pregnancy because epileptic attack during pregnancy is very harmful for the baby.
Hi lybrate-user
Sorry about your early pregnancy loss.
Lets list out the issues. A) Epilepsy
b) Rh Negative
c) 1 early pregnancy loss
d) Medication confusion
Now for my advice.
A) You had a seizure, and have been put on LEVERA XR. It is very important that you do not stop the medicine without consulting you neurologist. Suddenly stopping it can cause seizures. It can be taken during pregnancy, but may need dosage adjustment. You gynaecologist and neurologist should decide management together. SO please continue taking it.
B) Good you had the AntiD. Make sure the antibody levels are monitored through pregnancy.
C) 1 early pregnancy loss is not a cause for concern. Nature tends to remove unhealthy embryos before they grow. You need to worry after 3 consecutive losses. D) Ecospirin is given for women with repeated pregnancy losses and having blood clotting disorders. Stopping Ecospirin is ok. Fertile F is a multivitamin combo, and again upto you to take it.
COR 3 is folic acid tablet, and is necessary before getting pregnant and in early pregnancy. More so, since you have Seizure problem. It will help in baby brain development.
LEVERA XR is VERY VErY IMPORTANT.
And finally, relax, stay positive and look forward to a healthy pregnancy. All the best
Levetiracetam is pregnancy category b3. It is not linked to major birth defects. Also it does not put the unborn child’s cognitive or language development at risks according to latest studies. This is extremely encouraging for young women who are responsive to levetiracetam.
You may plan a pregnancy while on this drug without much anxiety.