Epilepsy Flashcards
1
Q
Pregnancy monitoring in epilepsy?
A
If on AEDs - serial growth scans to detect for SGA/other abnormalities
2
Q
How to terminate epileptic seizure in pregnancy?
A
Lorazepam IV
Diazepam PR
3
Q
What should be avoided in labour?
A
Pethidine - lowers seizure threshold
Diamorphine preferable
4
Q
Is there a need to modify the dose of AED after delivery?
A
If AED dose was increased in pregnancy, it should be reviewed within 10 days of delivery to avoid post-partum toxicity
5
Q
Best contraception option for women on AEDs?
A
Cu coil, LNG-IUS, DPMA
6
Q
Contraceptive methods to avoid for women on enzyme inducing AEDs?
A
COCP, POP, patch, implant
7
Q
What is important to know about lamotrigine and contraception?
A
COCP can reduce the levels of lamotrigine and thereby increase risk of seizures.
