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Routine Long-Term Epilepsy Follow-up 

Routine Long-Term Epilepsy Follow-up
Chapter:
Routine Long-Term Epilepsy Follow-up
Author(s):

Na Tosha N. Gatson

DOI:
10.1093/med/9780190609917.003.0009
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date: 23 November 2017

The chapter on teratogenic medication examines key clinical considerations for evaluating and treating reproductive-aged women on therapies with high reproductive risk factors. Physicians should frequently reexamine the appropriateness of using potentially harmful therapies in their patient population. The U.S. Food and Drug Administration (FDA) recently revised the “Pregnancy and Lactation Labeling Rule” to assist providers in evaluating drug risks to pregnant or nursing mothers. Reproductive-aged women on anti-epileptic drugs (AEDs) might experience challenges related to medication noncompliance, unknown drug–drug interactions, and unintended pregnancy. Therefore, it is important for clinicians to frequently educate and interview their patients about reproductive planning, prevention, and medication risks. Modifying, supplementing, or discontinuing medical therapy when appropriate should also be addressed at each visit.

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