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Neurology (Expert Forum)
Pragnacy vs. Dilantin
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Pragnacy vs. Dilantin
by DCW, Sep 26, 2004 12:00AM
Hi there. I have been seizure free for 4 years while taking Dilantin for my Epilepsy. We don't know why I have it but the med. works so I've stayed on it. If I want to get pragnant I am worried with the interactions the drug could cause. What are your suggestions? Do you think it's time to try to get of the Dilantin? Is there still a possiblity I could have another seizure on/off the med. even if it's been this long? My Neuro. doesn't help much so I would like your opinion. Also, I've heard Dilantin and birth control don't mix together well either, what can I do about that? Thank you so much for your help.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Sep 28, 2004 12:00AM
If you have been seizure free for 4 years it may be reasonable to re-evaluate the need for continuing medication. The decision to continue medication is dependant on the type of epilepsy you have, the cause, and your overall health. There are some forms of epilepsy which patients can outgrow, and therefore these patients can stop medications. Prior to becoming pregnant you should have a consultation with an epilepsy specialist at an academic center. Dilantin is an effective, but older medication. If you need to be on medication, some of the newer ones may be safer for the baby. Regardless of what medication you take you should take a folic acid supplement to help reduce the risk of birth defects. If you become pregnant, do not stop your medication without consulting a doctor.
Regarding Dilantin and birth control pills, you should inform your gynecologist you are on Dilantin, and they should be able to adjust your birth control regimen.
If you are in the area, we have a wonderful comprehensive epilepsy center at the Cleveland Clinic. An appointment can be made by calling 1-800-CCF-CARE. Good luck.
Regarding Dilantin and birth control pills, you should inform your gynecologist you are on Dilantin, and they should be able to adjust your birth control regimen.
If you are in the area, we have a wonderful comprehensive epilepsy center at the Cleveland Clinic. An appointment can be made by calling 1-800-CCF-CARE. Good luck.
