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My #1 concern in this scenario, is having a healthy child. I know that with every pregnancy there are risks. I've read about how tegretolDrug rash, tegretol Tegretol Tegretol xr CAN cause birth defects, not always, and that chances are low. Don't worry, before we TTC, we will meet with both her doctors (Neuro and Gyno). My concern is that the Neurologist will say "Stay on the meds" while the GYNO will say "Get off the meds for the baby."