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Gynaecology & Obstetrics
A 26-year-old primigravida with juvenile myoclonic epilepsy comes to you at 4 months with concern regarding continuing sodium-valproate treatment. Your advice is:
Add lamotrigine to sodium valproate
Taper sodium valproate and add lamotrigine
Switch on to carbamazepine
Continue sodium valproate with regular monitoring of serum levels
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