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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Eptoin Recommended During Pregnancy And Suggest Medication For Vaginal Pain?

hello doctor good evening. i am 13 weeks pregnant and before marriage i got fits once and doctors are adviced to use sodiam valparate valporine 200mg and folic and tablets for 5 years.its been two years since i am taking the medicine. now after medical check up doctor adviced me to use eptoin 100mg. is it safe taking and will the baby be safe and my second question is i am suffering with vaginal pain doctor gave me macgest 200 still there is itching. kindly answer my two queries

my age is 31 years, height is 5'2 weight is 60 now(before 55)

Mon, 2 Mar 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question.Sodium valproate is not completely safe in first trimester of pregnancy. There is a high risk of neural tube defects, cardiac defects and cleft lip and palate in the foetus, when there is intake of valproate in first trimester. I would suggest you to consult a fetal medicine specialist so that you can get an ultrasound done now and again at 18-20 weeks of pregnancy so that these anomalies in the foetus can be ruled out. You should continue taking folic acid as advised and do not stop taking valproate, as your seizures are prevented by this drug.
Pain and itching in vagina may be due to vaginal infection. I suggest you to get your vaginal swab examined and get proper treatment.
Hope you found the answer helpful.
Wishing you good health.
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Is Taking Eptoin Recommended During Pregnancy And Suggest Medication For Vaginal Pain?

Hi, I have gone through your question.Sodium valproate is not completely safe in first trimester of pregnancy. There is a high risk of neural tube defects, cardiac defects and cleft lip and palate in the foetus, when there is intake of valproate in first trimester. I would suggest you to consult a fetal medicine specialist so that you can get an ultrasound done now and again at 18-20 weeks of pregnancy so that these anomalies in the foetus can be ruled out. You should continue taking folic acid as advised and do not stop taking valproate, as your seizures are prevented by this drug. Pain and itching in vagina may be due to vaginal infection. I suggest you to get your vaginal swab examined and get proper treatment. Hope you found the answer helpful. Wishing you good health.