If you are considering taking or already taking oral contraception, you should discuss this with your doctor.

Contraception

Some anti-epileptic medications interfere with the metabolism of the oral contraceptive pill making it less effective. This can lead to “pill failure” and possibly pregnancy.

If you find you are pregnant unexpectedly, it is very important you do not stop your anti-epileptic medication. You should make an appointment to see your paediatrician / neurologist and doctors as soon as possible.  

The risks to your baby from uncontrolled seizures are far higher than any risks associated with your medicines.

Pregnancy

It is important to plan your pregnancy with the help of your general practitioner, obstetrician and your general paediatrician / neurologist.

Some medications can affect the baby inside the womb. It is important to discuss all anti-seizure medication in advance with your doctor before falling pregnant. Your doctors can adjust your medications if needed to help minimise the risks to you and your baby.

• Sodium valproate in particular has been associated with significant concerns of teratogenicity (e.g. malformations, cognitive impairment, and autistic spectrum disorder in the baby).
• Risk increases with higher doses.
• It is important clinicians and women of childbearing age are aware of this risk.

Folate supplementation preconception is recommended for all women planning a pregnancy. 

Read more about women's issues in Epilepsy Action Australia