Re: Vit K with Tegretol?

From: Larry Glazerman (glazerman@enter.net)
Sun Nov 30 17:50:43 1997


>Without getting into a discussion on the relative merits of anti-epileptic
>drugs during pregnancy, I am requesting some info on maternal vit K
>supplementation during the last few weeks of pregnancy to prevent neonatal
>hemorrhagic complications. I know that it is suggested when mom is on
>dilantin during pregnancy.
>
>My question - is maternal vit K supplementation indicated for maternal
>tegretol intake?
>
>If so, how much and when?
>
>Thanks!
>
>Betsy Hyde CNM
>Branford, CT
>Midwife in private ob/cnm practice
>Assistant Clinical Professor/Yale University

I don't have an answer backed up by data, but we have had several patients on tegretol in whom the neurologist suggested K supplementation. My question is, in that situation, does it need to be parenteral, or is oral K OK?

--
Larry R. Glazerman, M.D. FACOG
Valley Ob-Gyn Associates
Allentown PA
glazerman@enter.net




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