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Re: Need advice about tegretol/folic acid requirements

From: Richard Chudacoff, MD (anonymous@obgyn.net)
Mon, 22 Sep 2003 15:19:15 -0500 (CDT)

At Mon, 22 Sep 2003, anonymous wrote: >
>Dear Anonymous...
>
>I just wanted to let you know that I also take Tegretol XR, 200mg 2X/day
>(relatively small dose). I do have 2 perfectly healthy, beautiful
>children. I feel truly blessed. I did try to go off of my medicine,
>but had a seizure (I have had 3 seizures in 13 years, triggered by lack
>of sleep-none while on Tegretol). I went back on Tegretol and got
>pregnant 1 month later. You should see a perinatologist, either as your
>normal OB or they will send you for a consult with a peri at 18-weeks.
>The latter is what I did because I really like my OB. Anyway, once you
>have your mid-pregnancy sonogram, and, assuming everything is o.k., I
>think you can enjoy it as anyone else would. It is nerve-racking;
>however, if you aren't healthy, your baby CAN'T be.
>
>Prior to and during the first 4 months of pregnancy I take 1000 mcg of
>Folic Acid 3 X/day as per my neurologist. Remember, a person not taking
>tegretol has a 2-3% chance of birth defects, 50% of which are major, 50%
>of which are minor. A person taking Tegretol has 4-6%, which is double.
>BUT you still have at least a 95% chance of a perfectly normal baby.
>
>People like you and I have very special situations which must be
>monitored (i.e. regular Tegretol levels, because as your blood volume
>increases with pregnancy the concentration of drug decreases, which can
>be very bad). You can do this, and I wish you luck.
>

I like this response better than Marie's 

--
Richard Chudacoff, MD, FACOG
     Chudacoff Obstetrics & Gynecology, PLLC
     Sugar Land, TX


     Note:  opinions expressed here are for educational purposes
          only and, as such, do not constitute a physician-patient
          relationship.  This information is not intended to supplant
          the need for you to consult with your physician prior to
          choosing therapeutic options and/or interventions.


          **Private emails cannot be entertained due to time
           constraints; consequently, they will receive no response.


          **Thank you for understanding :).**********************************************************************


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