A 30-year-old woman has episodic generalised tonic-clonic seizures. Which drug is first-line in a woman who may become pregnant?

Answer and explanation

Correct answer: A. Lamotrigine

  1. Step 1: Valproate is teratogenic, so lamotrigine or levetiracetam is preferred. Answer: Lamotrigine. Why not the others: Valproate, Phenytoin and Carbamazepine don't fit.

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