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Thyroid & epilepsy

Common medical conditions in pregnancy.

Source: BTF 2018 · MHRA

Condition

HypothyroidismIncrease levothyroxine 25–50 micrograms as soon as pregnant; TSH <2.5 first trimester, <3.0 later.
EpilepsyFolic acid 5 mg; lamotrigine/levetiracetam safest; valproate ~10% malformations — avoid.
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