I am 28. Will epilepsy medications affect my pregnancy?

Question

Hi doctor,

I am 28 years old. I had my first seizure at 21. Now I am on Levetiracetam 500 mg twice daily. My symptoms are mostly controlled, but last month I had one seizure after missing a dose. I also feel mood swings and anger sometimes. Is this due to the medicine or the epilepsy itself? Can I ever stop medication if I stay seizure-free? I am planning to get married and have kids soon. Will epilepsy or medicines affect pregnancy and the baby in the future?

Please guide.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

Epilepsy that began at 21 and is well controlled on Levetiracetam is a good sign, but the breakthrough seizure after a missed dose highlights how important consistent medication is for keeping seizures suppressed. Mood changes, irritability, and anger can occur in some people as a side effect of Levetiracetam, though epilepsy itself can also contribute to mood symptoms, so it is worth discussing with your neurologist if adjustments or supportive strategies are needed. In terms of stopping medication, doctors usually only consider tapering after at least two to five years of being completely seizure-free with a normal EEG (electroencephalogram) and no ongoing risk factors, but even then, there is always a chance of recurrence, so it must be carefully weighed.

Regarding your plans for marriage and pregnancy, many women with epilepsy have healthy pregnancies and babies. Levetiracetam is generally considered safer than older anti-seizure drugs in pregnancy, with a relatively low risk of birth defects, but planning with your doctor is important. Folic acid supplementation before conception, medication review, and close monitoring during pregnancy can help minimize risks. With good medical guidance, both your health and your baby’s health can be well protected.

I hope this answers your query.

Feel free to reach out anytime.

Thank you.