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What is the recommended dose of Folic acid while planning for pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am an epileptic patient and currently on Lamictal 200 mg twice a day. I am planning for pregnancy. I would like to know the dosage of Folic acid I should start.
Answered by Dr. Hardik Nareshbhai Rajyaguru

Education:

DNB Neurosurgery

Professional Bio:

Dr. Hardik Nareshbhai Rajyaguru is an experienced neurosurgeon with eight years of expertise, specializing in spine surgeries. He is dedicated to providing advanced surgical care for spine-related conditions, ensuring optimal outcomes through precise techniques and a patient-centered approach to treatment and recovery.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com. I suggest you tablet Folvite 5 mg of Folic acid one tablet per day. The recommended dose of folic acid is a controversial topic. Various doctors favor 1 mg to 5 mg per day. The best part is that the Folic acid has no side effects. It is a water-soluble vitamin and an excess of it gets excreted in urine. So, we recommend 5 mg per day to all our patients. When sufficient dose is harmless, there is no need to take a chance by giving low doses. One more concern of mine is that you have to check with your neurologist if it is safe to go ahead with pregnancy while on Lamictal (Lamotrigine). The safety of Lamictal is not established by studies. But, if your physician has good experience with personal case series, then I think you can continue.

Medically reviewed by iCliniq medical review team
Published At October 28, 2016
Reviewed At August 1, 2023

Education:

DNB Neurosurgery

Professional Bio:

Dr. Hardik Nareshbhai Rajyaguru is an experienced neurosurgeon with eight years of expertise, specializing in spine surgeries. He is dedicated to providing advanced surgical care for spine-related conditions, ensuring optimal outcomes through precise techniques and a patient-centered approach to treatment and recovery.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Decision Helper
Folic Acid and Epilepsy in Pregnancy Decision Helper

Planning Pregnancy with Epilepsy?

This tool helps you understand key considerations for folic acid and medication safety when planning pregnancy with epilepsy.

This tool provides general information and is not a substitute for professional medical advice. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Hardik Nareshbhai Rajyaguru
Dr. Hardik Nareshbhai Rajyaguru

Neurology

Education:

DNB Neurosurgery

Professional Bio:

Dr. Hardik Nareshbhai Rajyaguru is an experienced neurosurgeon with eight years of expertise, specializing in spine surgeries. He is dedicated to providing advanced surgical care for spine-related conditions, ensuring optimal outcomes through precise techniques and a patient-centered approach to treatment and recovery.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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