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Fri, 20 May 2005 12:06:56 -0400 |
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This mom should immediately seek a second opinion. It is very, very
unwise to mess with a pregnant mother's seizure medication, as seizures
can have very significant adverse effects on the fetus (prolonged
hypoxia, well beyond the duration of the seizure, for one).
Dr. Hale still has topamax classified as L3, and writes that the
infant's plasma level is lower than the mothers, and "the risk of using
this product in breastfeeding mothers is probably acceptable".
If mom is using this medication for bipolar disorder, she similarly
should not have her medication changed at such a vulnerable time.
Catherine Watson Genna, IBCLC NYC
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