Question
A parent inquired whether it is appropriate to give their child calcium, iron, and zinc supplements during the treatment for pediatric epilepsy. It is claimed that these supplements have good effects on promoting digestion and enhancing immunity. The parent wants to know if this is suitable for their child.
Answer
The use of antiepileptic drugs may increase the risk of fetal malformation, with studies showing a risk of approximately 6% to 8%. Before planning pregnancy, antiepileptic drugs should be adjusted to the lowest effective dose, and folic acid tablets should be started three months before conception to reduce the risk of congenital malformations in the fetus. Due to changes in body weight and blood volume during pregnancy that may affect the concentration of antiepileptic drugs, leading to fluctuations in the condition, medication levels should be monitored every 1 to 3 months during pregnancy to assess efficacy and adjust dosages. In addition,