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April 26, 2024

A 27-year-old woman presents for her yearly gynecological examination. She has a history of bipolar disorder and has been euthymic

A 27-year-old woman presents for her yearly gynecological examination. She has a history of bipolar disorder and has been euthymic for the last year on valproate. She recently got married and would like to conceive in the near future. Which of the following would you recommend to the patient based on your knowledge of bipolar medications during pregnancy? The patient should be weaned off valproate to a less teratogenic medication and be observed for 6 months on the new drug prior to conception The patient should consider switching her medication to carbamazepine since it has fewer teratogenic side effects than valproate The patient should continue on valproate as it is extremely safe for both the patient and fetus The patient should discontinue all bipolar medications for a minimum of 1 year prior to attempting to conceive

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