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Real members of MyEpilepsyTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I just started a new medication called zonisamide. My other medications are Lacosamide, clonazepam and folic acid. The DBS was inserted when I was 21 years old and I’ve been very grateful for how much it has helped with my tonic-clonic seizures since then!

August 23
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A MyEpilepsyTeam Member

Nope.

August 24
A MyEpilepsyTeam Member

I became pregnant with no problems ( in fact I was on birth control pills each time), 3 times. I was taking depakote. I did not carry to term but each child is normal and healthy adult today with children of his/ her own. Nobody told me that epilepsy meds can interfere with birth control. So find out. If planning a pregnancy, talk to your neurologist, your epilepsy meds may need to be changed. Mine should have been as it was super dangerous to an unborn child. I had no idea until many years (and a few doctors) later. It could be why they were all born premature.

August 29
A MyEpilepsyTeam Member

You’re better off finding out from a Neurologist or Epileptologists . I know there are meds you don’t want to be on during pregnancy. What meds are they? I don’t know.. that would take more research.

August 23
MyEpilepsyTeam

What a great question — and it's wonderful to hear that the DBS has made such a positive difference for your tonic-clonic seizures!

The good news is that research actually suggests epilepsy itself doesn't lower a woman's chances of becoming pregnant. A study found that women with epilepsy and women without epilepsy had Show Full Answer

What a great question — and it's wonderful to hear that the DBS has made such a positive difference for your tonic-clonic seizures!

The good news is that research actually suggests epilepsy itself doesn't lower a woman's chances of becoming pregnant. A study found that women with epilepsy and women without epilepsy had nearly identical pregnancy rates within a year of trying to conceive — around 60% for both groups. As for your medications, zonisamide is actually one of the anti-seizure medications that is not strongly associated with reducing fertility. It's also worth noting that zonisamide is not on the list of medications known to interfere with hormonal birth control, which is a plus.

However, there are some important things to be aware of when thinking about pregnancy with your current medication regimen:

- Zonisamide — not known to significantly impact fertility, but its safety profile during pregnancy should be discussed with your neurologist
- Lacosamide — a newer medication with limited pregnancy research available
- Clonazepam — your doctor will want to carefully review this one in the context of pregnancy planning
- Folic acid — you're already ahead of the game here! Folic acid is strongly recommended for women with epilepsy who are planning to conceive The most important step is to have an open conversation with both your neurologist and OB before trying to conceive. They can review your full medication plan and make any adjustments needed to support a healthy pregnancy. Planning ahead makes a real difference!

August 23

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