IS IT SAFE TO TAKE TOPAMAX WHILE PREGNANT?
there are two good reviews on topamax safety in pregnancy below. Both cases essentially say that there are some reasons to believe there are risks, but there are not enough studies with topamax use in human women to really say for certain. So it belongs to the category of drug where the benefits may outweigh the risks. But it is DEFINITELY worth a long hard talk with her provider about possible alternatives. This may depend on how severe her epilepsy is. “In studies on Topamax and pregnancy, the medication caused birth defects, miscarriages, and low fetal weight when it was given to pregnant animals. When the drug was given to pregnant humans, it also caused some birth defects (although it was taken with other seizure medications). If you are taking Topamax and pregnancy occurs, talk to your healthcare provider so he or she can weigh both the benefits and risks before making a recommendation for your situation.
