What primary care physicians should do
- Ensure that any woman of reproductive age receiving valproate is directed towards epilepsy specialist services to allow assessment of appropriateness of use +/or dose
- Ensure women with epilepsy or first seizures are directed or referred to specialist services for urgent review if pregnant.
- Ensure that rapid access is requested for epilepsy review for anyone planning pregnancy, at any stage in pregnancy, and in the immediate post-partum period.