Pregnancy and epilepsy: pharmacokinetic insights into antiseizure medications

Therapeutic drug monitoring is a valuable tool for tailoring antiseizure treatment in women with epilepsy. When monitoring is not feasible, clinicians may need to adjust doses based on seizure severity and the well-documented pharmacokinetic changes of specific medications such as lamotrigine, levetiracetam, oxcarbazepine. The goal is to maintain effective seizure control while minimizing teratogenic risks and ensuring safe fetal development.

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Publication Details

Journal
Expert Opinion on Drug Metabolism & Toxicology
Published
2026-03-21
DOI
https://doi.org/10.1080/17425255.2026.2650186
Primary Topic
Pharmacological Effects and Toxicity Studies
Type
article
Field-Weighted Citation Impact
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article

Pregnancy and epilepsy: pharmacokinetic insights into antiseizure medications

Bruna Nucera, Giovanni Falcicchio, Isabella Colonna, Giovanni Castellucci et al.
Expert Opinion on Drug Metabolism & Toxicology
Pharmacological Effects and Toxicity Studies
article

Pregnancy and epilepsy: pharmacokinetic insights into antiseizure medications

Bruna Nucera, Giovanni Falcicchio, Isabella Colonna, Giovanni Castellucci, Emilio Russo, Loretta Giuliano
article en

Abstract

Therapeutic drug monitoring is a valuable tool for tailoring antiseizure treatment in women with epilepsy. When monitoring is not feasible, clinicians may need to adjust doses based on seizure severity and the well-documented pharmacokinetic changes of specific medications such as lamotrigine, levetiracetam, oxcarbazepine. The goal is to maintain effective seizure control while minimizing teratogenic risks and ensuring safe fetal development.

Expert Opinion on Drug Metabolism & Toxicology
Baylor College of Medicine (US), University of Ferrara (IT), Paracelsus Medical University (AT), Magna Graecia University (IT), Texas Children's Hospital (US), Universidad San Marcos (CR), University of Bari Aldo Moro (IT)
Good health and well-being
Openalex Percentile: Top 14%
Pharmacological Effects and Toxicity Studies
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