<s>[INST] Hi Doctor, This is Rajesh kinger from Chandigarh,India. I recently get married on 11-Oct-10 and now my wife is pregnant. She already had a problem from last 3 years and she is taking medicine with the doctor advice (Levera 500, Pari CR and Zapiz.25) I just want to know from you that is her pregnancy will cause any effect on our baby. Please tell me on my email id YYYY@YYYY I shall be very thankful of yours. [/INST] Hi there,The above medication are anti-epileptics and your wife needs to see a neurologist urgently to see if she is getting the correct dosage and medications. During pregnancy, we try to decrease the different anti-epileptics to one, if her condition is stable, and she not has a seizure for the last year. This is because the chances of deformities in the baby due to the medication decrease if she takes only one rather than multiple medications.Also, she needs to take folic acid 5 mg daily to prevent damage to neural tube. Both epilepsy and its medication can affect the baby, but it is important that her seizures are in control as if she has a repeat seizure during pregnancy that in itself could be more detrimental to the baby than the medication. She will need a detailed anomaly scan at 20 weeks with special attention to fetal heart. And also she needs to be seen by a senior obstetrician in a tertiary care center and by a neurologist throughout the pregnancy. Hope this helps. Regards. </s>