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Ms. MA, a 26-year-old woman, presents with a 6-month history of spells. The spells are all the same, and all of them start with a

Ms. MA, a 26-year-old woman, presents with a 6-month history of “spells.” The spells are all the same, and all of them start with a feeling in the abdomen that is difficult for her to describe. This feeling rises toward the head. The patient believes that she will then loose The patient believes that she will then loose awareness. After a neurologic work-up, she is given a diagnosis of partial seizures with secondary generalization. The neurologist is considering starting either carbamazepine or oxcarbazepine. Guide Question: A. Which of the following medication should be used? (Expand your answer) 2nd Scenario: 6 months later, she tells you that she is about 6 weeks pregnant. She has had no seizures since beginning drug therapy. Guide Question: B. What is the best strategy for the patient?

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