<prompt> Patient of juvenile myoclonic epilepsy on valproate comes to you at 5 months of pregnancy with level II scan normal what will you advise-Change the drugContinue the drug in same doseDecrease the dose of drugIncrease the dose of drug  <response>: Ans. is b i.e., Continue the drug in same dose o Valproic acid has the risk of fetal malformations during the first trimester of pregnancy,o This patient has normal level II scan at 5 months of pregnancy so the risk period of valproate is already over and valproate is the drug of choice in juvenile myoclonic epilepsy,o Thus the drug shoud be continued in the same doses. 