MANAGING epilepsy can be a delicate balancing act, especially for women who are pregnant or planning to conceive. The introduction of Iracet, the first generic levetiracetam available in Jamaica from RA Williams in partnership with Square Pharmaceuticals, is transforming care for women with epilepsy. A play on the drug name levetIRACETam, Iracet provides a safer, more affordable alternative to the costly brand-name version, offering much-needed security during one of the most critical times in their lives.

According to Dr Tiffany Watson, a leading obstetrician and gynaecologist, Iracet is a game-changer.

“Iracet is a fantastic treatment option for women living with epilepsy or seizure disorder who are pregnant or trying to conceive,” Dr Watson shared. “Among anti-seizure medications, it falls into the safest category, carrying the lowest risk for neurodevelopmental delay, poor growth of the baby, and poor formation of the baby’s organs. It is recommended that women are switched to Levetiracetam prior to conception to ensure the safest environment for the baby.”

Pregnancy presents unique challenges for women with epilepsy, as managing seizure risk and the impact of medication on the baby requires careful balance.

“The two main concerns are having a seizure and whether the medication harms the foetus. It’s crucial for pregnant women to stay seizure-free, as even a brief seizure can pose risks to both mother and baby,” Dr Watson explained.

Unfortunately, many women stop their medication upon discovering they are pregnant, fearing harm to the baby, which can lead to breakthrough seizures. “Iracet provides excellent seizure control and is safe for the foetus, allowing women to maintain treatment without disrupting their care,” Dr Watson added.

The affordability of Iracet is another crucial factor.

“Women are often on their medication for years, so affordability is extremely important. Iracet reduces their spending by almost half in comparison to the brand name option,” said Dr Watson. “Iracet provides an affordable, safe option for seizure control. Women are likely to be more compliant with treatment because it doesn’t have the disfiguring side effects of other anti-seizure drugs, and if they’re considering pregnancy, they can feel confident it is the safest option to conceive on.”

Looking ahead, Dr Watson envisions a future where anti-seizure medications are available in more convenient forms. “I would love to see anti-seizure medications available in a more acceptable route. Taking pills every day can be tiresome, and I believe a once-weekly patch would be well received. Perhaps RA Williams could look into developing this.”

Her advice for women with epilepsy is clear: “Be compliant with your medications and maintain a good relationship with your neurologist. Keep all your records in a folder on your phone with your most recent results, the names of your medications, and any issues you may have with them. If you have a concern about your medications, do not stop them on your own — make an appointment and discuss other options or whether it’s safe to discontinue. If you’re of reproductive age, plan your pregnancy with your OB/GYN and, if you’re not ready, ensure you’re taking steps to prevent one.”