Do you consider stopping zonisamide in a female patient with epilepsy who becomes pregnant?

There is nothing specific to zonisamide in this matter and the same question applies to any ASM except basically VPA. Should we stop the ASM if the woman becomes pregnant?

I have never understood this question. If it's considered possible to discontinue the ASM due to pregnancy, it suggests that she might not have required it in the first place, and it should have been ceased earlier. If the medication is deemed necessary, then it remains essential, so the answer is no. Perhaps a reduction in do...