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Survey of outcomes in pregnant women with epilepsy A report of a study involving 300 pregnant women who were prepared to be interviewed and a further 100 who were not. Amongst the key findings presented are the following: Only 11% of women were taking appropriate folate supplementation 61% of women had their epilepsy managed by GPs 71% reported ongoing seizures 38% recalled receiving preconception counselling Less than 50% of pregnancies were planned The rate of congenital malformations seen in this study was 5% this included 4 affected babies born to women not taking any antiepileptic drugs ; , which is higher than the expected rate of about 2.4% seen in the general population. BMJ. 2000; 321: 674-5- full text.
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Limit treatment of yourself or members of your immediate family to minor or emergency services and only when another physician is not readily available; there should be no fee for such treatment. "Emergency" is well understood by physicians to pertain only to those conditions that are a potential threat to life, limb or function, requiring rapid medical intervention or delegated acts. A family member may have: serious medical conditions, a history of life-threatening illness, or a history of refusal to seek appropriate health care services, all of which may put the family member at increased risk. However, if the individual does not require rapid medical intervention or delegated acts ; to save life, limb, or function, it is not an emergency. It is the responsibility of the physician to establish and to maintain boundaries which limit the treatment of family members to minor care or truly emergent services. II. THE RELEVANT FACTS ARE: 1. Dr. Janzen's prescribing to a member of her immediate family herein "X" ; first came to the attention of the College after she issued a prescription which appeared to be for a very large amount of medication. The prescription was acknowledged to be an error. In November, 2002, the Medical Consultant to the Manitoba Prescribing Practices Program stated to Dr. Janzen that it was inappropriate to prescribe this medication to a family member. On May 8, 2003, in an interview with the Investigation Chair, Dr. Janzen acknowledged that she had permitted X to continue to obtain medication on the basis of refills of prescriptions issued by her. On the point of prescribing the medication to a member of her immediate family, Dr. Janzen explained X's multiple medical issues. She stated that she researched the issue and determined that X should take a particular medication. Dr. Janzen stated that she was unable to find another physician comfortable prescribing the medication to X for X's particular symptoms, and so she began prescribing, and also began monitoring for side effects of the medication. By letter dated May 14, 2003, Dr. Janzen stated that she would not prescribe for X or remain involved in X's care. DPIN searches revealed: a. Dr. Janzen first provided to X a prescription for this medication in June 2001, and continued prescribing this medication to X until 2003. b. In addition to the medication referred to above, Dr. Janzen wrote several other prescriptions for X, including sleeping aids. c. X was continuing to obtain medication based upon refills of prescriptions signed by Dr. Janzen. On May 23, 2003, upon the direction of the Investigation Chair, Dr. Janzen cancelled refills of the prescriptions issued by her to X. By letter dated July 4, 2003, Dr. Janzen stated that she and X were searching for a "suitable" family physician, for instance, allergies.
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Seizures with or without secondary generalisation in adults with epilepsy. Keppra Intravenous administration approval in the U.S.A.: In August 2006, UCB announced the receipt of the approval letter from the FDA for the intravenous formulation of Keppra in the U.S.A. Keppra European approval in monotherapy: In August 2006, UCB announced that newly diagnosed epilepsy patients in Europe with partial onset seizures can benefit from first-line treatment with Keppra. Keppra FDA approval in Juvenile Myoclonic Epilepsy: In August 2006, the FDA approved the use of Keppra as an adjunctive therapy in the treatment of myoclonic seizures in adults and adolescents 12 years of age and older with Juvenile Myoclonic Epilepsy. Xyzal NDA submission to FDA: In August 2006, UCB announced the submission of a New Drug Application to the U.S. Regulatory Authority FDA ; for the approval of Xyzal, a prescription anti-histamine for the treatment of allergy symptoms, in Seasonal Allergic Rhinitis, Perennial Allergic Rhinitis and Chronic Idiopathic Urticaria. Zyr5ec paediatric filing in Japan: In October 2006, Z7rtec for paediatric use was filed with the Japanese regulatory authorities. Keppra approval in China: In November 2006, Keppra was approved in China as an adjunctive therapy in the treatment of partial onset seizures in adults and children aged four years and older. Positive EMEA opinion on Keppra in Primary Generalised Tonic-Clonic Seizures: In November 2006, the EMEA issued a positive opinion recommending the European Commission to grant a marketing authorisation for Keppra as an adjunctive therapy in the treatment of primary generalised tonic-clonic seizures in adults and adolescents from 12 years of age with idiopathic generalised epilepsy. Complete Response Letter from FDA on CimziaTM's BLA: In December 2006, UCB received a Complete Response Letter from the United States Food and Drug Administration requesting additional information and clarification on data submitted in its Biologics License Application for the approval of CimziaTM in Crohn's disease.
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