De asemenea, exista posibilitatea ca alti factori, de exemplu factorii genetici sau chiar epilepsia sa fie mai importanti decat terapia medicamentoasa in aparitia malformatiilor congenitale. Avand in vedere aceste circumstante, medicamentul trebuie administrat la femeile insarcinate numai daca beneficiul terapeutic matern depaseste riscurile potent
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