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3rd-line & 4th-line maintenance antiseizure medications: valproic acid , phenobarbital , and fosphenytoin At this point, the remaining options are valproic acid, fosphenytoin, and phenobarbital

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This risk is unrelated to dopamine agonist therapy before pregnancy but may occur when fertility is induced with other drugs, including exogenous gonadotropins and clomiphene, and even when no drug therapy has been employed in patients with pre-existing pituitary adenomas