Q. A 34 year-old woman with a longstanding history of epilepsy with generalized tonic-clonic seizures that were monthly prior to adequate treatment and are now fully controlled. She comes to see you for consultation prior to becoming pregnant. She is currently taking carbamazepine for her seizures and wants to know how to best keep her baby safe during pregnancy. She has been through many different antiepileptic drugs that either did not work due to adverse reactions or didn't work due to poor efficacy. These medications include levetiracetam, lamotrigine, oxcarbazepine, and topiramate. She had a life-threatening rash with lamotrigine and incredibly painful kidney stones and she is petrified of switching to another medication. She would rather not be on anything than try something new. Vital signs are normal. Neurological examination is unremarkable. Cardiopulmonary auscultation is normal. Which is the most appropriate advise for her?