The doctor prescribed a different medication for her.
I don’t think her case is going anywhere. She is suing pro se, which means she couldn’t find or doesn’t want a lawyer to take her case.
Doctors are expected to mitigate risks, too. Valproate-induced spina bifida is a real problem, it is caused by people who didn’t “mitigate their risks”, and doctors have a responsibility to prevent it when it won’t harm their patients.
Despite what patients often think, doctors are not drug dispensaries. It’s not their job - and never has been - to give patients whatever drugs they read about online. If there is a less risky drug that can treat the patient, they will prescribe that instead.
To take another example, vancomycin is an antibiotic of last resort. Bacteria have not yet developed widespread resistance to it, so it is reserved for patients who have antibiotic-resistant infections. The more it is used, the more likely bacteria will finally develop resistance to it.
Next time you get antibiotics, try telling your doctor “No, I want a vancomycin prescription”. You will be disappointed. They are going to give you what the think is best for you without incurring unnecessary risks
My guess is that drug is valproate. It’s used for headaches as well as epilepsy, though obviously other drugs can be used instead.
The problem with valproate is that it is causes birth defects in two thirds (!!) of pregnancies, including spina bifida in 10% of pregnancies.
The World Health Organization and the European Medicine Agency have issued statements/regulations against prescribing it to any women of childbearing potential. Just to be crystal clear, neither the WHO nor the EMA pay attention to Dobbs, the SCOTUS, or the GOP.
If you go to a doctor and demand a course of antibiotics for a viral infection, they have been trained to refuse. Because antibiotics do not treat viruses, and careless use of antibiotics increases bacterial resistance.
People have agency, but so do doctors. They are entitled to refuse to provide a prescription that is not in keeping with the standard of care, and offer a different prescription instead. You are entitled to find a different doctor.
I’m quoting the WHO and a European agency, neither are American health care. This is a universal approach taken by health care, which in general is concerned with outcomes. Which means acknowledging that no matter how often patients say “Trust me”, they know a certain number will have a bad outcome.
It’s the same reason why doctors increasingly urge their patients to not keep firearms at home. It’s not a matter of trust, it’s a matter of statistics.
Most people who take Viagra have hypertension, because hypertension is the main cause of ED. That doesn’t mean Viagra is dangerous, but you shouldn’t combine it with certain other drugs.
There is a world of difference between valproate and Viagra. Valproate causes birth defects and cognitive delay in 30-50% of pregnancies, which is astonishingly high. If Viagra caused permanent harm to even 5% of users, it would already be off the market.
This safety statement is being issued to alert stakeholders to the revised guidance on the use of valproic acid (sodium valproate) for the treatment of epilepsy and bipolar disorder in women and girls of childbearing potential contained in addenda to the mhGAP intervention guide (mhGAP-IG) and mhGAP humanitarian intervention guide (mhGAP-HIG). The addenda have been issued in advance of an update to the mhGAP guideline for non-specialist health-care providers which is due to be released later this year, and was discussed at the meeting of the WHO Advisory Committee for the Safety of Medicinal products (ACSoMP) on 14 December 2022 [2022 December ACSoMP recommendations]. A safety statement has also been added to the Essential Medicines List (EML). Prescription of valproic acid (sodium valproate) for women and girls of childbearing potential:Valproic acid (sodium valproate) should not be prescribed to women and girls of childbearing potential because of the high risk of birth defects and developmental disorders in children exposed to valproic acid (sodium valproate) in the womb. In women and girls of childbearing potential, lamotrigine or levetiracetam should be offered as first line monotherapy for both generalized onset seizures and focal onset seizures.For women and girls of childbearing potential currently prescribed valproic acid (sodium valproate):Advice should be provided on use of effective contraception, without interruption, during the entire duration of treatment. Information must be provided on risks associated with valproic acid (sodium valproate) use during pregnancy, pregnancy prevention and refer for contraceptive advice if they are not using effective contraception.Individual circumstances should be evaluated in each case when choosing the contraception method and involving the woman in shared decision making.If a woman is planning to become pregnant, a person trained in the management of epilepsy/bipolar disorder in pregnant women should consider alternative treatment options. Women should be informed to consult their physician as soon as they are planning pregnancy and the need to urgently consult their physician in case of pregnancy.Every effort should be made to switch to appropriate alternative treatment prior to conception. If switching is not possible, the woman should receive further counselling regarding the risks of valproic acid (sodium valproate) for the unborn child to support her informed decision-making.A specialist should periodically review whether valproic acid (sodium valproate) is the most suitable treatment for the person.Contact for further information: [email protected]