What anti-seizure drugs are safe for breastfeeding mothers?

Topiramate is excreted into the breast milk, and safety data for the baby are limited. A study of 203 women with epilepsy using topiramate during pregnancy showed an increased risk for cleft palate. Gabapentin is also excreted into the breast milk, although the concentrations in nursing infants are very low.

No problems have been reported for babies of nursing mothers using gabapentin; however, because the available information is limited, gabapentin is generally not recommended for headache prevention when nursing.

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