Understanding Your Epilepsy Medications: A Patient's Guide

Essential Information for Safe and Effective Seizure Management

Neurology

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Last updated: Mar 24, 2025

Introduction

Managing epilepsy effectively requires consistent medication use and understanding. This guide will help you navigate your anti-epileptic drug (AED) therapy.

Common Medications

First-Line Options

  • Levetiracetam (Keppra®)
    • Typically taken twice daily
    • Common side effects: drowsiness, irritability
  • Lamotrigine (Lamictal®)
    • Requires gradual dose increase
    • Monitor for rash
  • Carbamazepine (Tegretol®)
    • Often used for focal seizures
    • Regular blood level monitoring needed

Important Guidelines

Taking Your Medications

  1. Take medications at the same time each day
  2. Never skip doses or stop suddenly
  3. Use pill organizers or reminders
  4. Keep a seizure diary

Warning Signs

  • Unusual drowsiness
  • New rashes
  • Vision changes
  • Severe dizziness

Lifestyle Considerations

  • Maintain regular sleep patterns
  • Avoid alcohol
  • Take medications with food if recommended
  • Keep emergency contacts updated

When to Contact Your Doctor

  • Missing multiple doses
  • Experiencing new side effects
  • Breakthrough seizures
  • Pregnancy planning

Emergency Planning

  • Keep rescue medications accessible
  • Wear medical ID
  • Inform family/friends of emergency protocols

Regular Monitoring

  • Attend scheduled appointments
  • Complete blood work as recommended
  • Report any concerns promptly

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