Primary Care

Epilepsy

Questions discussed in this category

Would you use bupropion for mood disorder or substance use in an adult patient with previous childhood seizures that resolved?

1 Answer available

How do you adjust the management of epilepsy in patients who are planning to fast?

E.g., during Ramadan, what if extended-release medications aren’t an option?

2 Answers available

When do you consider stopping anti-seizure medications in seizure-free pediatric epilepsy patients?

3 Answers available

Do you warn patients about suicidal ideation when starting anti-seizure medications?

1 Answer available

How do you counsel patients with epilepsy who are interested in purchasing a seizure dog?

In light of the publication of results from the EPISODE study.

7 Answers available

If a patient who has previously been taking lamotrigine stops taking it for between two weeks and a month, do you have to uptitrate it all over again or do you have another way to resume it?

1 Answer available

How do you utilize at-home seizure monitoring devices for your patients with epilepsy?

1 Answer available

How significant are the cardiovascular side effects, such as hypertension, associated with valproate?

1 Answer available

How long do you wait for a patient to be seizure-free before you clear them with regard to operating heavy machinery (i.e., for work)?

1 Answer available

Do you consider stopping zonisamide in a female patient with epilepsy who becomes pregnant?

2 Answers available

How do you taper phenobarbital in a patient with epilepsy?

1 Answer available

Do you use vitamin B6 to help with Keppra irritability?

6 Answers available

What dose do you provide of folic acid in pregnant patients with epilepsy?

2 Answers available

How do you counsel patients on driving who have PNEA?

5 Answers available

How do you manage anti-seizure medications at follow-up in patients who had acute symptomatic seizures due to PRES?

With studies showing rare risk of developing epilepsy after PRES do you just taper medications over the following weeks-months? Any need for outpatien...

1 Answer available

What interventions have you found most effective for reducing ED utilization in patients with PNES?

2 Answers available

How long after starting an antiepileptic drug do you check levels?

1 Answer available

How do you tailor seizure medications in patients who become pregnant or are family planning?

1 Answer available

What is your first line treatment for a patient with epilepsy who is homeless and has a history of poor adherence?

2 Answers available

How frequently do you check AED levels in patients with stable epilepsy?

4 Answers available

What monitoring do you routinely perform on lifelong EDS for epilepsy syndromes?

1 Answer available

How do you taper off Clonazepam in women with epilepsy who are family planning?

How can one safely taper off and stop clonazepam in a woman of reproductive age with epilepsy who is taking it chronically for epilepsy and is plannin...

1 Answer available

At what intervals do you obtain DEXA scans for patients on antiseizure medications?

The question is broad and is meant to include patients who have healthy BMD, osteopenia, and osteoporosis, as well as exposure to first generation AED...

1 Answer available

At what point could starting AEDs be considered for patients with recurrent simple febrile seizures?

What steps should be taken to wean them off?

1 Answer available

Papers discussed in this category

Nutrition & metabolism, 2006-09-06

Antiepileptic drugs and bone metabolism.

Epilepsia, 2000-07

Should patients with psychogenic nonepileptic seizures be allowed to drive?

Epilepsia Open, 2020 Jun 09

Driving a motor vehicle and psychogenic nonepileptic seizures: ILAE Report by the Task Force on Psychogenic Nonepileptic Seizures.

Epilepsy Behav, 2020 Jan 06

Pyridoxine supplementation for levetiracetam-related neuropsychiatric adverse events: A systematic review.

Neurology, 2021 Dec 07

Antiseizure Medication Withdrawal in Seizure-Free Patients: Practice Advisory Update Summary: Report of the AAN Guideline Subcommittee.

N Engl J Med, 1988 Apr 14

Withdrawal of anticonvulsant drugs in patients free of seizures for two years. A prospective study.

Epilepsia, 2024 Feb 27

Association of antiseizure medications and adverse cardiovascular events: A global health federated network analysis.

Neurology. Clinical practice, 2023 Jan 13

The Best Seizure Diagnostic Tool Is Not a Medical Device: Why Stand-Alone Video Review Needs a Current Procedural Terminology Code.

Epilepsia open, 2021 May 07

A new rapid titration protocol for lamotrigine that reduces the risk of skin rash.

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